19840 Harper Ave, Harper Woods MI 48225 · (313) 881-9556 · 76.68% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Note: Advantage Living Center - Harper Woods has been flagged for abuse in the past 12 months. We have capped this facility's overall grade accordingly.
Advantage Living Center - Harper Woods is a large nursing home in Harper Woods, Michigan. With an overall rating of F, we consider this to be a very poor facility. This nursing home is just about as bad as it gets. We wouldn't blame you if you're ready to stop reading and find another facility. However, if you want to learn more about this place's category grades, inspection grades are discussed in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 151 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
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January
February
March
April
May
June
July
August
September
October
November
December
Facility Inspections
C
Historical
While we graded this facility incredibly poorly overall, it received a fairly respectable inspection report this year. As a result, it received a decent grade in that category with a score of C. These inspection ratings take several factors into consideration, including deficiencies and federal fines. You can learn more about each of these issues by reviewing copies of nursing homes' inspection reports. This facility was assessed 4 deficiencies on its inspection report, but we were relieved to find that none were in categories G through L. This indicates this facility dodged the more serious categories of deficiencies. Finally, CMS cited this nursing home for possible abuse or neglect. Hopefully, its performance improves in the future, but until then we simply can't recommend this facility.
Nurse Quality
C
Historical
One of the other reasons we rated this facility so highly is that it received a very impressive nursing grade. This proved to be its second best category grade. In that area, we gave this facility a grade of C. Our nursing rating includes quite a few subcategories, many of which are associated with levels of nurse staffing. With 4.1 hours of nursing care per patient per day, this place surpassed the national average. We also look at the skill levels of nurses and add more weight to hours worked by skilled nurses. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This facility performed admirably in this subcategory.
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Short-term Care Quality
D
Historical
Sadly, this facility's third best score is short-term care. As it turns out, with a D in this category, it still fared somewhat badly. Our short-term care ratings are presumably more meaningful for people requiring a nursing home for rehabilitation. Rehabilitation generally mandates more highly-skilled nursing. Skilled nursing includes not merely nursing, but also physical and speech therapy, as well as other types of therapy. With its grade in this category, we were not stunned to discover that this place was well below average in terms of the number of physical therapy and registered nurse hours offered to its patients based on the measures we looked at. Frankly, this was what we expected here. Lastly, we looked at the number of residents that were able to return home from this facility. This facility didn't fare well here either. We found that just 45.2 percent of this facility's patients were able to return home.
Long-term Care Quality
D
Historical
The next area we assessed was long-term care, which is a weak link for this nursing home. We gave this facility a grade of just D in long-term care. Facilities that do not fare well in this category typically aren't as well-staffed and are lagging in a few of the areas of routine medical care we looked at. On top of looking at the quantity of care provided by nurses aids and other staff, we also looked at the percentage of residents vaccinated against pneumonia. This nursing home provided the vaccine to 91.66667 percent of its patients. This is slightly below what we anticipated but still a reasonably acceptable figure. Lastly, we looked at its number of hospitalizations. With 1.96 hospitalizations per 1,000 long-term resident days, this nursing home did not fare as well as the average nursing home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Aug 20
Provider:
F
State:
B
National:
B
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating
Advantage Living Center - Harper Woods Quality Metrics
Minimizes Pressure Ulcers
This tells you the percent of residents that sustained a pressure ulcer. Pressure ulcers, which are also called bed sores, are routinely caused by patients staying in one position for too long. Better nursing protocols can reduce the percentage of residents in a nursing home who sustain pressure ulcers.
Provider
D
11.99%
State
B
7.4%
National
B
7.32%
Percent of Patients with Pressure Ulcers Lower is Better
Minimizes Serious Falls
This is the percentage of patients that have had a fall resulting in serious injury.
Provider
A
0.88%
State
B
3.14%
National
B
3.36%
Percent of Patients with Serious Falls Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of residents that have had a urinary tract infection. Urinary tract infections are considered by many experts to be an indicator of the quality of nursing care at a nursing home. UTI's are often associated with a facility with lower levels of hygiene. However, this metric could be misleading for some facilities due to different reporting standards for urinary tract infections.
Provider
B
2.21%
State
B
2.65%
National
B
2.65%
Percent of Patients with UTIs Lower is Better
Appropriately Uses Anti-Psychotic Medication
This datapoint indicates the percent of long-term care residents taking antipsychotic medications. While antipsychotic drugs serve an important medical purpose, it is important to confirm these drugs are being used only where medically required. In some situations, excessive reliance on these medications may indicate that a nursing home is using these medications to subdue residents.
Provider
A+
3.28%
State
B+
12.47%
National
B
14.18%
Percent of Patients Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of residents who were given antianxiety medications. Antianxiety medications are given to patients experiencing depression and anxiety.
Provider
B+
16.32%
State
B+
18.08%
National
B
19.68%
Percent of Patients Lower is Better
Managing Depression Among Residents
This indicates the percent of patients who are exhibiting depressive symptoms. Increased rates of depression could indicate a less hospitable environment.
Provider
A+
0%
State
B+
2.49%
National
B+
5.07%
Percent of Patients Lower is Better
Appropriate Vaccine Usage
This is a measure of the percentage of long-term residents that were vaccinated against pneumonia and flu.
Provider
C
92.4%
State
B
92.45%
National
B
92.05%
Percent of Patients Higher is Better
Residents Maintain Autonomy
This tells you the percent of patients who required increased assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's may indicate erosion of a patient's health.
Provider
A
8.48%
State
B+
13.32%
National
B
14.45%
Percentage of Patients Lower is Better
Ability to Keep Residents Mobile
This tells you the percent of residents that were able to retain mobility over time. Preserving mobility is often a great sign for residents' health.
Provider
D
8.74%
State
B
16.83%
National
B
17.08%
Percentage of Residents Higher is Better
Hospitalizations
This datapoint is a measure of the number of hospitalizations per thousand days of patient care. Keeping residents out of the hospital is important to maintaining the physical health of nursing home patients.
Provider
B
1.96
State
B
1.59
National
B
1.70
Hospitalizations per 1,000 resident days Lower is Better
Short-term Care: Rehospitalizations
This metric is a measure of the number of rehospitalizations per 1,000 days of short-term patient care.
Provider
A
8.74
State
B
16.83
National
B
17.08
Percentage of Residents Rehospitalized Lower is Better
Short-term Care: ER Visits
This metric is a measure of the number of times residents are sent to the emergency room per 1,000 days of short-term patient care. Avoiding medical emergencies is one way to measure patient well-being during rehabilitation.