Abuse.com - ARNOLD HOME

Abuse.com Nursing Home Profile

Detailed information for ARNOLD HOME

Nursing Home Results

Contact Information:

	Long Term Care Ombudsman	Not Available
	State Survey Agency	Not Available
	State Quality Improvement Organization	Not Available

ARNOLD HOME	As of 08/08/2003
18520 W SEVEN MILE RD DETROIT, MI 48219 (313) 531-4001	Not located within a Hospital Both Resident and Family Councils 224 Certified Beds
Initial Date of Certification: 03/01/1976 Type of Ownership: For profit - Corporation Not a Multi-Nursing home (chain) Ownership	Medicare Certified Medicaid Certified

Medicare.gov is pleased to provide information about Quality Measures, Inspection Results and Nursing Home Staffing for the nursing home you have selected.

Quality Measures information comes from resident assessment data that nursing homes routinely collect on all residents at specific intervals during their stay. The information collected pertains to the resident’s physical, clinical conditions and abilities.

Inspection Results information refers to the regulatory requirement that the nursing home failed to meet but does not reflect the entire inspection report.

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

Quality Measures

Quality Measures	Percentage for ARNOLD HOME	National Average
Percent of Residents Whose Need for Help With Daily Activities Has Increased	14%	16%
Percent of Residents Who Have Moderate to Severe Pain	6%	6%
Percent of High-Risk Residents Who Have Pressure Sores	24%	14%
Percent of Low-Risk Residents Who Have Pressure Sores	1%	3%
Percent of Residents Who Were Physically Restrained	6%	8%
Percent of Residents Who are More Depressed or Anxious	8%	15%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder	53%	47%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	5%	6%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair	3%	4%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse	18%	13%
Percent of Residents With a Urinary Tract Infection	7%	8%
Percent of Short-Stay Residents With Delirium	7%	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	25%	22%
Percent of Short-Stay Residents With Pressure Sores	25%	21%

Inspection Results

ARNOLD HOME 18520 W SEVEN MILE RD DETROIT, MI 48219 (313) 531-4001
Date of this inspection: 08/08/2003 Complaint Investigations During: 04/01/2003 - 06/30/2004 Total number of health deficiencies for this nursing home: 42 Average number of Health Deficiencies in : 5 Average number of Health Deficiencies in the United States: 7 Range of Health Deficiencies in : 1 - 12 View Previous Inspection Results
Mistreatment Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
1. Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Few
2. 1) Hire only people who have 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. (04/15/2004)	04/26/2004	2 = Minimal harm or potential for actual harm	Few
Quality Care Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
3. Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. (07/14/2003)	08/20/2003	3 = Actual harm	Few
4. Give professional services that meet a professional standard of quality. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Few
5. Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Few
6. Have enough nurses to care for every resident in a way that maximizes the resident's well being. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Some
7. Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Few
8. Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Some
9. Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Few
10. Provide social services for related medical problems to help each resident achieve the highest possible quality of life. (08/08/2003)	11/14/2003	2 = Minimal harm or potential for actual harm	Some
11. Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. (04/15/2004)	04/26/2004	3 = Actual harm	Few
Resident Assessment Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
12. Make a complete assessment that covers all questions for areas that are listed in official regulations. (05/19/2003)	07/07/2003	2 = Minimal harm or potential for actual harm	Few
13. Assess the resident when the resident enters the nursing home, in a timely manner. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Few
14. Do a new assessment after any major change in a resident's physical or mental health. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Few
15. Get doctor orders for the resident's immediate care when admitted. (08/08/2003)	11/14/2003	2 = Minimal harm or potential for actual harm	Some
16. Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. (08/08/2003)	11/14/2003	2 = Minimal harm or potential for actual harm	Few
17. Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, if needed. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Few
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
18. Tell the resident completely about his or her health status. (05/19/2003)	07/07/2003	2 = Minimal harm or potential for actual harm	Few
19. Keep each resident's personal and medical records private and confidential. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Few
20. Let residents give themselves their drugs if they are able. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Few
21. Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Many
22. Provide services to meet the needs and preferences of each resident. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Few
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
23. Hire enough skilled workers to carry out dietary service. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Many
24. Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Some
25. Store, cook, and give out food in a safe and clean way. (08/08/2003)	10/17/2003	4 = Immediate jeopardy to resident health or safety	Many
Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
26. Keep safe, clean and homelike surroundings. (05/19/2003)	07/07/2003	2 = Minimal harm or potential for actual harm	Some
27. Make sure that the nursing home area is free of dangers that cause accidents. (05/19/2003)	07/07/2003	4 = Immediate jeopardy to resident health or safety	Many
28. Get rid of garbage properly. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Many
29. Have a program to keep infection from spreading. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Many
30. Keep all essential equipment working safely. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Many
31. Keep safe, clean and homelike surroundings. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Many
32. Make sure that the nursing home area is free of dangers that cause accidents. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Many
33. Make sure there is a program to prevent/deal with mice, insects, or other pests. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Many
34. Provide needed housekeeping and maintenance. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Many
35. Provide rooms that are big enough for each resident. (08/08/2003)		1 = Potential for minimal harm	Some
36. Put firmly secured handrails on each side of hallways. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Few
Administration Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
37. 1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Many
38. Be administered in a way that leads to the highest possible level of well being for each resident. (08/08/2003)	10/17/2003	3 = Actual harm	Few
39. Get services outside the nursing home that meet professional standards. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Many
40. Have licensed, certified, or registered staff to give needed services. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Some
41. Make sure that nurse aides show they have the skills to be able to care for residents. (08/08/2003)	11/14/2003	2 = Minimal harm or potential for actual harm	Few
42. Train all employees on what to do in an emergency. (08/08/2003)	10/17/2003	2 = Minimal harm or potential for actual harm	Some

Nursing Home Staffing

Nursing Staff Hours Per Resident Per Day
	ARNOLD HOME	State Average in	National Average
Number of Residents	178	42.8	89.2
RN Hours per Resident per Day*	0.12	1.7	0.7
LPN/LVN Hours per Resident per Day*	0.95	0.7	0.8
CNA Hours per Resident per Day*	2.27	4	2.4
Total Number of Nursing Staff Hours per Resident per Day*	3.34	6.4	3.9

*Hours per resident per day is the average daily work (in hours) given by the entire group of nurses or nursing assistants divided by total number of residents. The amount of care given to each resident varies.

Please use our Nursing Home Checklist for help with narrowing your nursing homes choices. The checklist provides questions and observations that are important to keep in mind as you visit nursing homes and will help you make a good choice for you or your relative.

Page Last Updated: January 22, 2004
Data Last Updated: August 2, 2004

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