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Livonia Woods Nursing And Rehabilitation

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About Livonia Woods Nursing And Rehabilitation

General Information

Legal Business NameProject Compassion Health
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 24, 1999 (18 years)
Capacity72
Residents62
Percent Occupied86%
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 Livonia Woods Nursing And Rehabilitation

Livonia Woods Nursing And Rehabilitation
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

July 20, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintHelp and prepare each resident for a safe and easy discharge or transfer from the nursing home.

July 5, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential 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.

April 20, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
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 InspectionKeep residents' personal and medical records private and confidential.

September 9, 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.

June 30, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

February 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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 Inspection1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionUpon the death of a resident, convey the residentís personal funds and an accounting of those funds to the appropriate party.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
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.

December 4, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$10,000 fine
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

September 11, 2014 - 3 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.
DFewPotential for HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.

August 29, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

June 4, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$16,650 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 Livonia Woods Nursing And Rehabilitation 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.

1hr 55min
2hr 35min
ReportedExpected
CNA
1hr 5min
45min
ReportedExpected
LPN
45min
1hr 20min
ReportedExpected
RN
3hr 40min
4hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 60min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

87.2%
90.7%
90.7%
90.7%
92.2%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
100.0%
100.0%
95.0%
93.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
70.0%
-
-
-
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
20.0%
20.0%
20.6%
26.3%
22.6%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who received an antianxiety or hypnotic medication
17.6%
7.4%
3.4%
13.5%
17.5%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents whose ability to move independently worsened
7.7%
5.6%
5.9%
7.7%
13.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who received an antipsychotic medication
8.8%
6.1%
8.8%
19.4%
14.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents whose need for help with daily activities has increased
17.3%
20.1%
19.3%
-
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
6.7%
2.8%
0.0%
0.0%
7.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who lose too much weight
0.0%
8.3%
5.9%
7.9%
5.8%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of high risk long-stay residents with pressure ulcers
2.8%
2.8%
3.2%
2.8%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who have depressive symptoms
7.9%
5.6%
2.8%
0.0%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents with a urinary tract infection
2.6%
2.7%
2.8%
2.5%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents experiencing one or more falls with major injury
8.8%
7.3%
5.1%
0.0%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

86.7%
88.9%
90.4%
90.4%
80.4%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.3%
84.1%
84.1%
84.1%
79.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
84.8%
79.0%
79.6%
74.1%
70.2%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who made improvements in function
24.3%
13.2%
13.2%
22.5%
17.4%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who self-report moderate to severe pain
1.0%
0.0%
0.9%
1.3%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.4%
0.8%
0.5%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents with pressure ulcers that are new or worsened