| Four Chaplains Nursing Care Center | |
| 28349 Joy Rd, Westland, Michigan 48185 | |
| (734) 261-9500 | |
| Name | Four Chaplains Nursing Care Center |
|---|---|
| Location | 28349 Joy Rd, Westland, Michigan |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 96 |
| Occupancy Rate | 93.02% |
| Medicare ID (CCN) | 235467 |
| Legal Business Name | Chaplains, Inc. |
| Ownership Type | For Profit - Corporation |
| Chain | Nexcare Health Systems (20 nursing homes) |
| Chain Average Overall Rating | 3.8 out of 5 |
| NPI Number | 1174672372 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Chaplains, Inc. |
| Doing Business As | Four Chaplains Nursing Care Centre |
| Address | 28349 Joy Rd, Westland, MI 48185 |
| Phone Number | 734-261-9500 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.53 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.62 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.76 | 0.86 |
| Nurse aide hours per resident per day | 2.15 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.25 | 3.42 |
| RN hours per resident per day on the weekend | 0.41 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 46.9% | 45.8% |
| Registered nurse turnover | 50% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $45,126 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 13, 2026 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 2, 2026 |
| Feb 13, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 2, 2026 |
| Feb 13, 2026 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 2, 2026 |
| Dec 5, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Dec 27, 2024 |
| Dec 5, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Dec 27, 2024 |
| Dec 5, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Dec 5, 2024 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. F0646, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Dec 5, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Dec 5, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Dec 5, 2024 | Provide appropriate foot care. F0687, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Sep 5, 2024 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Sep 13, 2024 |
| Jun 26, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jul 8, 2024 |
| Jan 25, 2024 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803, Nutrition and Dietary, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jan 26, 2024 |
| Jan 9, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jan 22, 2024 |
| Oct 18, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Nov 8, 2023 |
| Oct 18, 2023 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. F0691, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Nov 8, 2023 |
| Oct 18, 2023 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Nov 8, 2023 |
| Oct 18, 2023 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 8, 2023 |
| Oct 18, 2023 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Nov 8, 2023 |
| Oct 18, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Nov 8, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.96 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.7 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.94 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.26 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.36 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.9 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.2 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 63.29 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.49 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.74 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.67 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.36 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 41.58 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 7.66 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 2.28 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.58 | 15.38 |
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