MANOR OF SOUTHGATE SKILLED NURSING & REHAB

The information listed below provides an in-depth look into the type and quality of care offered at Manor of Southgate Skilled Nursing & Rehab. 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

MANOR OF SOUTHGATE SKILLED NURSING & REHAB
15400 TRENTON ROAD
SOUTHGATE, MI 48195
(734) 284-4620

Nursing Home Ratings

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

Percent of Beds Occupied

92%

Number of Residents and Certified Beds

  • Residents: 92
  • Certified Beds: 100

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Riverview | Taylor | Allen Park

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 Manor of Southgate Skilled Nursing & Rehab. 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: 11-1610.3%
ADL Index Range: 6-1024.5%
ADL Index Range: 0-523.2%
Total Percent:58.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.6%
ADL Index Range: 6-1012.9%
ADL Index Range: 0-53.8%
Total Percent:24.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.3%
ADL Index Range: 6-102.1%
ADL Index Range: 0-50.4%
Total Percent:4.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.3%
ADL Index Range: 6-102.4%
ADL Index Range: 0-54.2%
Total Percent:6.8%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
1.1%
ADL Index Range: 6-10
- Signs of depression
0.5%
ADL Index Range: 2-5
- No Signs of depression
0.07%
Total Percent:1.7%
 

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: 11-14
- Signs of depression
0.3%
ADL Index Range: 2-5
- Signs of depression
0.9%
ADL Index Range: 2-5
- No Signs of depression
0.07%
Total Percent:1.3%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
0.2%
ADL Index Range: 0-1
- Less restorative nursing
2.2%
Total Percent:2.4%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
0.5%
ADL Index Range: 0-1
- Less restorative nursing
0.3%
Total Percent:0.7%
 

Rating Details For Manor of Southgate Skilled Nursing & Rehab

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) Hours33 Minutes1 Hour and 8 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours49 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 52 Minutes2 Hours and 12 Minutes
Total Licensed Nurse Hours1 Hour and 22 Minutes1 Hour and 47 Minutes
Total Nurse Hours3 Hours and 15 Minutes3 Hours and 59 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 Who Were Assessed and Given Pneumococcal Vaccination62%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season88%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious11%13%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder65%52%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Lose Too Much Weight4%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%10%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased4%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination17%84%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season40%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain14%21%
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 01/21/2011.

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 InspectorsDegree of HarmResidents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
Quickly Tell the Resident's Doctor the Results of Lab Tests.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
Provide Bedrooms That Hold No More Than 4 Residents Per Room.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/17/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/17/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/17/2010
Provide Bedrooms That Hold No More Than 4 Residents Per Room.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/17/2010
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/17/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/21/2011
  • Correction Date: 02/14/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/21/2011
  • Correction Date: 02/14/2011
Provide Bedrooms That Hold No More Than 4 Residents Per Room.
  • Inspection Date: 01/21/2011
  • Correction Date: 02/14/2011
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 01/21/2011
  • Correction Date: 02/14/2011
Provide at Least One Room to Use As a Dining Room and for Activities, That is a Good Size, with Good Lighting, Airflow and Furniture.
  • Inspection Date: 01/21/2011
  • Correction Date: 02/14/2011

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Inspection Date: 01/21/2011
  • Correction Date: 02/14/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
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.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/17/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/21/2011
  • Correction Date: 02/14/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/17/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/17/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/21/2011
  • Correction Date: 02/14/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 01/21/2011
  • Correction Date: 03/14/2011

Resident Assessment

Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed.
  • Inspection Date: 01/21/2011
  • Correction Date: 02/14/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/17/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/17/2010
Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet.
  • Inspection Date: 01/21/2011
  • Correction Date: 02/14/2011

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)11/12/2010$1,170
Civil Money Penalty (CMP)08/17/2010$3,868
Civil Money Penalty (CMP)11/12/2010$3,868
Civil Money Penalty (CMP)02/06/2009$5,038
Civil Money Penalty (CMP)11/12/2010$14,333
Denial of Payment for New Admission (DPNA)11/12/2010-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Manor of Southgate Skilled Nursing & Rehab, 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

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 04/27/2010
  • Correction Date: 05/13/2010
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 08/17/2010
  • Correction Date: 09/03/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/04/2011
  • Correction Date: 01/10/2011

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 08/17/2010
  • Correction Date: 09/03/2010
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: 08/17/2010
  • Correction Date: 09/03/2010
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 11/12/2010
  • Correction Date: 12/07/2010

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 Manor of Southgate Skilled Nursing & Rehab 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 01/21/2011.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/02/2009
Portable Fire Extinguishers.
  • Inspection Date: 01/21/2011
  • Correction Date: 01/31/2011

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/02/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 01/21/2010
  • Correction Date: 02/17/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/02/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/21/2010
  • Correction Date: 02/17/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/21/2011
  • Correction Date: 02/21/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/02/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/02/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/21/2010
  • Correction Date: 01/29/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/21/2010
  • Correction Date: 02/01/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/02/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 01/21/2010
  • Correction Date: 02/17/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 01/21/2011
  • Correction Date: 01/21/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/02/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/21/2010
  • Correction Date: 02/17/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/21/2011
  • Correction Date: 01/21/2011

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/02/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 01/21/2010
  • Correction Date: 01/29/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 01/21/2010
  • Correction Date: 02/17/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 01/21/2010
  • Correction Date: 02/17/2010
Source: Medicare Nursing Home Compare; Michigan Department of Community Health - Retrieved 2011