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Tendercare Kalamazoo

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 114
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 04/20/2012

Date of last standard health inspection: 04/20/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in MI: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MI: 0 - 13

Inspection, 00/09/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 00/09/2011 01/04/2012 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/09/2011 02/06/2001 3 Few
Make sure there is a pest control program to prevent/deal with mice 00/09/2011 01/04/2012 or other pests. insects
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/09/2011 01/04/2012 3 Few

Inspection, 00/06/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 00/06/2010 00/05/2011 Few complete and organized clinical records on each re
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 00/06/2010 00/05/2011 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/06/2010 00/05/2011 4 Few

Inspection, 00/05/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/05/2010 02/05/2010 2 Few

Inspection, 02/06/2008

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/06/2008 02/03/2009 2 Few

Inspection, 02/00/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 02/00/2004 03/00/2005 1 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/00/2004 03/00/2005 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/00/2004 03/00/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 02/00/2004 03/00/2005 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/00/2004 03/00/2005 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. 02/00/2004 03/00/2005 2 Few
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. 02/00/2004 03/00/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Reasonably accommodate the needs and preferences of each resident. 02/00/2004 03/00/2005 2 Some
Give notice to the resident before a room or roommate change. 02/00/2004 03/00/2005 2 Some

Inspection, 00/08/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 00/08/2004 01/06/2005 2 Many
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 00/08/2004 01/06/2005 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/08/2004 01/06/2005 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/08/2004 01/06/2005 2 Some
Have enough outside ventilation via a window or mechanical ventilation, or both. 00/08/2004 01/06/2005 1 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/08/2004 01/06/2005 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/08/2004 01/06/2005 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/08/2004 01/06/2005 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/08/2004 01/06/2005 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 00/08/2004 01/06/2005 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/08/2004 01/06/2005 3 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/08/2004 01/06/2005 3 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 00/08/2004 01/06/2005 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/08/2004 01/06/2005 4 Few

Inspection, 01/05/2002

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/05/2002 02/01/2003 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/05/2002 02/01/2003 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop policies and procedures for influenza and pneumococcal immunizations. 01/05/2002 02/01/2003 1 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Review or revise the resident's care plan after any major change in physical or mental health. 01/05/2002 02/01/2003 2 Few
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. 01/05/2002 02/01/2003 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to self-administer drugs if determined safe. 01/05/2002 02/01/2003 2 Few
Reasonably accommodate the needs and preferences of each resident. 01/05/2002 02/01/2003 2 Few

Inspection, 01/04/2002

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/04/2002 01/04/2003 3 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/04/2002 01/04/2003 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide timely notification to the resident before transfer or discharge. 01/04/2002 01/04/2003 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in MI Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 92 82
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 7 hours 50 minutes 1 hour 54 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 7 hours 3 minutes 46 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 7 hours 10 minutes 1 hour 7 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 8 hours 51 minutes 2 hours 27 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 04/19/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 04/19/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in MI: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in MI: 0 - 0

Inspection, 01/09/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/09/2004 00/01/2006 2 Few
Portable fire extinguishers. 01/09/2004 00/01/2006 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/09/2004 00/01/2006 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 01/09/2004 00/01/2006 2 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/09/2004 00/01/2006 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 01/09/2004 00/01/2006 2 Many

Inspection, 00/08/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Back-up procedures in place for a faulty automatic sprinkler system. 00/08/2004 00/07/2005 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 00/08/2004 00/07/2005 2 Some
Corridor and hallway doors that block smoke. 00/08/2004 00/07/2005 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 00/08/2004 00/07/2005 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors or aisles that are unobstructed and are at least 8 feet in width. 00/08/2004 00/07/2005 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved back-up procedure for a faulty fire alarm system. 00/08/2004 00/07/2005 2 Many
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 00/08/2004 00/07/2005 2 Many

Inspection, 01/03/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/03/2002 01/05/2003 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/03/2002 01/03/2002 2 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 01/03/2002 01/05/2003 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 01/03/2002 01/05/2003 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/03/2002 01/05/2003 2 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 01/03/2002 01/05/2003 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/03/2002 00/01/2003 2 Some
Smoke barrier doors that can resist smoke for at least 20 minutes. 01/03/2002 01/05/2003 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 01/03/2002 01/05/2003 2 Some
 

1701 S 11th St
Kalamazoo, MI 49009

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