CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL LONG TERM CARE UNIT

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 "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 Chippewa County War Memorial Hospital Long Term Care Unit. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

High Rehabilitation

Medium Rehabilitation

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 12/02/2010.

Environmental

Keep All Essential Equipment Working Safely. Inspection Date: 08/06/2008 Correction Date: 09/05/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 12/02/2010 Correction Date: 01/14/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 12/02/2010 Correction Date: 01/14/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/06/2008 Correction Date: 09/12/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/02/2010 Correction Date: 01/14/2011

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: 08/06/2008 Correction Date: 09/05/2008
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: 12/02/2010 Correction Date: 01/14/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 12/02/2010 Correction Date: 01/14/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 12/02/2010 Correction Date: 01/14/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/06/2008 Correction Date: 09/05/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 09/30/2009 Correction Date: 10/23/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 12/02/2010 Correction Date: 01/14/2011
Make Sure That a Resident Does Not Become Withdrawn, Angry or Depressed if These Problems Did Not Exist Before. Inspection Date: 12/02/2010 Correction Date: 01/14/2011
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 12/02/2010 Correction Date: 01/14/2011

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. Inspection Date: 08/06/2008 Correction Date: 08/28/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 08/06/2008 Correction Date: 08/29/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 09/30/2009 Correction Date: 10/23/2009

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.

The table below lists incident reports by the nursing staff or administration for Chippewa County War Memorial Hospital Long Term Care Unit, as well as complaints by residents or their family in the previous three years.

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Complaint Filed: 03/02/2009 Correction Date: 03/22/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 06/15/2009 Correction Date: 07/03/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Complaint Filed: 09/30/2009 Correction Date: 10/23/2009

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 Chippewa County War Memorial Hospital Long Term Care Unit 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 11/30/2010.

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves. Inspection Date: 08/07/2008 Correction Date: 09/22/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/07/2008 Correction Date: 08/25/2008

Building Construction

A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 08/07/2008 Correction Date: 09/12/2008

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 10/01/2009 Correction Date: 11/27/2009

Corridor Walls and Doors

Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 08/07/2008 Correction Date: 09/30/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/01/2009 Correction Date: 10/01/2009

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/07/2008 Correction Date: 08/25/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/07/2008 Correction Date: 08/25/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 10/01/2009 Correction Date: 11/27/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/01/2009 Correction Date: 10/02/2009

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 08/07/2008 Correction Date: 09/30/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/07/2008 Correction Date: 09/30/2008

Exits and Egress

Exit Stairways and Towers That Are Smoke Proof. Inspection Date: 08/07/2008 Correction Date: 08/25/2008
Exits That Are Accessible at All Times. Inspection Date: 08/07/2008 Correction Date: 08/25/2008
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 08/07/2008 Correction Date: 10/05/2008

Fire Alarm Systems

An Automatic Smoke Detection System in All Hallways. Inspection Date: 08/07/2008 Correction Date: 09/30/2008

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 08/07/2008 Correction Date: 10/05/2008
Properly Sized and Located Linen or Trash Receptacles. Inspection Date: 08/07/2008 Correction Date: 10/05/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/07/2008 Correction Date: 10/05/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 11/30/2010 Correction Date: 12/10/2010

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 08/07/2008 Correction Date: 09/25/2008

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 08/07/2008 Correction Date: 09/01/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 11/30/2010 Correction Date: 12/06/2010

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 08/07/2008 Correction Date: 10/05/2008