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Tendercare Sault Ste Marie

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: 11/09/2011

Date of last standard health inspection: 11/09/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 1
Average number of Health Deficiencies in MI: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MI: 0 - 13
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. 01/02/2012 03/01/2012 2 Few

Inspection, 02/01/2011

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/01/2011 01/08/2012 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 02/01/2011 01/08/2012 investigation identification

Inspection, 00/09/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. 00/09/2011 01/09/2012 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/09/2011 01/09/2012 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/09/2011 01/09/2012 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. 00/09/2011 01/09/2012 2 Few
Ensure that residents are safe from serious medication errors. 00/09/2011 01/09/2012 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/09/2011 01/09/2012 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide residents with private access to a telephone. 00/09/2011 01/09/2012 2 Few

Inspection, 02/09/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/09/2009 01/06/2011 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/09/2009 01/06/2011 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/09/2009 01/06/2011 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/09/2009 01/06/2011 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/09/2009 01/06/2011 2 Few
Ensure residents maintain acceptable nutritional status. 02/09/2009 01/06/2011 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 02/09/2009 01/06/2011 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 02/09/2009 01/06/2011 2 Few
Make sure that doctors visit residents regularly, as required. 02/09/2009 01/06/2011 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give the resident's representative the ability to exercise the resident's rights. 02/09/2009 01/06/2011 2 Few
Keep residents' personal and medical records private and confidential. 02/09/2009 01/06/2011 2 Few

Inspection, 00/01/2009

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. 00/01/2009 00/05/2010 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse 00/01/2009 00/05/2010 and involuntary separation from others. physical punishment
Develop and implement policies for 1) screening and training employees; and the 2) prevention 00/01/2009 00/05/2010 investigation identification
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 00/01/2009 00/05/2010 Few grooming and personal and oral hygiene.

Inspection, 02/03/2008

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. 02/03/2008 01/07/2010 2 Few
Have a program that investigates 02/03/2008 01/07/2010 Many controls and keeps infection from spreading.
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. 02/03/2008 01/07/2010 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/03/2008 01/07/2010 3 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/03/2008 01/07/2010 and that incontinent patients receive proper servi unless medically necessary
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 02/03/2008 01/07/2010 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs 02/03/2008 01/07/2010 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 02/03/2008 01/07/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are fully informed and understand their health status 02/03/2008 01/07/2010 Few care and treatments.
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/03/2008 01/07/2010 2 Few

Inspection, 01/08/2008

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/08/2008 00/07/2009 2 Few

Inspection, 01/04/2006

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights 01/04/2006 02/02/2007 services and charges. rules
Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. 01/04/2006 02/02/2007 2 Few

Inspection, 01/07/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 01/07/2001 02/02/2002 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/07/2001 02/02/2002 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. 01/07/2001 02/02/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 01/07/2001 02/02/2002 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/07/2001 02/02/2002 3 Few
Ensure residents maintain acceptable nutritional status. 01/07/2001 02/02/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 01/07/2001 02/02/2002 2 Some

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 68
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 7 hours 50 minutes 1 hour 32 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 7 hours 3 minutes 55 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 7 hours 10 minutes 37 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 8 hours 51 minutes 2 hours 24 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: 11/09/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 11/09/2011
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, 00/09/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 00/09/2011 03/00/2012 2 Many
Automatic sprinkler systems that have been maintained in working order. 00/09/2011 03/00/2012 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/09/2011 03/00/2012 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/09/2011 03/00/2012 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/09/2011 03/00/2012 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/09/2011 03/00/2012 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 00/09/2011 03/00/2012 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 00/09/2011 03/00/2012 2 Few
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. 00/09/2011 03/00/2012 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 00/09/2011 03/00/2012 2 Many

Inspection, 02/09/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/09/2009 02/07/2011 2 Many
Portable fire extinguishers. 02/09/2009 02/07/2011 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/09/2009 02/07/2011 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/09/2009 02/07/2011 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/09/2009 02/07/2011 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/09/2009 02/07/2011 2 Few
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. 02/09/2009 02/07/2011 2 Many
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 02/09/2009 02/07/2011 2 Many

Inspection, 01/07/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 01/07/2001 01/04/2003 2 Many
Portable fire extinguishers. 01/07/2001 01/04/2003 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 01/07/2001 01/04/2003 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/07/2001 01/04/2003 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/07/2001 01/04/2003 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/07/2001 01/04/2003 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/07/2001 01/04/2003 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of highly flammable decorations. 01/07/2001 01/04/2003 2 Many
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. 01/07/2001 01/04/2003 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 01/07/2001 01/04/2003 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. 01/07/2001 01/04/2003 2 Few
 

1011 Meridian Rd
Sault Sainte Marie, MI 49783

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