ROMEO CONTINUING CARE, INC

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

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 06/03/2011.

Environmental

Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 07/30/2009 Correction Date: 09/18/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 08/12/2010 Correction Date: 08/20/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/03/2011 Correction Date: 07/12/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 06/03/2011 Correction Date: 07/12/2011
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 06/03/2011 Correction Date: 07/12/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 06/03/2011 Correction Date: 07/12/2011
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: 06/03/2011 Correction Date: 07/12/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/30/2009 Correction Date: 09/18/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 08/12/2010 Correction Date: 09/01/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 06/03/2011 Correction Date: 07/12/2011

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: 07/30/2009 Correction Date: 09/18/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 06/03/2011 Correction Date: 07/12/2011

The table below lists incident reports by the nursing staff or administration for Romeo Continuing Care, Inc, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 10/15/2010 Correction Date: 11/08/2010

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 Romeo Continuing Care, Inc 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 06/02/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/30/2009 Correction Date: 09/27/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/12/2010 Correction Date: 10/11/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 06/02/2011 Correction Date: 07/31/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/30/2009 Correction Date: 09/27/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 08/12/2010 Correction Date: 10/11/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/02/2011 Correction Date: 07/31/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/12/2010 Correction Date: 10/11/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 07/30/2009 Correction Date: 09/27/2009
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 06/02/2011 Correction Date: 07/31/2011
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 06/02/2011 Correction Date: 07/31/2011

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 07/30/2009 Correction Date: 09/27/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 08/12/2010 Correction Date: 10/11/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 06/02/2011 Correction Date: 07/31/2011

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 06/02/2011 Correction Date: 07/31/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/30/2009 Correction Date: 09/27/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 06/02/2011 Correction Date: 07/31/2011

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used. Inspection Date: 07/30/2009 Correction Date: 09/27/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 06/02/2011 Correction Date: 07/31/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 07/30/2009 Correction Date: 09/27/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 07/30/2009 Correction Date: 09/27/2009