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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
Residents23
Percent Occupied62%
Program ParticipationMedicare And Medicaid
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 4 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

September 21, 2016 - 6 months ago

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

July 20, 2016 - 8 months ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 11 days
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for 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 InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.

November 24, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
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 15, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$5,064 fine
JFewImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

June 30, 2015 - 2 years 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 25, 2014 - 3 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.

3hr 20min
2hr 35min
ReportedExpected
CNA
1hr 10min
40min
ReportedExpected
LPN
1hr 35min
1hr 25min
ReportedExpected
RN
6hr 5min
4hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 4hr 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

-
-
-
-
92.2%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
93.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
49.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
-
-
-
-
22.6%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who received an antianxiety or hypnotic medication
-
-
-
-
17.5%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose ability to move independently worsened
-
-
-
-
13.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who received an antipsychotic medication
-
-
-
-
14.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose need for help with daily activities has increased
-
-
-
-
7.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who self-report moderate to severe pain
-
-
-
-
7.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who lose too much weight
-
-
-
-
5.8%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of high risk long-stay residents with pressure ulcers
-
-
-
-
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who have depressive symptoms
-
-
-
-
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents with a urinary tract infection
-
-
-
-
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents experiencing one or more falls with major injury
-
-
-
-
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents with a catheter inserted and left in their bladder
-
-
-
-
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

96.4%
94.4%
96.8%
99.3%
80.4%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
84.8%
84.8%
84.8%
79.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
60.6%
69.0%
61.5%
70.0%
70.2%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who made improvements in function
9.9%
4.5%
2.0%
6.9%
17.4%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
0.0%
0.0%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.6%
0.7%
0.0%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents with pressure ulcers that are new or worsened