HOLLY CONVALESCENT CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Holly Convalescent 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

HOLLY CONVALESCENT CENTER
313 SHERWOOD ST
HOLLY, MI 48442
(248) 634-9281

Nursing Home Ratings

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

Percent of Beds Occupied

91%

Number of Residents and Certified Beds

  • Residents: 60
  • Certified Beds: 66

This Facility Accepts

  • Medicaid

Operational Details

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

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Nearby Cities:

Fenton | Grand Blanc | Linden

Rating Details For Holly Convalescent 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) Hours34 Minutes51 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours24 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 17 Minutes2 Hours and 17 Minutes
Total Licensed Nurse Hours58 Minutes1 Hour and 27 Minutes
Total Nurse Hours3 Hours and 15 Minutes3 Hours and 44 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 Vaccination90-100%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%12%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%10%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder73%52%
Percent of Long-Stay Residents Who Lose Too Much Weight5%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection17%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious23%13%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%4%
Percent of Long-Stay Residents Who Were Physically Restrained9%5%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%3%

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 03/31/2011.

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

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

Deficiencies from Complaints and Incidents

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.

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

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

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 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.

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: 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
Source: Medicare Nursing Home Compare; Michigan Department of Community Health - Retrieved 2011