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 Services

Resident Conditions

Percent 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: 11-16	5.2%
ADL Index Range: 6-10	42.9%
ADL Index Range: 0-5	11.5%
Total Percent:	59.7%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	1.8%
ADL Index Range: 6-10	21.2%
ADL Index Range: 0-5	5.6%
Total Percent:	28.6%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	3.9%
ADL Index Range: 0-5	1.4%
Total Percent:	5.2%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	0.6%
ADL Index Range: 6-10	2.7%
ADL Index Range: 0-5	0.3%
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 Day	Reported	Expected
Registered Nurse (RN) Hours	45 Minutes	1 Hour and 26 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	46 Minutes	50 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 42 Minutes	2 Hours and 27 Minutes
Total Licensed Nurse Hours	1 Hour and 31 Minutes	2 Hours and 17 Minutes
Total Nurse Hours	4 Hours and 12 Minutes	4 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 Facility

Michigan Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	88%	89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight	2%	8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	48%	52%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	5%	3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	13%	12%
Percent of Long-Stay Residents Who Were Physically Restrained	1%	5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	17%	13%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	9%	9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	15%	10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	5%	4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	8%	10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	6%	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 Season	80%	84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium	-	2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	34%	21%
Percent of Short-Stay Residents Who Have Pressure Sores	7%	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 Inspectors

Degree of Harm

Residents 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 Taken	Date	Amount
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 Complaints

Degree of Harm

Residents Affected