LAHSER HILLS CARE CENTRE

The information listed below provides an in-depth look into the type and quality of care offered at Lahser Hills Care Centre. 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

LAHSER HILLS CARE CENTRE
25300 LAHSER RD
SOUTHFIELD, MI 48034
(248) 354-3222

Nursing Home Ratings

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

Percent of Beds Occupied

94%

Number of Residents and Certified Beds

  • Residents: 135
  • Certified Beds: 143

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

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Nearby Cities:

Detroit | Beverly Hills | Royal Oak

Resident Services

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 Lahser Hills Care Centre. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-162.9%
ADL Index Range: 6-101.0%
ADL Index Range: 0-516.4%
Total Percent:20.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.8%
ADL Index Range: 6-1015.5%
ADL Index Range: 0-514.8%
Total Percent:37.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.0%
ADL Index Range: 6-102.6%
ADL Index Range: 0-55.4%
Total Percent:13.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-167.6%
ADL Index Range: 6-103.6%
ADL Index Range: 0-52.4%
Total Percent:13.6%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.8%
Total Percent:0.8%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.04%
ADL Index Range: 11-14
- Signs of depression
0.9%
ADL Index Range: 11-14
- No Signs of depression
4.5%
ADL Index Range: 6-10
- No Signs of depression
2.7%
ADL Index Range: 2-5
- No Signs of depression
0.9%
Total Percent:9.0%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
3.0%
ADL Index Range: 0-1
- No Signs of depression
1.9%
Total Percent:4.9%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
0.5%
Total Percent:0.5%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
0.08%
ADL Index Range: 6-10
- Less restorative nursing
0.4%
ADL Index Range: 2-5
- Less restorative nursing
0.4%
Total Percent:0.9%
 

Rating Details For Lahser Hills Care Centre

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) Hours25 Minutes1 Hour and 11 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours54 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 35 Minutes2 Hours and 26 Minutes
Total Licensed Nurse Hours1 Hour and 19 Minutes1 Hour and 53 Minutes
Total Nurse Hours3 Hours and 54 Minutes4 Hours and 19 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 Given Influenza Vaccination During the Flu Season65%89%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%12%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%13%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder52%52%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%4%
Percent of Long-Stay Residents Who Were Physically Restrained4%5%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores20%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection4%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder1%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination59%84%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season44%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores13%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain7%21%
Percent of Short-Stay Residents Who Have Delirium2%2%

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 11/10/2010.

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

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 12/19/2008
  • Correction Date: 01/23/2009
Give or Get X-Rays or Tests Only when the Resident's Doctor Ordered Them.
  • Inspection Date: 12/19/2008
  • Correction Date: 01/23/2009
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/01/2010

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 12/19/2008
  • Correction Date: 01/23/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 12/19/2008
  • Correction Date: 01/23/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 12/19/2008
  • Correction Date: 01/23/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 12/04/2009
  • Correction Date: 12/23/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/01/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/01/2010
Keep All Essential Equipment Working Safely.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/01/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Inspection Date: 12/04/2009
  • Correction Date: 12/23/2009
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.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/01/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/01/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 12/04/2009
  • Correction Date: 12/23/2009
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 12/04/2009
  • Correction Date: 12/23/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/01/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/19/2008
  • Correction Date: 01/23/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 12/19/2008
  • Correction Date: 01/23/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 12/19/2008
  • Correction Date: 01/23/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 12/19/2008
  • Correction Date: 01/23/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/04/2009
  • Correction Date: 12/23/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/04/2009
  • Correction Date: 12/23/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 12/04/2009
  • Correction Date: 12/23/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/01/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/01/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/01/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/01/2010
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/01/2010

Resident Rights

Have a Private Telephone Available for Use.
  • Inspection Date: 12/04/2009
  • Correction Date: 12/23/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 12/04/2009
  • Correction Date: 12/23/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/01/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/01/2010

Enforcement

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.

Action TakenDateAmount
Civil Money Penalty (CMP)12/19/2008$975
Civil Money Penalty (CMP)04/27/2010$3,150
Civil Money Penalty (CMP)11/19/2009$4,323
Civil Money Penalty (CMP)07/17/2009$5,525
Civil Money Penalty (CMP)11/10/2010$8,223
Civil Money Penalty (CMP)07/17/2009$26,000

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Lahser Hills Care Centre, 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

Give or Get X-Rays and Other Tests to Meet the Needs of Residents.
  • Complaint Filed: 03/30/2009
  • Correction Date: 04/30/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/17/2009
  • Correction Date: 08/17/2009
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 11/19/2009
  • Correction Date: 12/07/2009

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 12/19/2008
  • Correction Date: 01/23/2009
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 07/17/2009
  • Correction Date: 08/17/2009
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: 12/04/2009
  • Correction Date: 12/23/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 12/04/2009
  • Correction Date: 12/23/2009
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 04/27/2010
  • Correction Date: 05/17/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 06/20/2010
  • Correction Date: 07/01/2010
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 06/24/2010
  • Correction Date: 06/30/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 07/17/2009
  • Correction Date: 08/17/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 07/17/2009
  • Correction Date: 08/17/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 11/19/2009
  • Correction Date: 12/07/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 02/16/2010
  • Correction Date: 03/02/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 06/24/2010
  • Correction Date: 06/30/2010

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 Lahser Hills Care Centre 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 11/10/2010.

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: 12/03/2009
  • Correction Date: 12/23/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 11/10/2010
  • Correction Date: 11/22/2010
Portable Fire Extinguishers.
  • Inspection Date: 11/10/2010
  • Correction Date: 11/22/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 12/22/2008
  • Correction Date: 02/06/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 12/22/2008
  • Correction Date: 02/06/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 12/03/2009
  • Correction Date: 12/23/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 12/03/2009
  • Correction Date: 12/23/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/10/2010
  • Correction Date: 11/22/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/03/2009
  • Correction Date: 12/23/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/03/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 12/22/2008
  • Correction Date: 02/06/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 12/03/2009
  • Correction Date: 12/23/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/03/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 12/22/2008
  • Correction Date: 02/06/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 11/10/2010
  • Correction Date: 11/22/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/22/2008
  • Correction Date: 02/06/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/03/2009
  • Correction Date: 12/23/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/03/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 12/03/2009
  • Correction Date: 12/23/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 12/22/2008
  • Correction Date: 02/06/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 12/22/2008
  • Correction Date: 02/06/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 12/03/2009
  • Correction Date: 12/23/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/10/2010
  • Correction Date: 11/22/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 11/10/2010
  • Correction Date: 11/22/2010

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 11/10/2010
  • Correction Date: 11/22/2010
Source: Medicare Nursing Home Compare; Michigan Department of Community Health - Retrieved 2011