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Burcham Hills Retirement Ctr

Details

Type of Ownership Non profit - Other
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 133
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 12/02/2011

Date of last standard health inspection: 12/02/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in MI: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MI: 0 - 13

Inspection, 00/02/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/02/2012 02/00/2001 1 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/02/2012 02/00/2001 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/02/2012 02/00/2001 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/02/2012 02/00/2001 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure 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. 00/02/2012 02/00/2001 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 00/02/2012 02/00/2001 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/02/2012 02/00/2001 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 00/02/2012 02/00/2001 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/02/2012 02/00/2001 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 00/02/2012 02/00/2001 1 Some

Inspection, 00/05/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/05/2010 01/02/2011 3 Few
Have a program that investigates, controls and keeps infection from spreading. 00/05/2010 01/02/2011 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) 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. 00/05/2010 01/02/2011 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/05/2010 01/02/2011 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/05/2010 01/02/2011 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/05/2010 01/02/2011 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 00/05/2010 01/02/2011 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/05/2010 01/02/2011 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Reasonably accommodate the needs and preferences of each resident. 00/05/2010 01/08/2012 2 Few

Inspection, 02/02/2004

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/02/2004 02/06/2005 2 Few

Inspection, 02/08/2001

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/08/2001 00/04/2003 1 Some
Have a program that investigates, controls and keeps infection from spreading. 02/08/2001 00/04/2003 2 Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 02/08/2001 00/04/2003 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 02/08/2001 00/04/2003 2 Some
Provide care by qualified persons according to each resident's written plan of care. 02/08/2001 00/04/2003 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/08/2001 00/04/2003 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/08/2001 00/04/2003 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. 02/08/2001 00/04/2003 2 Few

Inspection, 00/09/2001

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment 00/09/2001 00/08/2002 Many neglect and misappropriation of personal property.
Develop and implement policies for 1) screening and training employees; and the 2) prevention 00/09/2001 01/03/2003 investigation identification

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in MI Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 92 114
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 7 hours 50 minutes 1 hour 41 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 7 hours 3 minutes 1 hour
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 7 hours 10 minutes 40 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 8 hours 51 minutes 2 hours 11 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 12/01/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 12/01/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in MI: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in MI: 0 - 0

Inspection, 00/01/2012

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/01/2012 00/06/2001 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/01/2012 00/01/2001 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 00/01/2012 00/01/2001 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/01/2012 01/03/2001 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/01/2012 00/01/2001 2 Many

Inspection, 00/03/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/03/2010 01/02/2010 2 Few
Portable fire extinguishers. 00/03/2010 01/02/2010 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/03/2010 01/02/2010 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/03/2010 01/02/2010 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 00/03/2010 01/02/2010 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/03/2010 01/02/2010 2 Some

Inspection, 02/08/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/08/2001 00/04/2002 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/08/2001 02/05/2002 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/08/2001 01/01/2002 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 02/08/2001 00/04/2003 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/08/2001 00/04/2003 2 Few
Resident room doors of proper design and width. 02/08/2001 00/04/2003 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/08/2001 02/05/2002 2 Few
Properly installed hallway dispensers for alcohol-based hand rub. 02/08/2001 02/08/2002 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/08/2001 01/01/2002 2 Few
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 02/08/2001 02/08/2002 2 Few
 

2700 Burcham Drive
East Lansing, MI 48823

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