WIL MAR CONVALESCENT HOME
Address
7700 MCCLELLAN
UTICA, MI 48317
(586) 739-7700
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 32
- Certified Beds: 39
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Individual
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from December through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Wil Mar Convalescent Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 61.5% |
Total Percent: | 61.5% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-5 | 38.5% |
Total Percent: | 38.5% |
Rating Details For Wil Mar Convalescent Home
Nursing Staff -
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
Nursing Hours Per Resident Per Day | Reported | Expected |
Registered Nurse (RN) Hours | 45 Minutes | 50 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 48 Minutes | 35 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 41 Minutes | 1 Hour and 55 Minutes |
Total Licensed Nurse Hours | 1 Hour and 33 Minutes | 1 Hour and 24 Minutes |
Total Nurse Hours | 4 Hours and 14 Minutes | 3 Hours and 19 Minutes |
Quality of Care -
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Michigan are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | Michigan Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 89% |
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 89% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 14% | 13% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 7% | 8% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 13% | 9% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 10% | 10% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 1% | 3% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 2% | 5% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 6% | 4% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 40% | 52% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 7% | 12% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 4% | 3% |
Percent of Long-Stay Residents Who Were Physically Restrained | 7% | 5% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 84% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/15/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Give or Get X-Rays and Other Tests to Meet the Needs of Residents.
| ||
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
| ||
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person.
|
Environmental
Keep Safe, Clean and Homelike Surroundings.
| ||
Have a Program to Keep Infection from Spreading.
| ||
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| ||
Provide Needed Housekeeping and Maintenance.
| ||
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| ||
Have a Program to Keep Infection from Spreading.
|
Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
|
Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
| ||
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
|
Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
|
Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
|
Resident Rights
Provide Services to Meet the Needs and Preferences of Each Resident.
| ||
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
| ||
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
|
Enforcement
Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.
Action Taken | Date | Amount |
Civil Money Penalty (CMP) | 04/02/2010 | $975 |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Wil Mar Convalescent Home, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Formal Complaints | Degree of Harm | Residents Affected |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
|
Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
|
Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Wil Mar Convalescent Home had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 04/15/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
| ||
Properly Working Alarms on Sprinkler Valves.
| ||
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
|
Building Construction
A Two-Hour-Resistant Firewall in Common Walls.
| ||
Approved Construction Type or Materials.
| ||
A Two-Hour-Resistant Firewall in Common Walls.
| ||
Approved Construction Type or Materials.
| ||
A Two-Hour-Resistant Firewall in Common Walls.
| ||
Approved Construction Type or Materials.
|
Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
|
Corridor Walls and Doors
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
| ||
Corridor and Hallway Doors That Block Smoke.
| ||
Corridor and Hallway Doors That Block Smoke.
|
Electrical
Properly Installed Electrical Wiring and Equipment.
| ||
A Separate and Independent Backup Electrical Power Source.
| ||
Properly Installed Electrical Wiring and Equipment.
| ||
Weekly Inspections and Monthly Testing of Generators.
| ||
Properly Installed Electrical Wiring and Equipment.
|
Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
| ||
Did Not Have a Written Emergency Evacuation Plan.
|
Exits and Egress
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
| ||
Resident Room Doors of Proper Design and Width.
| ||
Exit Stairways and Towers That Are Smoke Proof.
| ||
Large Enough Exits.
| ||
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
| ||
Resident Room Doors of Proper Design and Width.
| ||
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
| ||
Resident Room Doors of Proper Design and Width.
|
Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
|
Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
| ||
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
| ||
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
|
Illumination and Emergency Power
Proper Backup Exit Lighting.
| ||
Properly Located and Lighted "Exit" Signs.
|
Interior Finish
Fire-Resistant Interior Walls.
|
Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
|
Vertical Openings
Proper Stairway Enclosures and Vertical Shafts.
|