CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL LONG TERM CARE UNIT

The information listed below provides an in-depth look into the type and quality of care offered at Chippewa County War Memorial Hospital Long Term Care Unit. 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

CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL LONG TERM CARE UNIT
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
(906) 635-4460

Nursing Home Ratings

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

Percent of Beds Occupied

98%

Number of Residents and Certified Beds

  • Residents: 50
  • Certified Beds: 51

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • Located Inside of a Hospital Facility
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Saint Ignace | Newberry | Cheboygan

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 "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.

Resident ServicesResident ConditionsPercent of Service Days

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1642.5%
ADL Index Range: 6-1016.1%
ADL Index Range: 0-519.0%
Total Percent:77.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1622.4%
Total Percent:22.4%
 

Rating Details For Chippewa County War Memorial Hospital Long Term Care Unit

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) Hours38 Minutes57 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours57 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 53 Minutes2 Hours and 29 Minutes
Total Licensed Nurse Hours1 Hour and 35 Minutes1 Hour and 34 Minutes
Total Nurse Hours4 Hours and 28 Minutes4 Hours and 4 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 Season90-100%89%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores18%10%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores5%3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair12%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder43%52%
Percent of Long-Stay Residents Who Were Physically Restrained2%5%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased16%12%
Percent of Long-Stay Residents Who Lose Too Much Weight16%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious35%13%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%84%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores16%11%
Percent of Short-Stay Residents Who Have Delirium2%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain37%21%

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 12/02/2010.

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

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

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)03/02/2009$10,000

Deficiencies from Complaints and Incidents

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.

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

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

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 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.

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

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
Source: Medicare Nursing Home Compare; Michigan Department of Community Health - Retrieved 2011