THE CARRIAGE HOUSE OF BAY CITY

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 The Carriage House of Bay City. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

Clinically Complex

Reduced Physical Function

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 05/06/2011.

Administration

Give Lab Tests Only when the Attending Doctor Ordered Them. Inspection Date: 06/05/2009 Correction Date: 09/25/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 04/23/2010 Correction Date: 05/19/2010

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Provide Clean Bed and Bath Linens That Are in Good Condition. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Keep Sound Levels Comfortable. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Keep All Essential Equipment Working Safely. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 04/23/2010 Correction Date: 05/19/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/23/2010 Correction Date: 05/19/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/23/2010 Correction Date: 05/19/2010
Provide at Least One Room to Use As a Dining Room and for Activities, That is a Good Size, with Good Lighting, Airflow and Furniture. Inspection Date: 04/23/2010 Correction Date: 05/19/2010
Have Enough Outside Airflow. Inspection Date: 04/23/2010 Correction Date: 05/19/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/06/2011 Correction Date: 06/03/2011
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 05/06/2011 Correction Date: 06/03/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/06/2011 Correction Date: 06/03/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/05/2009 Correction Date: 07/13/2009

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/23/2010 Correction Date: 05/19/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/06/2011 Correction Date: 06/03/2011

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: 06/05/2009 Correction Date: 07/13/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
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: 04/23/2010 Correction Date: 05/19/2010
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: 05/06/2011 Correction Date: 06/03/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 05/06/2011 Correction Date: 06/03/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/23/2010 Correction Date: 05/19/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/06/2011 Correction Date: 06/03/2011
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 05/06/2011 Correction Date: 06/03/2011

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 06/05/2009 Correction Date: 09/25/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
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: 06/05/2009 Correction Date: 07/13/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 06/05/2009 Correction Date: 07/13/2009

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 06/05/2009 Correction Date: 07/13/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 04/23/2010 Correction Date: 05/19/2010

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 The Carriage House of Bay City, as well as complaints by residents or their family in the previous three years.

Administration

Keep Accurate and Appropriate Medical Records. Complaint Filed: 02/12/2009 Correction Date: 03/24/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 02/12/2009 Correction Date: 03/24/2009
Keep All Essential Equipment Working Safely. Complaint Filed: 12/28/2009 Correction Date: 01/15/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 08/02/2010 Correction Date: 11/01/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 02/12/2009 Correction Date: 03/24/2009

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 The Carriage House of Bay City 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 05/06/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 06/04/2009 Correction Date: 06/19/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 04/26/2010 Correction Date: 05/17/2010
Portable Fire Extinguishers. Inspection Date: 05/06/2011 Correction Date: 06/03/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/04/2009 Correction Date: 06/05/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 05/06/2011 Correction Date: 06/03/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 06/04/2009 Correction Date: 06/17/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 06/04/2009 Correction Date: 06/10/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/26/2010 Correction Date: 05/17/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 06/04/2009 Correction Date: 06/12/2009
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 04/26/2010 Correction Date: 05/17/2010
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 05/06/2011 Correction Date: 06/03/2011
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/06/2011 Correction Date: 06/03/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 04/26/2010 Correction Date: 05/17/2010
Two Separate Exits in Rooms of More Than 1000 Square Feet. Inspection Date: 05/06/2011 Correction Date: 06/03/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 05/06/2011 Correction Date: 06/03/2011
An Automatic Smoke Detection System in All Hallways. Inspection Date: 05/06/2011 Correction Date: 06/03/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 06/04/2009 Correction Date: 06/05/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/26/2010 Correction Date: 05/17/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/06/2011 Correction Date: 06/03/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 04/26/2010 Correction Date: 05/17/2010

Interior Finish

Fire-Resistant Interior Walls. Inspection Date: 04/26/2010 Correction Date: 05/17/2010
Fire-Resistant Room Wall Surfaces. Inspection Date: 04/26/2010 Correction Date: 05/17/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 06/04/2009 Correction Date: 06/10/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 04/26/2010 Correction Date: 05/17/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 06/04/2009 Correction Date: 06/10/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/26/2010 Correction Date: 05/17/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/06/2011 Correction Date: 06/03/2011

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 06/04/2009 Correction Date: 06/08/2009
Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 04/26/2010 Correction Date: 05/17/2010