BURCHAM HILLS RETIREMENT CENTER

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 Burcham Hills Retirement Center. 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

Very High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Extensive Services

Special Care High

Special Care Low

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 01/28/2011.

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 04/03/2009 Correction Date: 05/19/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 02/26/2010 Correction Date: 04/09/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 02/26/2010 Correction Date: 04/09/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 04/03/2009 Correction Date: 05/19/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/03/2009 Correction Date: 05/19/2009
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 04/03/2009 Correction Date: 05/19/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 02/26/2010 Correction Date: 04/09/2010
Have Enough Outside Airflow. Inspection Date: 02/26/2010 Correction Date: 04/09/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 01/28/2011 Correction Date: 03/04/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 01/28/2011 Correction Date: 03/04/2011
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 01/28/2011 Correction Date: 03/04/2011

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 02/26/2010 Correction Date: 04/09/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/26/2010 Correction Date: 04/09/2010

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: 04/03/2009 Correction Date: 05/19/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/03/2009 Correction Date: 05/19/2009
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: 02/26/2010 Correction Date: 04/09/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/03/2009 Correction Date: 05/19/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/03/2009 Correction Date: 05/19/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/03/2009 Correction Date: 05/19/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/26/2010 Correction Date: 04/09/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 02/26/2010 Correction Date: 04/09/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 01/28/2011 Correction Date: 03/04/2011
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 01/28/2011 Correction Date: 03/04/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/28/2011 Correction Date: 03/04/2011
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 01/28/2011 Correction Date: 03/04/2011

Resident Assessment

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: 04/03/2009 Correction Date: 05/19/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/03/2009 Correction Date: 05/19/2009
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home. Inspection Date: 04/03/2009 Correction Date: 05/19/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 04/03/2009 Correction Date: 05/19/2009
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: 01/28/2011 Correction Date: 03/04/2011

The table below lists incident reports by the nursing staff or administration for Burcham Hills Retirement Center, 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: 01/28/2010 Correction Date: 02/26/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 01/28/2010 Correction Date: 02/26/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 04/22/2011 Correction Date: 05/26/2011

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 Burcham Hills Retirement Center 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 01/28/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/01/2009 Correction Date: 05/22/2009
Portable Fire Extinguishers. Inspection Date: 04/01/2009 Correction Date: 04/10/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 04/01/2009 Correction Date: 05/22/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/25/2010 Correction Date: 03/31/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/28/2011 Correction Date: 02/04/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/28/2011 Correction Date: 02/25/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 04/01/2009 Correction Date: 04/10/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/01/2009 Correction Date: 04/10/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/25/2010 Correction Date: 03/31/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/28/2011 Correction Date: 02/11/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 01/28/2011 Correction Date: 03/04/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 04/01/2009 Correction Date: 04/03/2009
Exits That Are Accessible at All Times. Inspection Date: 01/28/2011 Correction Date: 03/04/2011
Resident Room Doors of Proper Design and Width. Inspection Date: 01/28/2011 Correction Date: 03/04/2011

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 04/01/2009 Correction Date: 05/22/2009
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 04/01/2009 Correction Date: 05/22/2009

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 04/01/2009 Correction Date: 04/10/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/01/2009 Correction Date: 04/29/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 01/28/2011 Correction Date: 02/25/2011
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 01/28/2011 Correction Date: 02/28/2011

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 02/25/2010 Correction Date: 03/31/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 01/28/2011 Correction Date: 02/11/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 01/28/2011 Correction Date: 02/28/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 04/01/2009 Correction Date: 04/27/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/25/2010 Correction Date: 03/31/2010