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Our Lady Of Mercy Health And Rehab

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About Our Lady Of Mercy Health And Rehab

General Information

Legal Business NameOur Lady Of Mercy Convalescent Home, Inc
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 24, 1994 (22 years)
Capacity55
Residents53
Percent Occupied96%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Our Lady Of Mercy Health And Rehab

Our Lady Of Mercy Health And Rehab
was reviewed by Medicare to have a rating of 2 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

December 30, 2014 - 2 years ago

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

December 16, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
FManyPotential for HarmFire Safety InspectionProperly located and lighted "Exit" signs.

December 11, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
ESomePotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
BSomePotential for Minimal HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

September 18, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$5,785 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Our Lady Of Mercy Health And Rehab 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 35min
2hr 20min
ReportedExpected
CNA
10min
35min
ReportedExpected
LPN
1hr 5min
50min
ReportedExpected
RN
3hr 50min
3hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
94.0%
94.0%
92.8%
Q1 2015Q2 2015Q3 2015MI
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
93.6%
Q1 2015Q2 2015Q3 2015MI
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
17.1%
17.9%
18.9%
13.8%
Q1 2015Q2 2015Q3 2015MI
Received an Antipsychotic Medication
17.5%
19.4%
18.4%
14.1%
Q1 2015Q2 2015Q3 2015MI
Need for Help with ADLs has Increased
10.0%
8.2%
9.8%
8.2%
Q1 2015Q2 2015Q3 2015MI
Self Report Moderate to Severe Pain
13.6%
4.9%
14.6%
7.9%
Q1 2015Q2 2015Q3 2015MI
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
11.9%
12.2%
12.8%
3.3%
Q1 2015Q2 2015Q3 2015MI
Have Depressive Symptoms
15.6%
16.3%
9.8%
4.9%
Q1 2015Q2 2015Q3 2015MI
With a Urinary Tract Infection
2.2%
4.5%
7.3%
3.0%
Q1 2015Q2 2015Q3 2015MI
Experiencing One or More Falls with Major Injury
18.2%
20.3%
7.5%
3.4%
Q1 2015Q2 2015Q3 2015MI
With a Catheter Inserted and Left in Their Bladder
4.4%
4.5%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015MI
Were Physically Restrained

Quality Measures for Short Stay Residents

93.9%
88.4%
85.1%
81.6%
Q1 2015Q2 2015Q3 2015MI
Assessed and Appropriately Given the Pneumococcal Vaccine
81.8%
81.8%
81.8%
80.9%
Q1 2015Q2 2015Q3 2015MI
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
18.5%
13.2%
20.5%
18.0%
Q1 2015Q2 2015Q3 2015MI
Self Report Moderate to Severe Pain
0.0%
3.3%
2.8%
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