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Brookhaven Medical Care Facili

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About Brookhaven Medical Care Facili

General Information

Legal Business NameCounty Of Muskegon
Ownership TypeGovernment - County
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 4, 1971 (46 years)
Capacity146
Residents117
Percent Occupied80%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Brookhaven Medical Care Facili

Brookhaven Medical Care Facili
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

February 17, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionDispose of garbage and refuse properly.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
CManyPotential for Minimal HarmHealth InspectionKeep all essential equipment working safely.
CManyPotential for Minimal HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CManyPotential for Minimal HarmHealth InspectionAllow residents to easily view the results of the nursing home's most recent inspection.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 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 InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionEnsure that residents are fully informed and understand their health status, care and treatments.

February 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionApproved construction type or materials.
FManyPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
FManyPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionPortable fire extinguishers.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionProperly located and lighted "Exit" signs.
DFewPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

October 24, 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.

June 18, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$5,200 fine
JFewImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

March 7, 2014 - 3 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.
DFewPotential for HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.

February 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionHave enough outside ventilation via a window or mechanical ventilation, or both.
DFewPotential for HarmComplaint+InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionGive each resident enough fluids to keep them healthy and prevent dehydration.
DFewPotential for HarmHealth Inspection1) Hire only people with 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.
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

February 6, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionExits that are accessible at all times.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
ESomePotential for HarmFire Safety InspectionPortable fire extinguishers.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.

November 5, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 6 days
---Fine$9,361 fine

May 15, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$11,310 fine

February 1, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$12,675 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 Brookhaven Medical Care Facili 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 55min
2hr 20min
ReportedExpected
CNA
40min
35min
ReportedExpected
LPN
40min
55min
ReportedExpected
RN
4hr 15min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

96.5%
96.7%
96.7%
92.8%
Q1 2015Q2 2015Q3 2015MI
Assessed and Appropriately Given the Seasonal Influenza Vaccine
97.4%
97.2%
93.5%
93.6%
Q1 2015Q2 2015Q3 2015MI
Assessed and Appropriately Given the Pneumococcal Vaccine
67.5%
66.7%
59.4%
48.9%
Q1 2015Q2 2015Q3 2015MI
Low Risk Residents Who Lose Control of Their Bowel or Bladder
23.6%
22.0%
21.0%
13.8%
Q1 2015Q2 2015Q3 2015MI
Received an Antipsychotic Medication
20.4%
27.5%
32.6%
14.1%
Q1 2015Q2 2015Q3 2015MI
Need for Help with ADLs has Increased
5.2%
7.6%
14.5%
8.2%
Q1 2015Q2 2015Q3 2015MI
Self Report Moderate to Severe Pain
8.2%
11.7%
9.2%
7.9%
Q1 2015Q2 2015Q3 2015MI
Lose Too Much Weight
12.0%
6.8%
4.2%
5.9%
Q1 2015Q2 2015Q3 2015MI
High Risk Residents With Pressure Ulcers
3.9%
5.2%
1.0%
3.3%
Q1 2015Q2 2015Q3 2015MI
Have Depressive Symptoms
5.3%
7.5%
1.9%
4.9%
Q1 2015Q2 2015Q3 2015MI
With a Urinary Tract Infection
5.3%
8.5%
7.4%
3.0%
Q1 2015Q2 2015Q3 2015MI
Experiencing One or More Falls with Major Injury
2.3%
3.4%
3.6%
3.4%
Q1 2015Q2 2015Q3 2015MI
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015MI
Were Physically Restrained

Quality Measures for Short Stay Residents

90.7%
73.6%
51.6%
81.6%
Q1 2015Q2 2015Q3 2015MI
Assessed and Appropriately Given the Pneumococcal Vaccine
100.0%
96.3%
96.3%
80.9%
Q1 2015Q2 2015Q3 2015MI
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
21.2%
33.3%
31.0%
18.0%
Q1 2015Q2 2015Q3 2015MI
Self Report Moderate to Severe Pain
0.0%
3.4%
2.9%
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