Division of Nursing Home Monitoring

1. Division of Nursing Home Monitoring Promoting quality of care and quality of life for Michigan’s Nursing Home Residents (517) 334-8408 Fax (517) 334-8473

2. 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

3. 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.

4. 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

5. 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

6. 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.

7. Survey Results • Scope= how many residents may be effected by the practice • Severity= the threat to residents’ safety/ well being

8. 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

9. 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

10. 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.