TENDERCARE HEALTH & REHAB CENTER OF WYOMING

The information listed below provides an in-depth look into the type and quality of care offered at Tendercare Health & Rehab Center of Wyoming. 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 & REHAB CENTER OF WYOMING
2786 56 STREET, SW
WYOMING, MI 49418
(616) 261-3960

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: 78
  • Certified Beds: 80

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

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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 & Rehab Center of Wyoming. 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: 11-169.9%
ADL Index Range: 6-1036.2%
ADL Index Range: 0-55.2%
Total Percent:51.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.9%
ADL Index Range: 6-1033.3%
ADL Index Range: 0-52.9%
Total Percent:39.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.4%
ADL Index Range: 6-102.8%
Total Percent:6.2%
 

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: 6-100.9%
ADL Index Range: 0-52.3%
Total Percent:3.6%
 

Rating Details For Tendercare Health & Rehab Center of Wyoming

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) Hours51 Minutes1 Hour and 22 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours52 Minutes43 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 21 Minutes2 Hours and 31 Minutes
Total Licensed Nurse Hours1 Hour and 43 Minutes2 Hours and 5 Minutes
Total Nurse Hours4 Hours and 4 Minutes4 Hours and 36 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 Who Are More Depressed or Anxious21%13%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%12%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores1%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%9%
Percent of Long-Stay Residents Who Were Physically Restrained6%5%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain10%3%
Percent of Long-Stay Residents Who Lose Too Much Weight4%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder52%52%

Short-Term Stay Preventive Actions

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

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain40%21%
Percent of Short-Stay Residents Who Have Pressure Sores4%11%

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 09/24/2010.

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

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 10/31/2008
  • Correction Date: 12/03/2008
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/12/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/02/2009
  • Correction Date: 11/04/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/12/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/12/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/12/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/31/2008
  • Correction Date: 12/03/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/12/2010

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: 10/31/2008
  • Correction Date: 12/03/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 10/31/2008
  • Correction Date: 12/03/2008
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: 10/02/2009
  • Correction Date: 11/04/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 10/02/2009
  • Correction Date: 11/04/2009
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: 09/24/2010
  • Correction Date: 02/03/2011
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/12/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/12/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/12/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/31/2008
  • Correction Date: 12/03/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
  • Inspection Date: 10/31/2008
  • Correction Date: 12/03/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/02/2009
  • Correction Date: 11/04/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/24/2010
  • Correction Date: 02/03/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/12/2010

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: 10/02/2009
  • Correction Date: 11/04/2009
Make Sure That All Needed Doctor Visits Are Made Personally by a Doctor, As Required.
  • Inspection Date: 10/02/2009
  • Correction Date: 11/04/2009

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident.
  • Inspection Date: 10/02/2009
  • Correction Date: 11/04/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/12/2010
Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/12/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 09/24/2010
  • Correction Date: 02/03/2011

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)09/24/2010$2,633
Civil Money Penalty (CMP)10/15/2008$7,020
Civil Money Penalty (CMP)09/24/2010$10,433
Civil Money Penalty (CMP)10/15/2008$13,000
Denial of Payment for New Admission (DPNA)10/15/2008-
Denial of Payment for New Admission (DPNA)09/24/2010-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Tendercare Health & Rehab Center of Wyoming, 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: 10/15/2008
  • Correction Date: 10/17/2008

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 & Rehab Center of Wyoming 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 09/24/2010.

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

Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 11/03/2008
  • Correction Date: 11/17/2008
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 09/29/2009
  • Correction Date: 10/09/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/25/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/25/2010
Restrictions on the Use of Portable Space Heaters.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/25/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 11/03/2008
  • Correction Date: 11/17/2008
A Separate and Independent Backup Electrical Power Source.
  • Inspection Date: 09/29/2009
  • Correction Date: 10/22/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/29/2009
  • Correction Date: 10/09/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/25/2010

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 11/03/2008
  • Correction Date: 11/17/2008

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 09/29/2009
  • Correction Date: 10/09/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 11/03/2008
  • Correction Date: 11/17/2008
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 09/29/2009
  • Correction Date: 10/09/2009
Source: Medicare Nursing Home Compare; Michigan Department of Community Health - Retrieved 2011