HOLLY CONVALESCENT CENTER

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 03/31/2011.

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 05/20/2010 Correction Date: 07/08/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 05/20/2010 Correction Date: 07/08/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/23/2009 Correction Date: 08/28/2009
Get Rid of Garbage Properly. Inspection Date: 07/23/2009 Correction Date: 08/28/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 07/23/2009 Correction Date: 08/28/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/20/2010 Correction Date: 07/08/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 05/20/2010 Correction Date: 07/08/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 03/31/2011 Correction Date: 05/09/2011
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 03/31/2011 Correction Date: 05/09/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 07/23/2009 Correction Date: 08/28/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 07/23/2009 Correction Date: 08/28/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/20/2010 Correction Date: 07/08/2010
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 03/31/2011 Correction Date: 05/09/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/23/2009 Correction Date: 08/28/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/31/2011 Correction Date: 05/09/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 05/20/2010 Correction Date: 07/08/2010

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: 07/23/2009 Correction Date: 08/28/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/20/2010 Correction Date: 07/08/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/31/2011 Correction Date: 05/09/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 05/20/2010 Correction Date: 07/08/2010
Have a Private Telephone Available for Use. Inspection Date: 05/20/2010 Correction Date: 07/08/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 03/31/2011 Correction Date: 05/09/2011

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

Administration

Choose a Doctor to Be the Medical Director. Complaint Filed: 08/09/2010 Correction Date: 08/15/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 09/16/2009 Correction Date: 10/26/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 02/11/2010 Correction Date: 03/15/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 08/09/2010 Correction Date: 08/15/2010
Keep Safe, Clean and Homelike Surroundings. Complaint Filed: 10/14/2010 Correction Date: 10/22/2010

Mistreatment

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: 05/06/2009 Correction Date: 06/24/2009
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 09/16/2009 Correction Date: 10/26/2009
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: 08/09/2010 Correction Date: 08/15/2010
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: 03/29/2011 Correction Date: 04/25/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Complaint Filed: 04/18/2008 Correction Date: 06/24/2008

Quality Care

Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Complaint Filed: 09/16/2009 Correction Date: 10/26/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 10/14/2010 Correction Date: 10/22/2010

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 Holly Convalescent 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 03/30/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/23/2009 Correction Date: 08/19/2009
Portable Fire Extinguishers. Inspection Date: 07/23/2009 Correction Date: 08/19/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/19/2010 Correction Date: 07/12/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/30/2011 Correction Date: 05/02/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/23/2009 Correction Date: 08/19/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 05/19/2010 Correction Date: 07/12/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/19/2010 Correction Date: 07/12/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/30/2011 Correction Date: 05/02/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/19/2010 Correction Date: 07/12/2010
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/30/2011 Correction Date: 05/02/2011
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/30/2011 Correction Date: 05/02/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 07/23/2009 Correction Date: 08/19/2009
Exits That Are Accessible at All Times. Inspection Date: 05/19/2010 Correction Date: 07/12/2010
Exits That Are Accessible at All Times. Inspection Date: 03/30/2011 Correction Date: 05/02/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 07/23/2009 Correction Date: 08/19/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/30/2011 Correction Date: 05/02/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 05/19/2010 Correction Date: 07/12/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/19/2010 Correction Date: 07/12/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 03/30/2011 Correction Date: 05/02/2011