TENDERCARE HEALTH & REHAB CENTER OF HOLLAND

The information listed below provides an in-depth look into the type and quality of care offered at Tendercare Health & Rehab Center of Holland. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

TENDERCARE HEALTH & REHAB CENTER OF HOLLAND
1221 EAST 16TH
HOLLAND, MI 49423
(616) 396-7095

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

95%

Number of Residents and Certified Beds

  • Residents: 73
  • Certified Beds: 77

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Zeeland | Hudsonville | Douglas

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Tendercare Health & Rehab Center of Holland. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-165.2%
ADL Index Range: 6-1042.9%
ADL Index Range: 0-511.5%
Total Percent:59.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.8%
ADL Index Range: 6-1021.2%
ADL Index Range: 0-55.6%
Total Percent:28.6%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-103.9%
ADL Index Range: 0-51.4%
Total Percent:5.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.6%
ADL Index Range: 6-102.7%
ADL Index Range: 0-50.3%
Total Percent:3.5%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- No Signs of depression
0.08%
Total Percent:0.08%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
1.9%
ADL Index Range: 6-10
- No Signs of depression
0.5%
ADL Index Range: 2-5
- No Signs of depression
0.5%
Total Percent:2.9%
 

Rating Details For Tendercare Health & Rehab Center of Holland

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours45 Minutes1 Hour and 26 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours46 Minutes50 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 42 Minutes2 Hours and 27 Minutes
Total Licensed Nurse Hours1 Hour and 31 Minutes2 Hours and 17 Minutes
Total Nurse Hours4 Hours and 12 Minutes4 Hours and 44 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Michigan are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMichigan Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season88%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight2%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder48%52%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%12%
Percent of Long-Stay Residents Who Were Physically Restrained1%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious17%13%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse15%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%5%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season80%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain34%21%
Percent of Short-Stay Residents Who Have Pressure Sores7%11%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/15/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 04/03/2009
  • Correction Date: 05/15/2009
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 04/02/2010
  • Correction Date: 05/21/2010
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 04/02/2010
  • Correction Date: 05/21/2010
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 04/02/2010
  • Correction Date: 05/21/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/23/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/03/2009
  • Correction Date: 07/02/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/02/2010
  • Correction Date: 05/21/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/23/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 04/02/2010
  • Correction Date: 05/21/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/23/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 04/02/2010
  • Correction Date: 05/21/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/23/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 04/03/2009
  • Correction Date: 07/02/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/03/2009
  • Correction Date: 05/15/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/23/2011

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 04/02/2010
  • Correction Date: 05/21/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 04/02/2010
  • Correction Date: 05/21/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/23/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/03/2009
  • Correction Date: 05/15/2009
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
  • Inspection Date: 04/03/2009
  • Correction Date: 05/15/2009
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home.
  • Inspection Date: 04/03/2009
  • Correction Date: 05/15/2009
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 04/03/2009
  • Correction Date: 05/15/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/23/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/23/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/02/2010
  • Correction Date: 05/21/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/23/2011
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/23/2011
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/23/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)04/03/2009$975
Civil Money Penalty (CMP)07/09/2010$975
Civil Money Penalty (CMP)09/14/2009$6,760
Civil Money Penalty (CMP)10/18/2010$15,925
Civil Money Penalty (CMP)10/18/2010$17,875
Denial of Payment for New Admission (DPNA)10/18/2010-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Tendercare Health & Rehab Center of Holland, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/09/2010
  • Correction Date: 08/25/2010
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 12/06/2010
  • Correction Date: 01/25/2011
Provide Clean Bed and Bath Linens That Are in Good Condition.
  • Complaint Filed: 12/06/2010
  • Correction Date: 01/25/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 12/06/2010
  • Correction Date: 01/25/2011
Keep All Essential Equipment Working Safely.
  • Complaint Filed: 12/06/2010
  • Correction Date: 01/25/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/13/2011
  • Correction Date: 05/23/2011

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 07/09/2010
  • Correction Date: 08/25/2010
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 10/18/2010
  • Correction Date: 12/07/2010

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 10/18/2010
  • Correction Date: 12/07/2010
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 12/06/2010
  • Correction Date: 01/25/2011

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 02/10/2009
  • Correction Date: 03/02/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 09/14/2009
  • Correction Date: 11/05/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 10/18/2010
  • Correction Date: 12/07/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 10/18/2010
  • Correction Date: 12/07/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 10/18/2010
  • Correction Date: 12/07/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 12/06/2010
  • Correction Date: 01/25/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 12/06/2010
  • Correction Date: 01/25/2011
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 12/06/2010
  • Correction Date: 01/25/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 12/06/2010
  • Correction Date: 01/25/2011
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 04/13/2011
  • Correction Date: 05/23/2011

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 09/14/2009
  • Correction Date: 11/05/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 07/09/2010
  • Correction Date: 08/25/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 12/06/2010
  • Correction Date: 01/25/2011
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 12/06/2010
  • Correction Date: 01/25/2011
Tell the Resident Completely About His or Her Health Status.
  • Complaint Filed: 12/06/2010
  • Correction Date: 01/25/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Tendercare Health & Rehab Center of Holland had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 04/18/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/06/2009
  • Correction Date: 05/26/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/06/2010
  • Correction Date: 05/21/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/06/2009
  • Correction Date: 05/26/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/06/2010
  • Correction Date: 05/21/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/06/2010
  • Correction Date: 05/21/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/06/2010
  • Correction Date: 05/21/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/06/2009
  • Correction Date: 05/26/2009

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 04/06/2009
  • Correction Date: 05/26/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/18/2011
  • Correction Date: 05/05/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 04/06/2010
  • Correction Date: 05/21/2010

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 04/06/2010
  • Correction Date: 05/21/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/06/2009
  • Correction Date: 05/26/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/06/2010
  • Correction Date: 05/21/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/18/2011
  • Correction Date: 05/05/2011
Source: Medicare Nursing Home Compare; Michigan Department of Community Health - Retrieved 2011