HURON COUNTY MEDICAL CARE FACILITY

The information listed below provides an in-depth look into the type and quality of care offered at Huron 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

HURON COUNTY MEDICAL CARE FACILITY
1116 S VAN DYKE RD
BAD AXE, MI 48413
(989) 269-6425

Nursing Home Ratings

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

Percent of Beds Occupied

99%

Number of Residents and Certified Beds

  • Residents: 111
  • Certified Beds: 112

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - County
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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This FacilityFor-ProfitNon-ProfitGovt

Nearby Cities:

Pigeon | Cass City | Harbor Beach

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 Huron 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

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five 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: 2-100.10%
Total Percent:0.10%
 

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: 6-108.9%
ADL Index Range: 0-510.1%
Total Percent:19.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.5%
ADL Index Range: 6-1024.3%
ADL Index Range: 0-510.5%
Total Percent:38.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.3%
ADL Index Range: 6-1010.7%
ADL Index Range: 0-52.6%
Total Percent:15.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1610.6%
ADL Index Range: 6-103.8%
ADL Index Range: 0-50.4%
Total Percent:14.8%
 

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
- Isolation for active infectious disease
0.8%
Total Percent:0.8%
 

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: 6-10
- No Signs of depression
0.7%
ADL Index Range: 2-5
- Signs of depression
1.4%
Total Percent:2.1%
 

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: 11-14
- Signs of depression
1.0%
ADL Index Range: 11-14
- No Signs of depression
0.7%
Total Percent:1.7%
 

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
- Signs of depression
1.4%
ADL Index Range: 6-10
- No Signs of depression
2.0%
ADL Index Range: 0-1
- No Signs of depression
3.8%
Total Percent:7.2%
 

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: 15-16
- Less restorative nursing
0.5%
Total Percent:0.5%
 

Rating Details For Huron 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) Hours20 Minutes1 Hour and 2 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 10 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 53 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours1 Hour and 30 Minutes1 Hour and 42 Minutes
Total Nurse Hours5 Hours and 23 Minutes4 Hours and 12 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 Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%12%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder11%5%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Lose Too Much Weight8%8%
Percent of Long-Stay Residents Who Were Physically Restrained5%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse7%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder60%52%
Percent of Long-Stay Residents Who Are More Depressed or Anxious20%13%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season82%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination85%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium3%2%
Percent of Short-Stay Residents Who Have Pressure Sores13%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain43%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 10/22/2010.

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

Administration

Choose a Doctor to Be the Medical Director.
  • Inspection Date: 01/09/2009
  • Correction Date: 02/27/2009

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 01/09/2009
  • Correction Date: 02/27/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/09/2009
  • Correction Date: 02/27/2009
Keep Sound Levels Comfortable.
  • Inspection Date: 12/03/2009
  • Correction Date: 12/21/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 12/03/2009
  • Correction Date: 12/21/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/22/2010
  • Correction Date: 11/15/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/22/2010
  • Correction Date: 11/15/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 12/03/2009
  • Correction Date: 12/21/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 12/03/2009
  • Correction Date: 12/21/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/03/2009
  • Correction Date: 12/21/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/22/2010
  • Correction Date: 11/15/2010

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: 01/09/2009
  • Correction Date: 02/27/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 01/09/2009
  • Correction Date: 02/27/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 01/09/2009
  • Correction Date: 02/27/2009
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: 12/03/2009
  • Correction Date: 12/21/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 12/03/2009
  • Correction Date: 12/21/2009
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: 10/22/2010
  • Correction Date: 11/15/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 10/22/2010
  • Correction Date: 11/15/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 10/22/2010
  • Correction Date: 11/15/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 01/09/2009
  • Correction Date: 02/27/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/09/2009
  • Correction Date: 02/27/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 01/09/2009
  • Correction Date: 02/27/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 01/09/2009
  • Correction Date: 02/27/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/03/2009
  • Correction Date: 12/21/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 10/22/2010
  • Correction Date: 11/15/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 10/22/2010
  • Correction Date: 11/15/2010

Resident Assessment

Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Inspection Date: 01/09/2009
  • Correction Date: 02/27/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 01/09/2009
  • Correction Date: 02/27/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 12/03/2009
  • Correction Date: 12/21/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 10/22/2010
  • Correction Date: 11/15/2010

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
Civil Money Penalty (CMP)03/09/2010$11,115
Civil Money Penalty (CMP)01/09/2009$11,148
Civil Money Penalty (CMP)09/10/2008$11,375
Civil Money Penalty (CMP)12/03/2009$13,000
Civil Money Penalty (CMP)09/22/2010$22,523
Civil Money Penalty (CMP)09/10/2008$39,000
Civil Money Penalty (CMP)03/09/2010$45,500

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Huron County Medical Care Facility, 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

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 03/09/2010
  • Correction Date: 04/15/2010
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Complaint Filed: 03/09/2010
  • Correction Date: 04/15/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 09/10/2008
  • Correction Date: 11/19/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 03/09/2010
  • Correction Date: 04/15/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/26/2011
  • Correction Date: 02/24/2011

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 09/10/2008
  • Correction Date: 11/19/2008
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 03/09/2010
  • Correction Date: 04/15/2010
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 03/09/2010
  • Correction Date: 04/15/2010

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 03/09/2010
  • Correction Date: 04/15/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 03/09/2010
  • Correction Date: 04/15/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 09/10/2008
  • Correction Date: 11/19/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 09/10/2008
  • Correction Date: 08/22/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 03/09/2010
  • Correction Date: 04/15/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 03/09/2010
  • Correction Date: 04/15/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 09/22/2010
  • Correction Date: 10/08/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 09/22/2010
  • Correction Date: 10/08/2010

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 Huron 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 10/22/2010.

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

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 01/09/2009
  • Correction Date: 01/10/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 12/02/2009
  • Correction Date: 01/01/2010
Portable Fire Extinguishers.
  • Inspection Date: 12/02/2009
  • Correction Date: 12/09/2009

Building Service Equipment

A Properly Installed and Maintained Dumbwaiter or Escalator.
  • Inspection Date: 01/09/2009
  • Correction Date: 01/16/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/09/2009
  • Correction Date: 01/12/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/22/2010
  • Correction Date: 11/15/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/09/2009
  • Correction Date: 01/15/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/02/2009
  • Correction Date: 12/10/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/22/2010
  • Correction Date: 11/15/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 10/22/2010
  • Correction Date: 11/15/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 12/02/2009
  • Correction Date: 02/01/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 01/09/2009
  • Correction Date: 01/21/2009

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 01/09/2009
  • Correction Date: 01/09/2009

Interior Finish

Fire-Resistant Interior Walls.
  • Inspection Date: 12/02/2009
  • Correction Date: 01/15/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 12/02/2009
  • Correction Date: 01/15/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 12/02/2009
  • Correction Date: 12/04/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 01/09/2009
  • Correction Date: 01/22/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/22/2010
  • Correction Date: 11/15/2010

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building.
  • Inspection Date: 10/22/2010
  • Correction Date: 11/15/2010
Source: Medicare Nursing Home Compare; Michigan Department of Community Health - Retrieved 2011