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The Carriage House Of Bay City

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About The Carriage House Of Bay City

General Information

Legal Business NameColonial Rest Home Inc
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 1, 2001 (16 years)
Capacity151
Residents124
Percent Occupied82%
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 The Carriage House Of Bay City

The Carriage House Of Bay City
was reviewed by Medicare to have a rating of 3 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 18, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
CManyPotential for Minimal HarmHealth Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
CManyPotential for Minimal HarmHealth InspectionDispose of garbage and refuse properly.
DFewPotential for HarmHealth InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
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 InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.

November 19, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmComplaintDevelop 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 HarmComplaint1) 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.

October 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$12,188 fine
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

July 1, 2015 - 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.

April 24, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmComplaintDevelop 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 HarmComplaint1) 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.

February 26, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

January 28, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of The Carriage House Of Bay City 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 50min
2hr 30min
ReportedExpected
CNA
1hr 5min
40min
ReportedExpected
LPN
50min
1hr 5min
ReportedExpected
RN
4hr 45min
4hr 15min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

74.8%
76.5%
76.5%
76.5%
92.2%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
87.7%
92.2%
100.0%
100.0%
93.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
42.9%
30.3%
29.6%
34.6%
49.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of low risk long-stay residents who lose control of their bowels or bladder
19.8%
18.4%
22.6%
25.8%
22.6%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who received an antianxiety or hypnotic medication
28.7%
23.4%
15.3%
20.0%
17.5%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents whose ability to move independently worsened
15.2%
18.0%
22.1%
24.0%
13.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who received an antipsychotic medication
15.7%
16.0%
18.3%
17.4%
14.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents whose need for help with daily activities has increased
4.2%
11.6%
10.5%
6.1%
7.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who self-report moderate to severe pain
7.1%
9.7%
8.2%
7.8%
7.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who lose too much weight
0.0%
1.2%
5.0%
0.0%
5.8%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who have depressive symptoms
1.8%
6.8%
6.1%
4.9%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents with a urinary tract infection
1.8%
1.9%
1.0%
1.0%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents experiencing one or more falls with major injury
4.5%
2.7%
2.0%
1.6%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
1.0%
1.0%
1.0%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

88.0%
95.2%
96.2%
94.9%
80.4%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.5%
93.5%
93.5%
93.5%
79.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
82.9%
82.3%
75.8%
69.9%
70.2%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who made improvements in function
11.1%
12.8%
24.1%
13.4%
17.4%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who self-report moderate to severe pain
1.1%
1.1%
1.0%
5.3%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who newly received an antipsychotic medication
2.0%
1.6%
0.7%
0.8%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents with pressure ulcers that are new or worsened