TENDERCARE KALAMAZOO

The information listed below provides an in-depth look into the type and quality of care offered at Tendercare Kalamazoo. 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 KALAMAZOO
1701 S 11TH ST
KALAMAZOO, MI 49009
(269) 375-2020

Nursing Home Ratings

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

Percent of Beds Occupied

85%

Number of Residents and Certified Beds

  • Residents: 99
  • Certified Beds: 117

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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Nearby Cities:

Portage | Plainwell | Galesburg

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 Kalamazoo. 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

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.1%
Total Percent:0.1%
 

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: 11-1629.2%
ADL Index Range: 6-1033.9%
ADL Index Range: 0-514.9%
Total Percent:78.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.0%
ADL Index Range: 6-108.3%
Total Percent:12.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.5%
ADL Index Range: 6-100.4%
ADL Index Range: 0-52.7%
Total Percent:4.6%
 

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: 15-16
- No Signs of depression
4.4%
Total Percent:4.4%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
0.5%
Total Percent:0.5%
 

Rating Details For Tendercare Kalamazoo

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) Hours54 Minutes1 Hour and 13 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours30 Minutes43 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 59 Minutes2 Hours and 28 Minutes
Total Licensed Nurse Hours1 Hour and 24 Minutes1 Hour and 56 Minutes
Total Nurse Hours4 Hours and 23 Minutes4 Hours and 24 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%89%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Long-Term Stay Deficiencies

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 Pain5%3%
Percent of Long-Stay Residents Who Were Physically Restrained3%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%12%
Percent of Long-Stay Residents Who Are More Depressed or Anxious24%13%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder68%52%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%10%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season78%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination88%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain16%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 04/08/2011.

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

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/16/2011
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/16/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/31/2009
  • Correction Date: 11/13/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/31/2009
  • Correction Date: 11/13/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/23/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/23/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/16/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/16/2011
Have Enough Outside Airflow.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/16/2011

Mistreatment

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.
  • Inspection Date: 07/31/2009
  • Correction Date: 09/11/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 07/31/2009
  • Correction Date: 09/11/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/16/2011

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: 07/31/2009
  • Correction Date: 11/13/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 07/31/2009
  • Correction Date: 11/13/2009
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: 06/04/2010
  • Correction Date: 07/23/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/23/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/23/2010
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: 04/08/2011
  • Correction Date: 05/16/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/16/2011
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/16/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/31/2009
  • Correction Date: 11/13/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 07/31/2009
  • Correction Date: 09/11/2009
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion.
  • Inspection Date: 07/31/2009
  • Correction Date: 09/11/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 07/31/2009
  • Correction Date: 09/11/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 07/31/2009
  • Correction Date: 09/11/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 07/31/2009
  • Correction Date: 09/11/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/23/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/16/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/16/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/16/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/16/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/16/2011

Resident Assessment

Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 07/31/2009
  • Correction Date: 09/22/2009
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: 07/31/2009
  • Correction Date: 09/11/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/31/2009
  • Correction Date: 11/13/2009
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home.
  • Inspection Date: 07/31/2009
  • Correction Date: 09/11/2009
Make Sure That All Needed Doctor Visits Are Made Personally by a Doctor, As Required.
  • Inspection Date: 07/31/2009
  • Correction Date: 09/11/2009

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident.
  • Inspection Date: 07/31/2009
  • Correction Date: 09/11/2009
Let Each Resident Choose Whether to Manage His or Her Own Money or Deposit It with the Nursing Home.
  • Inspection Date: 07/31/2009
  • Correction Date: 09/11/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 07/31/2009
  • Correction Date: 09/11/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/31/2009
  • Correction Date: 09/11/2009

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)07/28/2009$975
Civil Money Penalty (CMP)10/06/2010$4,030
Civil Money Penalty (CMP)10/06/2010$117,000
Denial of Payment for New Admission (DPNA)07/28/2009-
Denial of Payment for New Admission (DPNA)04/08/2011-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Tendercare Kalamazoo, 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

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 10/06/2010
  • Correction Date: 11/05/2010

Mistreatment

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: 10/06/2010
  • Correction Date: 11/05/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 07/28/2009
  • Correction Date: 09/11/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 10/06/2010
  • Correction Date: 11/05/2010

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 Kalamazoo 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 04/08/2011.

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: 07/29/2009
  • Correction Date: 08/20/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/03/2010
  • Correction Date: 07/15/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/07/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/07/2011
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/07/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/20/2009

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/07/2011

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/07/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 07/29/2009
  • Correction Date: 09/20/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 06/03/2010
  • Correction Date: 07/15/2010
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 06/03/2010
  • Correction Date: 07/15/2010
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/07/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/20/2009
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/20/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/03/2010
  • Correction Date: 07/15/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/20/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 04/08/2011
  • Correction Date: 05/07/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/20/2009
No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/20/2009
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 06/03/2010
  • Correction Date: 07/15/2010
Source: Medicare Nursing Home Compare; Michigan Department of Community Health - Retrieved 2011