LAW-DEN NURSING HOME

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

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 02/25/2011.

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/15/2010 Correction Date: 06/01/2010

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 05/07/2009 Correction Date: 06/20/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 05/07/2009 Correction Date: 05/15/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Keep All Essential Equipment Working Safely. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/25/2011 Correction Date: 03/25/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 02/25/2011 Correction Date: 03/25/2011
Keep All Essential Equipment Working Safely. Inspection Date: 02/25/2011 Correction Date: 03/25/2011
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 02/25/2011 Correction Date: 03/25/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 02/25/2011 Correction Date: 03/25/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 05/07/2009 Correction Date: 06/05/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 02/25/2011 Correction Date: 03/25/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/25/2011 Correction Date: 03/25/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/07/2009 Correction Date: 06/20/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 05/07/2009 Correction Date: 05/15/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 02/25/2011 Correction Date: 03/25/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 02/25/2011 Correction Date: 03/25/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 02/25/2011 Correction Date: 03/25/2011

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: 05/07/2009 Correction Date: 06/20/2009

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 05/07/2009 Correction Date: 06/20/2009
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 02/25/2011 Correction Date: 03/25/2011
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 02/25/2011 Correction Date: 03/25/2011

The table below lists incident reports by the nursing staff or administration for Law-Den Nursing Home, as well as complaints by residents or their family in the previous three years.

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Complaint Filed: 03/17/2009 Correction Date: 04/01/2009
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 02/03/2010 Correction Date: 03/12/2010

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 Law-Den Nursing 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 02/25/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Portable Fire Extinguishers. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 02/25/2011 Correction Date: 03/01/2011
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/25/2011 Correction Date: 03/16/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 02/25/2011 Correction Date: 03/08/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 05/07/2009 Correction Date: 05/21/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/15/2010 Correction Date: 09/23/2010
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 02/25/2011 Correction Date: 03/01/2011
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/25/2011 Correction Date: 03/23/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
A Separate and Independent Backup Electrical Power Source. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/25/2011 Correction Date: 03/01/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 02/25/2011 Correction Date: 03/18/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 05/07/2009 Correction Date: 06/12/2009
Exits That Are Accessible at All Times. Inspection Date: 04/15/2010 Correction Date: 06/01/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/25/2011 Correction Date: 03/25/2011

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 02/25/2011 Correction Date: 03/01/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/15/2010 Correction Date: 06/01/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 02/25/2011 Correction Date: 03/23/2011
Properly Located and Lighted "Exit" Signs. Inspection Date: 02/25/2011 Correction Date: 03/01/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 04/15/2010 Correction Date: 06/01/2010
No-Smoking Signs Where Oxygen is Used. Inspection Date: 04/15/2010 Correction Date: 06/01/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 04/15/2010 Correction Date: 06/01/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/07/2009 Correction Date: 05/21/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/15/2010 Correction Date: 06/01/2010