SPECTRUM HEALTH REHAB & NURSING CENTERS-KELSEY HOSPITAL

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 Spectrum Health Rehab & Nursing Centers-Kelsey Hospital. 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

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 03/04/2011.

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/17/2009 Correction Date: 05/18/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/26/2010 Correction Date: 05/04/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 03/26/2010 Correction Date: 06/15/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/17/2009 Correction Date: 05/18/2009

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: 03/26/2010 Correction Date: 05/04/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 03/26/2010 Correction Date: 05/04/2010
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 03/26/2010 Correction Date: 06/15/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/26/2010 Correction Date: 05/04/2010
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: 03/04/2011 Correction Date: 03/11/2011

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 04/17/2009 Correction Date: 05/18/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 03/26/2010 Correction Date: 05/04/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 03/26/2010 Correction Date: 05/04/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/26/2010 Correction Date: 05/04/2010
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 03/26/2010 Correction Date: 05/04/2010

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 03/26/2010 Correction Date: 05/04/2010
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 03/26/2010 Correction Date: 05/04/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 03/26/2010 Correction Date: 05/04/2010
Have a Private Telephone Available for Use. Inspection Date: 03/26/2010 Correction Date: 05/04/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/26/2010 Correction Date: 05/04/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 03/26/2010 Correction Date: 05/04/2010

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 Spectrum Health Rehab & Nursing Centers-Kelsey Hospital 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 03/03/2011.

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/21/2009 Correction Date: 04/23/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/24/2010 Correction Date: 05/07/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/24/2010 Correction Date: 03/24/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/03/2011 Correction Date: 03/11/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 03/03/2011 Correction Date: 03/09/2011