TENDERCARE HEALTH & REHAB CENTER OF WYOMING
Address
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
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 Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 9.9% |
| ADL Index Range: 6-10 | 36.2% |
| ADL Index Range: 0-5 | 5.2% |
| Total Percent: | 51.2% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 2.9% |
| ADL Index Range: 6-10 | 33.3% |
| ADL Index Range: 0-5 | 2.9% |
| Total Percent: | 39.0% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 3.4% |
| ADL Index Range: 6-10 | 2.8% |
| Total Percent: | 6.2% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 0.4% |
| ADL Index Range: 6-10 | 0.9% |
| ADL Index Range: 0-5 | 2.3% |
| 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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 51 Minutes | 1 Hour and 22 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 52 Minutes | 43 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 21 Minutes | 2 Hours and 31 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 43 Minutes | 2 Hours and 5 Minutes |
| Total Nurse Hours | 4 Hours and 4 Minutes | 4 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 Facility | Michigan Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 89% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 89% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 21% | 13% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 3% | 5% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 13% | 12% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 1% | 10% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 10% | 9% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 6% | 5% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 4% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 8% | 10% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 10% | 3% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 4% | 8% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 52% | 52% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 84% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 84% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | 1% | 2% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 40% | 21% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 4% | 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 Inspectors | Degree of Harm | Residents Affected |
Administration
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
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1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
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Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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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.
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Properly Mark Drugs and Other Similar Products.
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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.
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Properly Mark Drugs and Other Similar Products.
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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.
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Make Sure That Residents Are Safe from Serious Medication Errors.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Properly Mark Drugs and Other Similar Products.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Make Sure That All Needed Doctor Visits Are Made Personally by a Doctor, As Required.
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Resident Rights
Give the Resident's Legal Representative the Same Rights As the Resident.
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Keep Each Resident's Personal and Medical Records Private and Confidential.
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Let Residents Give Themselves Their Drugs if They Are Able.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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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 Taken | Date | Amount |
| 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 Complaints | Degree of Harm | Residents Affected |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
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Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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Restrictions on the Use of Portable Space Heaters.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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A Separate and Independent Backup Electrical Power Source.
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Properly Installed Electrical Wiring and Equipment.
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Properly Installed Electrical Wiring and Equipment.
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Fire Alarm Systems
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
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Furnishings and Decorations
Restrictions on the Use of Flammable Curtains.
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Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
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Proper Medical Gas Storage and Administration Areas.
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