MERCY MEMORIAL NURSING CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Mercy Memorial Nursing Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

MERCY MEMORIAL NURSING CENTER
700 STEWART RD
MONROE, MI 48161
(734) 240-1740

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

94%

Number of Residents and Certified Beds

  • Residents: 66
  • Certified Beds: 70

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Trenton | Temperance | Woodhaven

Resident Services

The information below lists services this facility has provided for residents from October 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 Mercy Memorial Nursing Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-166.1%
ADL Index Range: 6-109.0%
ADL Index Range: 0-568.2%
Total Percent:83.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-102.5%
ADL Index Range: 0-58.0%
Total Percent:10.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-101.6%
ADL Index Range: 0-51.2%
Total Percent:2.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-100.5%
ADL Index Range: 0-50.3%
Total Percent:0.9%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- No Signs of depression
0.2%
ADL Index Range: 2-5
- No Signs of depression
0.1%
Total Percent:0.3%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 0-1
- No Signs of depression
2.3%
Total Percent:2.3%
 

Rating Details For Mercy Memorial Nursing Center

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 DayReportedExpected
Registered Nurse (RN) Hours55 Minutes1 Hour and 19 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours45 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 32 Minutes2 Hours and 18 Minutes
Total Licensed Nurse Hours1 Hour and 40 Minutes2 Hours and 2 Minutes
Total Nurse Hours4 Hours and 12 Minutes4 Hours and 20 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 FacilityMichigan Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%89%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of Long-Stay Residents Who Lose Too Much Weight11%8%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious10%13%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder47%52%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%84%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain17%21%
Percent of Short-Stay Residents Who Have Delirium4%2%
Percent of Short-Stay Residents Who Have Pressure Sores8%11%

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 12/03/2010.

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 InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 12/11/2009
  • Correction Date: 12/23/2009
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 12/03/2010
  • Correction Date: 01/21/2011
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 12/03/2010
  • Correction Date: 01/21/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 12/11/2009
  • Correction Date: 12/23/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 12/11/2009
  • Correction Date: 12/23/2009

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/11/2009
  • Correction Date: 12/23/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/03/2010
  • Correction Date: 01/21/2011
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 12/03/2010
  • Correction Date: 01/21/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 12/03/2010
  • Correction Date: 01/21/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 12/03/2010
  • Correction Date: 01/21/2011

Resident Rights

Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
  • Inspection Date: 12/03/2010
  • Correction Date: 01/21/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 12/03/2010
  • Correction Date: 01/21/2011
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 12/03/2010
  • Correction Date: 01/21/2011

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 TakenDateAmount
Civil Money Penalty (CMP)06/02/2010$900
Civil Money Penalty (CMP)03/23/2011$1,625
Civil Money Penalty (CMP)12/11/2009$2,925
Civil Money Penalty (CMP)12/11/2009$6,825
Denial of Payment for New Admission (DPNA)12/11/2009-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Mercy Memorial Nursing Center, 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 ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/02/2010
  • Correction Date: 06/05/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 01/16/2009
  • Correction Date: 02/20/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 06/02/2010
  • Correction Date: 06/05/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 06/02/2010
  • Correction Date: 06/05/2010

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 Mercy Memorial Nursing Center 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 12/03/2010.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 12/08/2009
  • Correction Date: 12/21/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 12/03/2010
  • Correction Date: 01/16/2011
Portable Fire Extinguishers.
  • Inspection Date: 12/03/2010
  • Correction Date: 01/16/2011

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 12/08/2009
  • Correction Date: 12/15/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/03/2010
  • Correction Date: 01/16/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 12/08/2009
  • Correction Date: 01/21/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 12/08/2009
  • Correction Date: 12/18/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 12/03/2010
  • Correction Date: 01/16/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 12/03/2010
  • Correction Date: 01/16/2011

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 12/08/2009
  • Correction Date: 12/21/2009
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 12/03/2010
  • Correction Date: 01/16/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 12/08/2009
  • Correction Date: 12/21/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 12/03/2010
  • Correction Date: 01/16/2011
Source: Medicare Nursing Home Compare; Michigan Department of Community Health - Retrieved 2011