TENDERCARE PORTAGE

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 Portage. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Extensive Services

Special Care Low

Behavioral Symptoms and Cognitive Performance

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 02/04/2011.

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 05/20/2009 Correction Date: 06/26/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/20/2009 Correction Date: 06/26/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 05/20/2009 Correction Date: 06/26/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/09/2010 Correction Date: 05/28/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/09/2010 Correction Date: 07/27/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 04/09/2010 Correction Date: 07/27/2010
Have Enough Outside Airflow. Inspection Date: 04/09/2010 Correction Date: 05/28/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 02/04/2011 Correction Date: 03/15/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 05/20/2009 Correction Date: 06/26/2009

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 05/20/2009 Correction Date: 06/26/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/20/2009 Correction Date: 06/26/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/09/2010 Correction Date: 07/27/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 05/20/2009 Correction Date: 09/17/2009
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: 04/09/2010 Correction Date: 05/28/2010
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: 02/04/2011 Correction Date: 03/15/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/04/2011 Correction Date: 03/15/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/20/2009 Correction Date: 06/26/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 05/20/2009 Correction Date: 06/26/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 04/09/2010 Correction Date: 05/28/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 04/09/2010 Correction Date: 05/28/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 04/09/2010 Correction Date: 05/28/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/09/2010 Correction Date: 05/28/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/04/2011 Correction Date: 03/15/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/04/2011 Correction Date: 03/15/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 02/04/2011 Correction Date: 03/15/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/09/2010 Correction Date: 05/28/2010
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 04/09/2010 Correction Date: 05/28/2010
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 04/09/2010 Correction Date: 05/28/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/09/2010 Correction Date: 05/28/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 05/20/2009 Correction Date: 06/26/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 05/20/2009 Correction Date: 09/17/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/09/2010 Correction Date: 05/28/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 04/09/2010 Correction Date: 07/27/2010
Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet. Inspection Date: 02/04/2011 Correction Date: 03/15/2011

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 Tendercare Portage, as well as complaints by residents or their family in the previous three years.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Complaint Filed: 06/29/2010 Correction Date: 07/20/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 12/11/2008 Correction Date: 01/30/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 09/08/2009 Correction Date: 09/30/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 06/29/2010 Correction Date: 07/20/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 12/28/2010 Correction Date: 02/08/2011
Provide Needed Housekeeping and Maintenance. Complaint Filed: 05/16/2011 Correction Date: 06/17/2011
Provide Clean Bed and Bath Linens That Are in Good Condition. Complaint Filed: 05/16/2011 Correction Date: 06/17/2011

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 12/11/2008 Correction Date: 01/30/2009
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: 12/11/2008 Correction Date: 01/30/2009
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: 06/29/2010 Correction Date: 07/20/2010
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 11/30/2010 Correction Date: 02/08/2011
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: 12/28/2010 Correction Date: 02/08/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Complaint Filed: 06/29/2010 Correction Date: 07/20/2010
Make Sure That Residents Are Safe from Serious Medication Errors. Complaint Filed: 06/29/2010 Correction Date: 07/20/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 02/03/2010 Correction Date: 04/01/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Complaint Filed: 06/29/2010 Correction Date: 07/20/2010
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 03/22/2011 Correction Date: 04/11/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 03/22/2011 Correction Date: 04/11/2011

Resident Rights

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. Complaint Filed: 03/22/2011 Correction Date: 04/11/2011
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. Complaint Filed: 03/22/2011 Correction Date: 04/11/2011
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Complaint Filed: 03/22/2011 Correction Date: 04/11/2011
Let Residents Talk to and Get Information from Agencies Acting on Their Behalf. Complaint Filed: 03/22/2011 Correction Date: 04/11/2011

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 Portage 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 02/04/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 05/21/2009 Correction Date: 07/20/2009
Portable Fire Extinguishers. Inspection Date: 05/21/2009 Correction Date: 07/20/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 05/21/2009 Correction Date: 07/20/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/07/2010 Correction Date: 06/01/2010
Portable Fire Extinguishers. Inspection Date: 04/07/2010 Correction Date: 06/01/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 05/21/2009 Correction Date: 07/20/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/21/2009 Correction Date: 07/20/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/07/2010 Correction Date: 06/01/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 05/21/2009 Correction Date: 07/20/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/21/2009 Correction Date: 07/20/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 04/07/2010 Correction Date: 06/01/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/07/2010 Correction Date: 06/01/2010
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 02/04/2011 Correction Date: 03/31/2011

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 05/21/2009 Correction Date: 07/20/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 04/07/2010 Correction Date: 06/01/2010
Properly Maintained Smoke Detectors. Inspection Date: 02/04/2011 Correction Date: 03/31/2011

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 04/07/2010 Correction Date: 06/01/2010
Restrictions on the Use of Highly Flammable Materials. Inspection Date: 02/04/2011 Correction Date: 03/31/2011
Restrictions on the Use of Flammable Curtains. Inspection Date: 02/04/2011 Correction Date: 03/31/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/21/2009 Correction Date: 07/20/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/07/2010 Correction Date: 06/01/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/04/2011 Correction Date: 03/31/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 04/07/2010 Correction Date: 06/01/2010

Interior Finish

Fire-Resistant Interior Walls. Inspection Date: 02/04/2011 Correction Date: 03/31/2011
Fire-Resistant Room Wall Surfaces. Inspection Date: 02/04/2011 Correction Date: 03/31/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 02/04/2011 Correction Date: 03/31/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/21/2009 Correction Date: 07/20/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 05/21/2009 Correction Date: 07/20/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/04/2011 Correction Date: 03/31/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 04/07/2010 Correction Date: 06/01/2010