ASPIRUS ONTONAGON HOSPITAL, INC

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 "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 Aspirus Ontonagon Hospital, Inc. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

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 08/12/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 08/20/2008 Correction Date: 11/12/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 08/20/2008 Correction Date: 09/22/2008
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 11/05/2009 Correction Date: 12/24/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 08/12/2010 Correction Date: 09/30/2010

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 08/20/2008 Correction Date: 09/22/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/20/2008 Correction Date: 09/22/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 08/20/2008 Correction Date: 09/22/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 08/20/2008 Correction Date: 09/22/2008
Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed. Inspection Date: 11/05/2009 Correction Date: 12/11/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/12/2010 Correction Date: 09/30/2010
Keep Adequate and Comfortable Lighting in All Areas. Inspection Date: 08/12/2010 Correction Date: 09/30/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 08/12/2010 Correction Date: 09/30/2010

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 08/12/2010 Correction Date: 09/30/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/12/2010 Correction Date: 09/30/2010

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: 08/20/2008 Correction Date: 09/22/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 08/20/2008 Correction Date: 11/12/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/20/2008 Correction Date: 09/20/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 11/05/2009 Correction Date: 12/11/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 08/12/2010 Correction Date: 09/30/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/12/2010 Correction Date: 09/30/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/12/2010 Correction Date: 09/30/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/12/2010 Correction Date: 09/30/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 08/12/2010 Correction Date: 09/30/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 08/12/2010 Correction Date: 09/30/2010

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: 08/20/2008 Correction Date: 11/12/2008
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 11/05/2009 Correction Date: 12/04/2009
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home. Inspection Date: 08/12/2010 Correction Date: 09/30/2010

Resident Rights

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. Inspection Date: 08/20/2008 Correction Date: 09/12/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 08/20/2008 Correction Date: 09/12/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 08/20/2008 Correction Date: 11/12/2008
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 11/05/2009 Correction Date: 12/11/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 08/12/2010 Correction Date: 09/30/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 08/12/2010 Correction Date: 09/30/2010
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 08/12/2010 Correction Date: 09/30/2010

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 Aspirus Ontonagon Hospital, Inc, as well as complaints by residents or their family in the previous three years.

Administration

Choose a Doctor to Be the Medical Director. Complaint Filed: 08/04/2009 Correction Date: 09/04/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 08/04/2009 Correction Date: 09/04/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 08/04/2009 Correction Date: 09/04/2009
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: 08/04/2009 Correction Date: 09/04/2009
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: 08/12/2010 Correction Date: 09/30/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 08/12/2010 Correction Date: 09/30/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Complaint Filed: 03/04/2009 Correction Date: 04/23/2009

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met. Complaint Filed: 03/04/2009 Correction Date: 04/23/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 07/21/2009 Correction Date: 08/28/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 08/04/2009 Correction Date: 09/04/2009

Resident Rights

Try to Resolve Each Resident's Complaints Quickly. Complaint Filed: 03/04/2009 Correction Date: 04/23/2009
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: 08/04/2009 Correction Date: 09/04/2009

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 Aspirus Ontonagon Hospital, Inc 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 08/12/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 11/05/2009 Correction Date: 12/30/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 11/05/2009 Correction Date: 11/30/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/12/2010 Correction Date: 09/29/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/20/2008 Correction Date: 09/18/2008
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 11/05/2009 Correction Date: 11/30/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 11/05/2009 Correction Date: 11/30/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/12/2010 Correction Date: 09/29/2010

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 11/05/2009 Correction Date: 11/30/2009
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 08/12/2010 Correction Date: 09/29/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 11/05/2009 Correction Date: 12/30/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/20/2008 Correction Date: 09/02/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 11/05/2009 Correction Date: 11/30/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/12/2010 Correction Date: 09/29/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 08/20/2008 Correction Date: 09/15/2008
Properly Located and Lighted "Exit" Signs. Inspection Date: 08/12/2010 Correction Date: 09/29/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/12/2010 Correction Date: 09/29/2010