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The Villa At Traverse Point

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About The Villa At Traverse Point

General Information

Legal Business NameTraverse City Opco LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 25, 1981 (36 years)
Capacity96
Residents57
Percent Occupied59%
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 Villa At Traverse Point

The Villa At Traverse Point
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

November 10, 2016 - 8 months 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.

April 14, 2016 - 15 months ago

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

March 24, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure 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 HarmComplaintKeep all essential equipment working safely.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

February 4, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
CManyPotential for Minimal HarmHealth InspectionProvide adequate and comfortable lighting levels in all areas.
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 a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

January 5, 2016 - 18 months 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.

September 2, 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.

February 20, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

December 23, 2014 - 3 years 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.

September 19, 2014 - 3 years ago

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

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 Villa At Traverse Point 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 25min
2hr 20min
ReportedExpected
CNA
35min
40min
ReportedExpected
LPN
1hr 5min
1hr 5min
ReportedExpected
RN
4hr 5min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 40min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
95.7%
95.7%
95.7%
92.2%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
100.0%
100.0%
93.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
59.1%
43.5%
50.0%
56.5%
49.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of low risk long-stay residents who lose control of their bowels or bladder
5.9%
5.3%
7.3%
16.2%
22.6%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who received an antianxiety or hypnotic medication
14.5%
18.1%
26.1%
24.7%
17.5%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents whose ability to move independently worsened
15.0%
12.5%
7.5%
13.5%
13.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who received an antipsychotic medication
6.2%
38.9%
40.0%
8.1%
14.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents whose need for help with daily activities has increased
10.7%
2.7%
0.0%
4.6%
7.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who self-report moderate to severe pain
4.9%
12.8%
2.4%
7.7%
7.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who lose too much weight
18.2%
4.8%
12.5%
0.0%
5.8%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of high risk long-stay residents with pressure ulcers
2.7%
0.0%
0.0%
0.0%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who have depressive symptoms
0.0%
2.6%
2.4%
0.0%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents with a urinary tract infection
14.6%
4.8%
11.6%
15.4%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
4.6%
4.1%
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

94.3%
96.1%
97.7%
93.1%
80.4%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.5%
87.3%
87.3%
87.3%
79.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
89.6%
93.1%
89.7%
87.3%
70.2%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who made improvements in function
25.9%
21.6%
23.4%
15.2%
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
3.9%
2.5%
1.2%
0.0%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents with pressure ulcers that are new or worsened