TENDERCARE TAWAS CITY

The information listed below provides an in-depth look into the type and quality of care offered at Tendercare Tawas City. 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 TAWAS CITY
400 W NORTH ST
TAWAS CITY, MI 48763
(989) 362-8645

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

77%

Number of Residents and Certified Beds

Residents: 92
Certified Beds: 120

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Corporation
Offers Both Resident and Family Counseling Services
This Facility is Part of a Chain or Franchise

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Nearby Cities:

Standish | Sterling | Rose City

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 Tawas City. 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 Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
A second rehabilitation discipline three days/week
Tracheostomy care
Ventilator or respirator
Isolation for active infectious disease while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 11-16	7.2%
Total Percent:	7.2%

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	25.1%
ADL Index Range: 6-10	18.5%
ADL Index Range: 0-5	10.0%
Total Percent:	53.6%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	3.7%
ADL Index Range: 6-10	4.7%
Total Percent:	8.4%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 0-5	2.9%
Total Percent:	2.9%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 6-10	2.5%
ADL Index Range: 0-5	2.5%
Total Percent:	5.1%

Extensive Services

Tracheostomy care
Ventilator or respirator
Isolation for active infectious disease while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 2-16 - Tracheostomy care or ventilator/respirator	6.5%
Total Percent:	6.5%

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	2.4%
ADL Index Range: 11-14 - No Signs of depression	7.4%
ADL Index Range: 2-5 - No Signs of depression	2.1%
Total Percent:	12.0%

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	0.4%
ADL Index Range: 6-10 - No Signs of depression	0.8%
ADL Index Range: 2-5 - No Signs of depression	0.1%
ADL Index Range: 0-1 - No Signs of depression	2.7%
Total Percent:	4.0%

Reduced Physical Function

Urinary and/or bowel training program
Passive and/or active range of motion (ROM)
Amputation/prosthesis training
Dressing or grooming training
Eating or swallowing training
Transfer training
Splint or brace assistance
Bed mobility and/or walking training
Communication training

ADL Index Range: 6-10 - Less restorative nursing	0.3%
ADL Index Range: 0-1 - Less restorative nursing	0.1%
Total Percent:	0.4%

Rating Details For Tendercare Tawas City

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	24 Minutes	1 Hour and 6 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	57 Minutes	45 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 17 Minutes	2 Hours and 36 Minutes
Total Licensed Nurse Hours	1 Hour and 21 Minutes	1 Hour and 50 Minutes
Total Nurse Hours	3 Hours and 38 Minutes	4 Hours and 26 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	90-100%	89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	4%	5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	15%	12%
Percent of Long-Stay Residents Who Were Physically Restrained	3%	5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	16%	13%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	6%	10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	3%	4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	15%	10%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	51%	52%
Percent of Long-Stay Residents Who Lose Too Much Weight	6%	8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	3%	3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	6%	9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	84%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores	15%	11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	35%	21%
Percent of Short-Stay Residents Who Have Delirium	-	2%

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 04/22/2010.

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 Inspectors

Degree of Harm

Residents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.

Inspection Date: 04/23/2008
Correction Date: 05/19/2008

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 04/29/2009 Correction Date: 06/16/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/29/2009 Correction Date: 06/16/2009

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: 04/23/2008 Correction Date: 05/19/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/23/2008 Correction Date: 05/19/2008

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/23/2008 Correction Date: 05/19/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 04/23/2008 Correction Date: 05/19/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/29/2009 Correction Date: 06/16/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 04/29/2009 Correction Date: 06/16/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 04/29/2009 Correction Date: 06/16/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/22/2010 Correction Date: 05/10/2010

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 04/23/2008 Correction Date: 05/19/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/29/2009 Correction Date: 06/16/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 04/29/2009 Correction Date: 06/16/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 04/22/2010 Correction Date: 05/10/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Tendercare Tawas City, 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