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