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Covenant Village Of The Great Lakes

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About Covenant Village Of The Great Lakes

General Information

Legal Business NameCovenant Retirement Communities Of The Great Lakes Conference
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 28, 2004 (12 years)
Capacity37
Residents27
Percent Occupied73%
Program ParticipationMedicare
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Covenant Village Of The Great Lakes

Covenant Village Of The Great Lakes
was reviewed by Medicare to have a rating of 5 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Michigan Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

July 1, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
ESomePotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.

June 30, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.

February 4, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

June 30, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionAn automatic smoke detection system in all hallways.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.

June 25, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.

June 6, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintListen to the resident groups and act on their complaints and suggestions that affect resident care and life.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Covenant Village Of The Great Lakes require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 30min
2hr 30min
ReportedExpected
CNA
45min
45min
ReportedExpected
LPN
1hr 20min
1hr 30min
ReportedExpected
RN
4hr 35min
4hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 2hr 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

-
-
-
92.8%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
93.6%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
48.9%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
-
-
-
13.8%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
-
-
-
14.1%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
8.2%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
7.9%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Lose Too Much Weight
-
-
-
5.9%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
-
-
-
3.3%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Have Depressive Symptoms
-
-
-
4.9%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
With a Urinary Tract Infection
-
-
-
3.0%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Experiencing One or More Falls with Major Injury
-
-
-
3.4%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
-
-
-
1.1%
Q1 2015Q2 2015Q3 2015MI
* The data for this facility for some quarters is unavailable.
Were Physically Restrained

Quality Measures for Short Stay Residents

100.0%
99.4%
100.0%
81.6%
Q1 2015Q2 2015Q3 2015MI
Assessed and Appropriately Given the Pneumococcal Vaccine
100.0%
100.0%
100.0%
80.9%
Q1 2015Q2 2015Q3 2015MI
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
0.8%
9.7%
15.5%
18.0%
Q1 2015Q2 2015Q3 2015MI
Self Report Moderate to Severe Pain
0.7%
0.8%
0.7%
1.8%
Q1 2015Q2 2015Q3 2015MI
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015MI
With Pressure Ulcers That Are New or Worsened