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Holly Convalescent Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? No
Participates in Medicaid? Yes
Certified Beds 66
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: 01/06/2012

Date of last standard health inspection: 01/06/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 1
Average number of Health Deficiencies in MI: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MI: 0 - 13
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. 01/09/2012 02/00/2012 4 Few

Inspection, 01/09/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/09/2010 02/07/2011 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/09/2010 02/07/2011 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/09/2010 02/07/2011 2 Few
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. 01/09/2010 00/00/0000 1 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 01/09/2010 02/07/2011 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. 01/09/2010 02/07/2011 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/09/2010 02/07/2011 2 Few
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. 01/09/2010 02/07/2011 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. 01/09/2010 02/07/2011 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/09/2010 02/07/2011 2 Few

Inspection, 01/04/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe 01/04/2010 02/02/2010 comfortable and home-like environment; and allow r clean
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/04/2010 02/02/2010 2 Few

Inspection, 01/02/2009

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. 01/02/2009 01/09/2010 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 01/02/2009 01/09/2010 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
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 01/02/2009 01/09/2010 Few with timetables and actions that can be measured.

Inspection, 00/09/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. 00/09/2008 01/05/2008 2 Some
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. 00/09/2008 01/05/2008 4 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 00/09/2008 01/05/2008 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

Inspection, 03/01/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 03/01/2003 00/09/2005 2 Few
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. 03/01/2003 00/09/2005 1 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 03/01/2003 00/09/2005 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. 03/01/2003 00/09/2005 2 Few
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. 03/01/2003 00/09/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 03/01/2003 00/09/2005 2 Few

Inspection, 02/09/2003

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/09/2003 02/05/2004 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

Inspection, 01/01/2002

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. 01/01/2002 01/05/2003 2 Few

Inspection, 00/06/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 00/06/2001 01/04/2002 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/06/2001 01/04/2002 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/06/2001 01/04/2002 3 Few
Have a program that investigates, controls and keeps infection from spreading. 00/06/2001 01/04/2002 2 Few
Keep all essential equipment working safely. 00/06/2001 01/04/2002 2 Some
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. 00/06/2001 01/04/2002 1 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/06/2001 01/04/2002 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop 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. 00/06/2001 01/04/2002 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. 00/06/2001 01/04/2002 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain 15 months of resident assessments in the resident's active clinical record. 00/06/2001 01/04/2002 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Reasonably accommodate the needs and preferences of each resident. 00/06/2001 01/04/2002 2 Few

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 61
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 7 hours 50 minutes 57 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 7 hours 3 minutes 33 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 7 hours 10 minutes 24 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 8 hours 51 minutes 2 hours 15 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: 01/09/2012

Automatic Sprinkler Systems in all required areas Partial
Date of last standard fire safety inspection: 01/09/2012
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, 01/08/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/08/2010 00/05/2012 2 Many
Portable fire extinguishers. 01/08/2010 00/05/2012 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/08/2010 00/05/2012 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. 01/08/2010 00/05/2012 2 Many
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly located and lighted Exit" signs." 01/08/2010 00/05/2012 2 Many

Inspection, 03/00/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 03/00/2003 00/02/2005 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 03/00/2003 00/02/2005 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 03/00/2003 00/02/2005 2 Many
Properly installed electrical wiring and equipment. 03/00/2003 00/02/2005 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 03/00/2003 00/02/2005 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. 03/00/2003 00/02/2005 2 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 03/00/2003 00/02/2005 2 Many

Inspection, 00/09/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/09/2001 01/03/2002 2 Many
Portable fire extinguishers. 00/09/2001 01/03/2002 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/09/2001 01/03/2002 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/09/2001 01/03/2002 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 00/09/2001 01/03/2002 2 Many
 

313 Sherwood St
Holly, MI 48442

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