NEWAYGO COUNTY MEDICAL CARE FACILITY

The information listed below provides an in-depth look into the type and quality of care offered at Newaygo County Medical Care Facility. 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

NEWAYGO COUNTY MEDICAL CARE FACILITY
4465 W 48TH ST
FREMONT, MI 49412
(231) 924-2020

Nursing Home Ratings

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

Percent of Beds Occupied

100%

Number of Residents and Certified Beds

  • Residents: 116
  • Certified Beds: 116

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - County
  • Offers Both Resident and Family Counseling Services
  • This Facility is Not Part of a Chain or Franchise

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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 "Very 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 Newaygo County Medical Care Facility. 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: 11-1615.0%
ADL Index Range: 0-53.5%
Total Percent:18.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1618.2%
ADL Index Range: 6-105.6%
ADL Index Range: 0-513.1%
Total Percent:36.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1614.4%
ADL Index Range: 0-52.1%
Total Percent:16.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1612.9%
ADL Index Range: 0-52.1%
Total Percent:15.0%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
2.3%
ADL Index Range: 6-10
- No Signs of depression
2.1%
ADL Index Range: 2-5
- Signs of depression
1.8%
Total Percent:6.2%
 

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: 15-16
- No Signs of depression
1.5%
ADL Index Range: 11-14
- No Signs of depression
2.1%
Total Percent:3.6%
 

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
3.5%
Total Percent:3.5%
 

Rating Details For Newaygo County Medical Care Facility

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) Hours44 Minutes59 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours28 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 6 Minutes2 Hours and 24 Minutes
Total Licensed Nurse Hours1 Hour and 12 Minutes1 Hour and 38 Minutes
Total Nurse Hours4 Hours and 17 Minutes4 Hours and 2 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 Given Influenza Vaccination During the Flu Season90-100%89%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores1%10%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection13%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased15%12%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%13%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Who Lose Too Much Weight5%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder41%52%
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 Season90-100%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 Delirium1%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain24%21%
Percent of Short-Stay Residents Who Have Pressure Sores6%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 07/23/2010.

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

Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 10/24/2008
  • Correction Date: 11/05/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 07/23/2010
  • Correction Date: 08/13/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 07/23/2010
  • Correction Date: 08/13/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/24/2008
  • Correction Date: 11/06/2008
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/03/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/03/2009
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 07/23/2010
  • Correction Date: 08/13/2010

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: 10/24/2008
  • Correction Date: 02/04/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 10/24/2008
  • Correction Date: 11/05/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/03/2009
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: 07/23/2010
  • Correction Date: 08/13/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 07/23/2010
  • Correction Date: 08/13/2010

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/03/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/03/2009

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 10/24/2008
  • Correction Date: 11/05/2008
Give the Resident's Legal Representative the Same Rights As the Resident.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/03/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 07/23/2010
  • Correction Date: 08/13/2010

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
Denial of Payment for New Admission (DPNA)10/24/2008-

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 Newaygo County Medical Care Facility 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 07/22/2010.

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

Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 10/28/2008
  • Correction Date: 10/28/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/28/2008
  • Correction Date: 10/28/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/17/2009
  • Correction Date: 09/30/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 09/17/2009
  • Correction Date: 09/30/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/10/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 09/17/2009
  • Correction Date: 09/30/2009

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 10/28/2008
  • Correction Date: 10/28/2008
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 10/28/2008
  • Correction Date: 10/28/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/10/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 09/17/2009
  • Correction Date: 09/30/2009
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/10/2010

Smoke Compartmentation and Control

At Least Two Compartments on Every Floor to Protect Residents from Smoke.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/10/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/10/2010
Source: Medicare Nursing Home Compare; Michigan Department of Community Health - Retrieved 2011