Tendercare Health Center-Birchwood Ratings

Ratings

Overall 4 Stars

From ratings in health inspections, nurse staffing, and measures of medical-care quality.

Health Inspections 3 Stars

How well this home met health and safety standards for food preparation and other nursing-home activities in the latest three state inspections. Such inspections are conducted at least every 15 months.

Deficiencies found in standard inspection(s) and complaint investigations 9/1/2010 to 11/30/2011

Total number of health deficiencies for this nursing home:
9
Average number of health deficiencies (Michigan):
11
Average number of health deficiencies (U.S.):
8
Range of health deficiencies (Michigan):
1-57

Environmental Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Have a program to keep infection from spreading. 5/5/2011 6/6/2011
Have enough outside airflow. 5/5/2011 6/6/2011
Make sure that the nursing home area is free of dangers that cause accidents. 5/5/2011 6/6/2011

Mistreatment Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Protect each resident from all abuse, physical punishment, and being separated from others. 3/29/2011 4/26/2011
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. 3/29/2011 4/26/2011

Nutrition and Dietary Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 5/5/2011 6/6/2011

Quality Care Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Give professional services that follow each resident's written care plan. 5/5/2011 6/6/2011

Resident Assessment Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. 5/5/2011 6/6/2011

Resident Rights Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Provide care in a way that keeps or builds each resident's dignity and self respect. 3/29/2011 4/26/2011

NA: Not available, not applicable, insufficient data, or did not report.

Note: Deficiencies (totals and ranges) and averages (state and national) may not match those shown on the federal Nursing Home Compare Web site. The Centers for Medicare and Medicaid Services, which runs the site, reviewed and approved the U.S. News method.

View previous inspections

Nurse Staffing 4 Stars

Average number of hours per day of care received per resident from nurses at all levels.

This Nursing Home State Average National Average
RN staffing 4 out of 5 stars NA NA
Number of residents 109 92 88
Hours per resident (all nurses) 1 hour 16 minutes 1 hour 32 minutes 1 hour 35 minutes
Hours per resident (RNs only) 44 minutes 46 minutes 44 minutes
Hours per resident (LPNs, LVNs) 32 minutes 47 minutes 50 minutes
Hours per resident (CNAs) 2 hours 30 minutes 2 hours 29 minutes 2 hours 28 minutes
RN:
registered nurse
LPN:
licensed practical nurse
LVN:
licensed vocational nurse
CNA:
certified nurse assistant

NA: Not available, not applicable, insufficient data, or did not report.

Note: Deficiencies (totals and ranges) and averages (state and national) may not match those shown on the federal Nursing Home Compare Web site. The Centers for Medicare and Medicaid Services, which runs the site, reviewed and approved the U.S. News method.

Quality Measures 2 Stars

Percentages of residents who got recommended care, such as flu vaccinations, and percentages of residents who had pain, bedsores, urinary tract infections, and other care‑related problems.

Long-stay preventive measures (Higher percentages are better)

This Nursing Home State Average National Average
Percent of long-stay residents given influenza vaccination during the flu season 90 - 100% 88% 90%
Percent of long-stay residents who were assessed and given pneumococcal vaccination 90 - 100% 88% 88%

Long-stay deficiencies (Lower percentages are better)

This Nursing Home State Average National Average
Percent of long-stay residents whose need for help with daily activities has increased 15% 12% 14%
Percent of long-stay residents who have moderate to severe pain 7% 3% 3%
Percent of high-risk long-stay residents who have pressure sores 13% 9% 10%
Percent of low-risk long-stay residents who have pressure sores 1% 1% 1%
Percent of long-stay residents who were physically restrained 3% 3% 2%
Percent of long-stay residents who are more depressed or anxious 29% 13% 14%
Percent of low-risk long-stay residents who lose control of their bowels or bladder 56% 51% 51%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder 5% 4% 5%
Percent of long-stay residents who spend most of their time in bed or in a chair 0% 3% 4%
Percent of long-stay residents whose ability to move about in and around their room got worse 9% 9% 11%
Percent of long-stay residents who had a urinary tract infection 9% 8% 8%
Percent of long-stay residents who lose too much weight 11% 7% 7%

Short-stay preventive measures (Higher percentages are better)

This Nursing Home State Average National Average
Percent of short-stay residents given influenza vaccination during the flu season 90 - 100% 83% 84%
Percent of short-stay residents who were assessed and given pneumococcal vaccination 90 - 100% 83% 82%

Short-stay deficiencies (Lower percentages are better)

This Nursing Home State Average National Average
Percent of short-stay residents who have delirium 0% 1% 1%
Percent of short-stay residents who had moderate to severe pain 20% 20% 19%
Percent of short-stay residents who have pressure sores 19% 10% 12%

NA: Not available, not applicable, insufficient data, or did not report.

Note: Deficiencies (totals and ranges) and averages (state and national) may not match those shown on the federal Nursing Home Compare Web site. The Centers for Medicare and Medicaid Services, which runs the site, reviewed and approved the U.S. News method.

Fire Safety Deficiencies

How well this home met National Fire Protection Agency standards in the most recent inspection.

Deficiencies found in standard inspection(s) and complaint investigations 9/1/2010 to 11/30/2011

Total number of fire safety deficiencies for this nursing home:
7
Average number of fire safety deficiencies (Michigan):
7
Average number of fire safety deficiencies (U.S.):
4
Range of fire safety deficiencies (Michigan):
1-38

Automatic Sprinkler Systems Deficiencies

What the nursing
home did not have
Inspection Date Date Corrected Level of Harm (least to most) Residents Affected (few to many)
An approved automatic sprinkler system connected to the fire alarm system. 5/5/2011 6/6/2011

Corridor Walls and Doors Deficiencies

What the nursing
home did not have
Inspection Date Date Corrected Level of Harm (least to most) Residents Affected (few to many)
Corridor and hallway doors that block smoke. 5/5/2011 6/6/2011

Emergency Plans and Fire Drills Deficiencies

What the nursing
home did not have
Inspection Date Date Corrected Level of Harm (least to most) Residents Affected (few to many)
Did not have a written emergency evacuation plan. 5/5/2011 6/6/2011

Fire Alarm Systems Deficiencies

What the nursing
home did not have
Inspection Date Date Corrected Level of Harm (least to most) Residents Affected (few to many)
A fire alarm system that can be heard throughout the facility. 5/5/2011 6/6/2011
An approved installation, maintenance and testing program for fire alarm systems. 5/5/2011 6/6/2011

Smoke Compartmentation and Control Deficiencies

What the nursing
home did not have
Inspection Date Date Corrected Level of Harm (least to most) Residents Affected (few to many)
Smoke barrier doors that can resist smoke for at least 20 minutes. 5/5/2011 6/6/2011
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. 5/5/2011 6/6/2011

NA: Not available, not applicable, insufficient data, or did not report.

Note: Deficiencies (totals and ranges) and averages (state and national) may not match those shown on the federal Nursing Home Compare Web site. The Centers for Medicare and Medicaid Services, which runs the site, reviewed and approved the U.S. News method.

View previous inspections

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