Four Chaplains Nursing Care Center faces challenges in its CMS ratings, earning a D grade with a score of 54/100. The facility ranks in the 44th percentile among Michigan nursing homes, suggesting significant room for improvement.
Staffing at Four Chaplains Nursing Care Center is near the national average, with 3.62 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 23 deficiencies at Four Chaplains Nursing Care Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.62 | 3.8 | Average |
| Registered Nurses (RN) | 0.61 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.78 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.24 | 2.4 | Average |
| Weekend Total Nursing | 3.31 | 3.8 | Below Average |
| Weekend RN Hours | 0.43 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 4, 2024 · Nutrition and Dietary Deficiencies
- Tag 0804 Severity EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.Dec 4, 2024 · Nutrition and Dietary Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Dec 4, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0646 Severity DNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.Dec 4, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Dec 4, 2024 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.3% | 4.5% | Worse |
| Falls with major injury | 3.3% | 3.0% | Average |
| On antipsychotic medication | 11.1% | 14.5% | Better |
| Urinary tract infections | 0.3% | 2.5% | Better |
| ADL decline (daily activities) | 10.2% | 14.0% | Better |
| Excessive weight loss | 1.4% | 7.5% | Better |
| New/worsened incontinence | 6.1% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $45,126
How This Grade Was Calculated
This facility's grade of D is based on a score of 54 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -4 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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