Division of Nursing Home Monitoring

Promoting quality of care and quality of life for Michigan’s Nursing Home Residents

(517) 334-8408Fax (517) 334-8473

Role

• To Conduct on-site “surveys” (inspections), of each Nursing Home on an annual basis

• To “Cite Deficient Practice” (any practice that does not meet Federal or State standards)

• To request and review a “Plan of Correction” (action plan to correct) for each cited deficiency

• To “Revisit” (return) to make sure the plan is working

Surveys/Inspections

• Include Nurses, Social Workers, Dieticians, Pharmacists and Sanitarians

• Are based on Observations, Interviews with Residents, Families and Staff and Record Review

• Take an average of four days with 3-5 surveyors (inspectors)

• Allow the surveyors to be on-site, to watch, listen, smell, talk with and follow up on any questions that occur as a result of findings.

Benefit to Residents

• Facilities that meet regulations provide better care

• Facilities understand what is expected

• Facilities have an opportunity to learn and improve

• Facilities that fail to correct face consequences

Public Access to Reports

• Last full report is required to be available in each nursing home

• Information available through Nursing Home Compare at http://www.medicare.gov/NHCompare

• Provides a common language and standard for comparing homes

Nursing Home Residents are entitled to:

• Care and Services to reach highest level of function practicable.

• A clean, homelike, safe environment. • Good quality, competent medical, nutritional or

psychosocial care.• Meaningful activities of their own choosing whenever

possible. • Be free of abuse, both verbal and physical, neglect,

misappropriation of funds or property.• Exercise choice in health care and living decisions,

unless a Guardian has been appointed.

Survey Results

• Scope=

how many residents may be effected by the practice

• Severity=

the threat to

residents’ safety/

well being

Michigan Survey Statistics- 2007

• 409 Surveys completed

• 394 Required first revisits

• 90 Required second revisits

• 14 Required third revisits

• 1 required fourth revisit

• 7 facilities were terminated from participation with residents relocated

Most Cited Deficiencies

• F323- Facility is free of accident hazards• F371- Store/Prepare/Distribute food under sanitary

conditions• F309- Provide necessary care for highest practicable

well being• F329- Free from unnecessary drugs• F281- Professional standards of medical/nursing practice

are met• F253- Housekeeping and maintenance• F431- Proper labeling and storage of medications• F425- Facility provides drugs and biologicals• F226- Policies, procedures to prohibit abuse, neglect• F314- Proper treatment to prevent/heal pressure sores

What Can Consumers Do?

• Review and understand survey findings• Partner with facility to monitor care, service, and

corrective actions• Take an active role in Family Council• Encourage the facility to participate and sign on

personally to take part in Quality efforts such as the Advancing Excellence in Nursing Home Quality Initiative: www.nhqualitycampaign.org

• Report concerns to Administrator and on up the line if you don’t get results.