MIDMICHIGAN GLADWIN PINES NURSING HOME

The information listed below provides an in-depth look into the type and quality of care offered at Midmichigan Gladwin Pines Nursing Home. 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

MIDMICHIGAN GLADWIN PINES NURSING HOME
449 QUARTER STREET
GLADWIN, MI 48624
(989) 246-6333

Nursing Home Ratings

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

Percent of Beds Occupied

78%

Number of Residents and Certified Beds

  • Residents: 93
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Clare | Farwell | Sterling

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 Midmichigan Gladwin Pines Nursing Home. 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: 11-1616.3%
ADL Index Range: 6-1017.5%
ADL Index Range: 0-544.2%
Total Percent:78.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.0%
ADL Index Range: 6-1010.3%
ADL Index Range: 0-57.5%
Total Percent:18.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-100.4%
Total Percent:0.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.4%
ADL Index Range: 0-50.3%
Total Percent:0.7%
 

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: 15-16
- Signs of depression
0.6%
ADL Index Range: 6-10
- No Signs of depression
0.4%
Total Percent:1.0%
 

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: 6-10
- Signs of depression
0.3%
Total Percent:0.3%
 

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
- No Signs of depression
0.8%
Total Percent:0.8%
 

Rating Details For Midmichigan Gladwin Pines Nursing Home

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) Hours30 Minutes1 Hour and 14 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 6 Minutes43 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 36 Minutes2 Hours and 24 Minutes
Total Licensed Nurse Hours1 Hour and 37 Minutes1 Hour and 57 Minutes
Total Nurse Hours5 Hours and 13 Minutes4 Hours and 21 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 Vaccination59%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of Long-Stay Residents Who Were Physically Restrained6%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder35%52%
Percent of Long-Stay Residents Who Lose Too Much Weight14%8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection1%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse16%10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious26%13%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination61%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 Sores5%11%
Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain22%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 11/19/2010.

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

Give Lab Tests Only when the Attending Doctor Ordered Them.
  • Inspection Date: 02/19/2010
  • Correction Date: 04/09/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/10/2009
  • Correction Date: 05/30/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 02/19/2010
  • Correction Date: 04/09/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 02/19/2010
  • Correction Date: 04/09/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/19/2010
  • Correction Date: 04/09/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/04/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/04/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/04/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 04/10/2009
  • Correction Date: 05/30/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/10/2009
  • Correction Date: 05/30/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/04/2011

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: 04/10/2009
  • Correction Date: 05/30/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/10/2009
  • Correction Date: 05/30/2009
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: 02/19/2010
  • Correction Date: 06/04/2010
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: 11/19/2010
  • Correction Date: 01/04/2011
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/04/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/10/2009
  • Correction Date: 05/30/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 04/10/2009
  • Correction Date: 05/30/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/19/2010
  • Correction Date: 06/04/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 02/19/2010
  • Correction Date: 06/04/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 02/19/2010
  • Correction Date: 04/09/2010
Give or Get Emergency Care by a Doctor 24 Hours a Day.
  • Inspection Date: 02/19/2010
  • Correction Date: 04/09/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/10/2009
  • Correction Date: 05/30/2009
Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed.
  • Inspection Date: 04/10/2009
  • Correction Date: 05/30/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/04/2011
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/04/2011

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 04/10/2009
  • Correction Date: 05/30/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 02/19/2010
  • Correction Date: 04/09/2010
Let Residents Talk to and Get Information from Agencies Acting on Their Behalf.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/04/2011

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)12/16/2008$975
Civil Money Penalty (CMP)04/10/2009$1,500
Civil Money Penalty (CMP)03/16/2011$1,500
Civil Money Penalty (CMP)12/16/2008$1,755
Civil Money Penalty (CMP)06/25/2009$11,050
Civil Money Penalty (CMP)10/16/2009$14,560
Civil Money Penalty (CMP)06/25/2009$19,500
Civil Money Penalty (CMP)12/16/2008$39,488

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Midmichigan Gladwin Pines Nursing Home, 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

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Complaint Filed: 10/16/2009
  • Correction Date: 12/11/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 04/07/2011
  • Correction Date: 05/03/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/08/2009
  • Correction Date: 02/04/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 10/16/2009
  • Correction Date: 12/11/2009
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 10/16/2009
  • Correction Date: 12/11/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 03/16/2011
  • Correction Date: 04/21/2011

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 12/16/2008
  • Correction Date: 02/04/2009
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: 12/16/2008
  • Correction Date: 02/04/2009

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 06/25/2009
  • Correction Date: 08/12/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 06/25/2009
  • Correction Date: 08/12/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 06/25/2009
  • Correction Date: 08/12/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 04/07/2011
  • Correction Date: 05/03/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 01/08/2009
  • Correction Date: 02/04/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 01/08/2009
  • Correction Date: 02/04/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 03/16/2011
  • Correction Date: 04/21/2011

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 Midmichigan Gladwin Pines Nursing Home 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 11/18/2010.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/13/2009
  • Correction Date: 04/14/2009
Portable Fire Extinguishers.
  • Inspection Date: 11/18/2010
  • Correction Date: 01/05/2011

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 04/13/2009
  • Correction Date: 04/14/2009
A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/02/2010
A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 11/18/2010
  • Correction Date: 01/05/2011

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 04/13/2009
  • Correction Date: 04/14/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 11/18/2010
  • Correction Date: 01/05/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/13/2009
  • Correction Date: 04/23/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/31/2010

Electrical

A Separate and Independent Backup Electrical Power Source.
  • Inspection Date: 04/13/2009
  • Correction Date: 05/14/2010
A Separate and Independent Backup Electrical Power Source.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/10/2010
The Appropriate Emergency Electrical Equipment.
  • Inspection Date: 11/18/2010
  • Correction Date: 01/05/2011
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/18/2010
  • Correction Date: 01/05/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/13/2009
  • Correction Date: 05/29/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/31/2010
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 11/18/2010
  • Correction Date: 01/05/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/18/2010
  • Correction Date: 01/05/2011

Interior Finish

Fire-Resistant Interior Walls.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/31/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 11/18/2010
  • Correction Date: 01/05/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/18/2010
  • Correction Date: 01/05/2011
Source: Medicare Nursing Home Compare; Michigan Department of Community Health - Retrieved 2011