Mediocre Marks The Danto nursing care facility has improved since its last inspection, but quality of care is still a concern. June, Grossman-Funds said the resi- private paying. The cost to the latter dents came to the home "highly com-') for living at Danto is $60,000 to promised." She said they've always been $70,000 annually. treated for pressure sores, but sores During the days the state inspected s it celebrates its first year in tend to heal and recur. Danto, two staffers were out for per- operation, the Marvin and In the report, state inspectors noted sonal reasons, leaving management staff Betty Danto Family Health that the residents were left in one posi- to do direct patient care, Grossman- Care Center continues to tion for hours at a time. Funds said. draw fire from the state for everything Another citation pointed to improp- The state inspectors were alarmed by from lack of staff to poor patient care. erly high temperatures in a refrigerator the substitutions, noting that on one Yet, compared to the last state that stores medications, insulin and flu day there were no nurse aides to dis- inspection of the 165-bed kosher nurs- vaccines. Grossman-Funds said the '- tribute meal trays on two wings of the ing home, which is located on the thermometer happened to be on the building. Maple/Drake Jewish Community door rather than inside the refrigerator "Lack of staff was observed to be the Campus, the latest is rather benign, at the time of the inspection, so it reg- contributing factor to residents receiv- Administrator Linda Grossman-Funds istered higher temperatures. It has since ing food that was unpalatable and at pointed out. been placed further inside the refrigera- improper temperatures," the report said. The survey, done between Oct. 28- tor and the medicines that were inside On the same day, state inspectors 31, resulted in 13 negative citations — that day have been destroyed. noticed that one nurse on the subacute three for quality of life; five for quality Danto, one of seven nursing care unit was passing out medications 1 of care; one for lack of nursing staff; homes in the metro area that is, owned 1/2 hours after they were ordered to be two for dietary services; one for phar- and operated by the Toledo-based given. A review found that only one macy services; and one for infection nurse aide tech had come in for the day Health Care & Retirement control. The state found that one resi- Corporation (HCR), shift. dent was not getting medication need- opened on Dec. 16 Despite Grossman- ed to control a schizophrenic condi- last year amid much tiofirresidents_naeals were cold; pres—_ _ Funds' contention, resi- fanfare in the commu- I - ns council members, sure sores weren't-being_treated;_patient - nity. The last Jewish in meetings from care plans were either not followed or Federation-owned March to September, were not complete; and not enough l ure tv.treat ressure nursing home, Prentis complained about staff was on duty. res. Manor, had just understaffing, as did The previous inspection, completed closed, leaving the area in January, resulted in 29 citations, over staff during interviews with only one private with state inspectors in half of them for quality of care issues. kosher nursing home, October. "It lacks the overwhelming number Menorah House. "Staffing is always of examples - the initial report had, but While the Jewish going to be an ongoing there are still serious issues," said Mike Federation neither issue at Danto and any Connors, director of Citizens for Better owns nor operates the other nursing center," Care, a Detroit-based advocacy agency home, it provides cul- Grossman-Funds that monitors the state's nursing care tural and religious pro- acknowledged. industry. "This report suggests that, gramming to residents. However, "We cannot notwithstanding whatever efforts we or Linda Blumberg, head of the provide a one-on-one staff, and many the facility may be making, the facility Commission on Jewish Eldercare of our residents are extremely has underlying problems that haven't Services (COJES), a consortium of demanding and they feel they need been resolved." Federation agencies that serves the one caregiver to themselves. When res- Grossman-Funds said Danto is for- elderly, said Danto does have the best ident council meetings take place, we mally challenging only one finding in interests of the community in mind. address all their concerns, and it could the report — that it doesn't have ade- "They have invested a lot in the be just one or two who feel we don't quate nursing staff She said staffing at Danto center and do want to provide have enough staff, because they need a the home exceeds state minimums, the quality care, and they want to serve person in their room immediately. which require one caregiver to eight the Jewish community the best they a "It is a perception, and it is a diffi- residents during the day and one care- can," she said. cult area to correct, but we do have giver to 12 residents on the evening The state's Department of adequate staffing," she said. shift. Danto's ratio is over two care- Consumer & Industry Services will The most severe citation in the givers, including licensed staff, to a resi- return for a follow-up inspection with- report stemmed from the facility's fail- dent per day, Grossman-Funds said. in 90 days of Oct. 31. Inspections of ure to treat pressure sores in three resi- There are 107 residents at Danto: nursing homes are made every nine to dents. Although one of those residents 22 receive Medicaid, 45 receive 15 months. ❑ was admitted in April and another in Medicare, and the remaining 40 are JULIE EDGAR News Editor A 271 West Maple Downtown B irmingham 248.258.0212 Monday—Saturday 10-6 • Thursday 10-9 Your Comfort Shoe Headquarters EUROPEAN COLLECTIONS 12/19 1997 18 WEST BLOOMFIELD (248) 626-3362 SOUTHFIELD (248) 559 7818 -