LUTHERAN HOME

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 "Very 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 Lutheran Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

Reduced Physical Function

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

Short-Term Stay Preventive Actions

Short-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 04/29/2011.

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 07/31/2009 Correction Date: 09/07/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 04/29/2011 Correction Date: 06/01/2011

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 07/31/2009 Correction Date: 09/07/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 07/31/2009 Correction Date: 09/07/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 06/25/2010 Correction Date: 07/28/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/29/2011 Correction Date: 06/01/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/29/2011 Correction Date: 06/01/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 04/29/2011 Correction Date: 06/01/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 07/31/2009 Correction Date: 09/07/2009
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 04/29/2011 Correction Date: 06/01/2011
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 04/29/2011 Correction Date: 06/01/2011
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. Inspection Date: 04/29/2011 Correction Date: 06/01/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/29/2011 Correction Date: 06/01/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/31/2009 Correction Date: 09/07/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 07/31/2009 Correction Date: 09/07/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 07/31/2009 Correction Date: 09/07/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 07/31/2009 Correction Date: 09/07/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 06/25/2010 Correction Date: 07/28/2010
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 04/29/2011 Correction Date: 06/01/2011

Quality Care

Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/29/2011 Correction Date: 06/01/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 07/31/2009 Correction Date: 09/07/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 06/25/2010 Correction Date: 07/28/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 04/29/2011 Correction Date: 06/01/2011

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.

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 07/08/2009 Correction Date: 07/28/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 05/07/2010 Correction Date: 05/28/2010

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 Lutheran 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 04/28/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 06/25/2010 Correction Date: 07/28/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 04/28/2011 Correction Date: 05/26/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/28/2011 Correction Date: 05/26/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 06/25/2010 Correction Date: 07/28/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 04/28/2011 Correction Date: 05/26/2011

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 06/25/2010 Correction Date: 07/28/2010
An Automatic Smoke Detection System in All Hallways. Inspection Date: 04/28/2011 Correction Date: 05/26/2011
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 04/28/2011 Correction Date: 05/26/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/29/2009 Correction Date: 08/31/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/28/2011 Correction Date: 05/26/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 06/25/2010 Correction Date: 07/28/2010

Interior Finish

Fire-Resistant Interior Walls. Inspection Date: 07/29/2009 Correction Date: 08/31/2009
Fire-Resistant Room Wall Surfaces. Inspection Date: 07/29/2009 Correction Date: 08/31/2009
Fire-Resistant Interior Walls. Inspection Date: 06/25/2010 Correction Date: 07/28/2010
Fire-Resistant Room Wall Surfaces. Inspection Date: 06/25/2010 Correction Date: 07/28/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/29/2009 Correction Date: 08/31/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 04/28/2011 Correction Date: 05/26/2011

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 07/29/2009 Correction Date: 08/31/2009