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St Mary's Nursing & Rehab Center
22601 E NINE MILE RD
Saint Clair Shores, MI 48080
(586) 772-4300
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 107 |
| Number of Residents: | 91 |
| Percent of Occupied Beds: | 85% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Both |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: | |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080729 | Health | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | Isolated | Minimal harm or potential for actual harm | 20080821 |
| 20080904 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Immediate jeopardy to resident health or safety | 20080905 |
| 20090410 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20090430 |
| 20090410 | Health | Resident Rights Deficiencies | Keep each resident's personal and medical records private and confidential. | Isolated | Minimal harm or potential for actual harm | 20090430 |
| 20091204 | Health | Resident Rights Deficiencies | Let the resident refuse treatment or refuse to take part in an experiment. | Isolated | Minimal harm or potential for actual harm | 20091222 |
| 20100316 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20100408 |
| 20100316 | Health | Mistreatment Deficiencies | 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. | Isolated | Minimal harm or potential for actual harm | 20100408 |
| 20100316 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20100408 |
| 20100805 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20100824 |
| 20100805 | Health | Quality Care Deficiencies | Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | Isolated | Minimal harm or potential for actual harm | 20100824 |
| 20100810 | Health | Mistreatment Deficiencies | 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. | Isolated | Minimal harm or potential for actual harm | 20100827 |
| 20100810 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20100827 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 100 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 100 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 8 | |
| Percent of long-stay residents who have moderate to severe pain: | 2 | |
| Percent of high-risk long-stay residents who have pressure sores: | 28 | |
| Percent of low-risk long-stay residents who have pressure sores: | 1 | |
| Percent of long-stay residents who were physically restrained: | 1 | |
| Percent of long-stay residents who are more depressed or anxious: | 12 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 57 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 3 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 4 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 9 | |
| Percent of long-stay residents who had a urinary tract infection: | 5 | |
| Percent of long-stay residents who lose too much weight: | 6 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 99 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 100 | |
| Percent of short-stay residents who have delirium: | 1 | |
| Percent of short-stay residents who had moderate to severe pain: | 6 | |
| Percent of short-stay residents who have pressure sores: | 22 | |
| # of Residents: | 91 |
| # RN Hours per Resident: | 0.3 |
| # LPN Hours per Resident: | 0.37 |
| # CNA Hours per Resident: | 1.22 |
| Total Staff Hours per Resident: | 0.67 |
