| The Gilbert Residence | |
| 203 S Huron Street, Ypsilanti, Michigan 48197 | |
| (734) 482-9498 | |
| Name | The Gilbert Residence |
|---|---|
| Location | 203 S Huron Street, Ypsilanti, Michigan |
| Certified By | Medicaid |
| No. of Certified Beds | 32 |
| Occupancy Rate | 93.75% |
| Medicare ID (CCN) | 23E104 |
| Legal Business Name | Legal Business Name Not Available |
| Ownership Type | Non Profit - Corporation |
| 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 | 3.72 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.86 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.48 | 0.86 |
| Nurse aide hours per resident per day | 2.39 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.45 | 3.42 |
| RN hours per resident per day on the weekend | 0.63 | 0.48 |
| Physical therapist hours per resident per day | 0 | 0.07 |
| Total nursing staff turnover | 54.3% | 45.8% |
| Registered nurse turnover | 42.9% | 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 | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Oct 7, 2025 | 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 | Potential for harm, widespread | Corrected by Nov 12, 2025 |
| Oct 7, 2025 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 12, 2025 |
| Oct 7, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 12, 2025 |
| Oct 24, 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 | Potential for harm, widespread | Corrected by Nov 27, 2024 |
| Oct 24, 2024 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Nov 27, 2024 |
| Oct 24, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 27, 2024 |
| Oct 24, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Nov 27, 2024 |
| Sep 28, 2023 | 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 | Potential for harm, widespread | Corrected by Nov 2, 2023 |
| Sep 28, 2023 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Nov 2, 2023 |
| Sep 28, 2023 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 2, 2023 |
| Sep 28, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Nov 2, 2023 |
| Sep 28, 2023 | Assess the resident when there is a significant change in condition F0637, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 2, 2023 |
| Sep 28, 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 | Potential for harm, isolated | Corrected by Nov 2, 2023 |
| Sep 28, 2023 | 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 Nov 2, 2023 |
| Sep 28, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 2, 2023 |
| Sep 28, 2023 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Nov 2, 2023 |
| Sep 28, 2023 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0849, Administration, Standard inspection | Potential for harm, isolated | Corrected by Nov 2, 2023 |
| Sep 28, 2023 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577, Resident Rights, Standard inspection | Minimal harm potential, widespread | Corrected by Nov 2, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.92 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.48 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 9.94 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 4.17 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 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 | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.58 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.91 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.95 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.04 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.77 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.37 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.42 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 25.45 | 15.38 |
The Villa at Parkridge Location: 28 S Prospect Street, Ypsilanti, Michigan 48198 Phone: (734) 483-2220 |