TENDERCARE HEALTH CENTER OF LEELANAU

The information listed below provides an in-depth look into the type and quality of care offered at Tendercare Health Center of Leelanau. 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 HEALTH CENTER OF LEELANAU
124 W 4TH STREET
SUTTONS BAY, MI 49682
(231) 271-1200

Nursing Home Ratings

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

Percent of Beds Occupied

93%

Number of Residents and Certified Beds

  • Residents: 67
  • Certified Beds: 72

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:

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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 "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 Health Center of Leelanau. 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: 11-1614.5%
ADL Index Range: 6-1039.9%
ADL Index Range: 0-511.2%
Total Percent:65.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.7%
ADL Index Range: 6-1016.2%
ADL Index Range: 0-56.5%
Total Percent:26.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-105.4%
Total Percent:5.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.1%
ADL Index Range: 6-100.9%
ADL Index Range: 0-50.7%
Total Percent:1.7%
 

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
0.7%
Total Percent:0.7%
 

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: 11-14
- Less restorative nursing
0.1%
Total Percent:0.1%
 

Rating Details For Tendercare Health Center of Leelanau

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) Hours1 Hour and 7 Minutes1 Hour and 9 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours38 Minutes43 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 40 Minutes2 Hours and 28 Minutes
Total Licensed Nurse Hours1 Hour and 45 Minutes1 Hour and 52 Minutes
Total Nurse Hours4 Hours and 25 Minutes4 Hours and 20 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 Long-Stay Residents Who Are More Depressed or Anxious28%13%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder63%52%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Lose Too Much Weight10%8%
Percent of Long-Stay Residents Who Were Physically Restrained3%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased9%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain7%3%

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 Had Moderate to Severe Pain28%21%
Percent of Short-Stay Residents Who Have Pressure Sores11%11%
Percent of Short-Stay Residents Who Have Delirium2%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 04/20/2011.

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

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/22/2009
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 03/11/2010
  • Correction Date: 04/16/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/20/2011
  • Correction Date: 05/30/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/22/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/11/2010
  • Correction Date: 05/03/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/20/2011
  • Correction Date: 05/30/2011

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/22/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/20/2011
  • Correction Date: 05/30/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/20/2011
  • Correction Date: 05/30/2011

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 04/20/2011
  • Correction Date: 05/30/2011

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/22/2009
Tell the Resident Completely About His or Her Health Status.
  • Inspection Date: 03/11/2010
  • Correction Date: 04/16/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 03/11/2010
  • Correction Date: 04/16/2010
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: 04/20/2011
  • Correction Date: 05/30/2011

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)04/08/2009$975
Civil Money Penalty (CMP)02/04/2010$2,925

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Tendercare Health Center of Leelanau, 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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/04/2010
  • Correction Date: 01/29/2010

Resident Rights

Try to Resolve Each Resident's Complaints Quickly.
  • Complaint Filed: 10/28/2008
  • Correction Date: 11/21/2008

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 Tendercare Health Center of Leelanau 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 04/21/2011.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/15/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/21/2011
  • Correction Date: 06/19/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/21/2011
  • Correction Date: 06/19/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 04/21/2011
  • Correction Date: 06/19/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 04/21/2011
  • Correction Date: 06/19/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 04/21/2011
  • Correction Date: 06/19/2011
Source: Medicare Nursing Home Compare; Michigan Department of Community Health - Retrieved 2011