EAST GRAND NURSING 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 East Grand Nursing 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

Clinically Complex

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 04/21/2011.

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 08/06/2009 Correction Date: 09/24/2009
Hire Nurse Aides Who Have Shown That They Are Skilled and Care for Residents Safely On-The-Job. Inspection Date: 07/09/2010 Correction Date: 08/06/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 07/09/2010 Correction Date: 08/06/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/06/2009 Correction Date: 11/12/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/06/2009 Correction Date: 11/12/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 08/06/2009 Correction Date: 10/21/2009
Keep Temperature Levels Comfortable and Safe. Inspection Date: 07/09/2010 Correction Date: 08/06/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/09/2010 Correction Date: 08/06/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 07/09/2010 Correction Date: 08/06/2010
Provide Bedrooms That Hold No More Than 4 Residents Per Room. Inspection Date: 07/09/2010 Correction Date: 08/06/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 07/09/2010 Correction Date: 08/06/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/21/2011 Correction Date: 05/31/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 04/21/2011 Correction Date: 05/31/2011
Keep All Essential Equipment Working Safely. Inspection Date: 04/21/2011 Correction Date: 05/31/2011
Provide Bedrooms That Hold No More Than 4 Residents Per Room. Inspection Date: 04/21/2011 Correction Date: 05/31/2011
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 04/21/2011 Correction Date: 05/31/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/06/2009 Correction Date: 08/25/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 07/09/2010 Correction Date: 08/06/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 07/09/2010 Correction Date: 08/06/2010
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 04/21/2011 Correction Date: 05/31/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/21/2011 Correction Date: 05/31/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 08/06/2009 Correction Date: 09/08/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/06/2009 Correction Date: 08/27/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 08/06/2009 Correction Date: 08/27/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 07/09/2010 Correction Date: 08/06/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/21/2011 Correction Date: 05/31/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/09/2010 Correction Date: 08/06/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 07/09/2010 Correction Date: 08/06/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 07/09/2010 Correction Date: 08/06/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/21/2011 Correction Date: 05/31/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/21/2011 Correction Date: 05/31/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 04/21/2011 Correction Date: 05/31/2011
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: 04/21/2011 Correction Date: 05/31/2011
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 04/21/2011 Correction Date: 05/31/2011

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: 08/06/2009 Correction Date: 08/27/2009
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 08/06/2009 Correction Date: 08/31/2009
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 07/09/2010 Correction Date: 08/06/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 08/06/2009 Correction Date: 09/08/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 08/06/2009 Correction Date: 08/07/2009
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 04/21/2011 Correction Date: 05/31/2011
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: 04/21/2011 Correction Date: 05/31/2011
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 04/21/2011 Correction Date: 05/31/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/21/2011 Correction Date: 05/31/2011

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 East Grand Nursing Home, as well as complaints by residents or their family in the previous three years.

Administration

Keep Accurate and Appropriate Medical Records. Complaint Filed: 10/09/2008 Correction Date: 10/24/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 11/24/2008 Correction Date: 12/30/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 05/27/2009 Correction Date: 05/28/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 03/22/2010 Correction Date: 07/02/2010

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: 10/09/2008 Correction Date: 10/24/2008
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 11/24/2008 Correction Date: 12/30/2008

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 04/27/2010 Correction Date: 05/21/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 03/22/2010 Correction Date: 07/02/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 03/22/2010 Correction Date: 07/02/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 03/22/2010 Correction Date: 07/02/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 05/27/2009 Correction Date: 05/28/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Complaint Filed: 04/27/2010 Correction Date: 05/21/2010

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 East Grand Nursing 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 04/25/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/06/2009 Correction Date: 08/10/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/06/2009 Correction Date: 08/07/2009
Portable Fire Extinguishers. Inspection Date: 08/06/2009 Correction Date: 08/07/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 07/12/2010 Correction Date: 07/29/2010
Portable Fire Extinguishers. Inspection Date: 07/12/2010 Correction Date: 07/29/2010
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 04/25/2011 Correction Date: 06/04/2011
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/25/2011 Correction Date: 06/04/2011
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 04/25/2011 Correction Date: 06/04/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/06/2009 Correction Date: 08/07/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 07/12/2010 Correction Date: 07/28/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/12/2010 Correction Date: 07/28/2010
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 04/25/2011 Correction Date: 06/04/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/06/2009 Correction Date: 09/08/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/06/2009 Correction Date: 08/07/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 07/12/2010 Correction Date: 08/13/2010
A Separate and Independent Backup Electrical Power Source. Inspection Date: 07/12/2010 Correction Date: 07/27/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/06/2009 Correction Date: 08/31/2009
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 04/25/2011 Correction Date: 06/04/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/06/2009 Correction Date: 08/07/2009
Exits That Are Accessible at All Times. Inspection Date: 04/25/2011 Correction Date: 06/30/2011
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 04/25/2011 Correction Date: 07/15/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 08/06/2009 Correction Date: 08/13/2009
Properly Maintained Smoke Detectors. Inspection Date: 04/25/2011 Correction Date: 06/04/2011
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 04/25/2011 Correction Date: 06/04/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 08/06/2009 Correction Date: 08/07/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/06/2009 Correction Date: 08/07/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/12/2010 Correction Date: 07/29/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/25/2011 Correction Date: 06/04/2011

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 08/06/2009 Correction Date: 08/10/2009

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used. Inspection Date: 08/06/2009 Correction Date: 08/31/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/12/2010 Correction Date: 07/29/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 08/06/2009 Correction Date: 08/13/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 07/12/2010 Correction Date: 07/25/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/25/2011 Correction Date: 06/04/2011