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Chippewa County War Mem Hosp Ltcu

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Tendercare Sault Ste Marie
Sault Sainte Marie, MI
8 miles

About Chippewa County War Mem Hosp Ltcu

General Information

Legal Business NameChippewa County War Memorial Hospital Inc
Ownership TypeNon Profit - Other
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1979 (39 years)
Capacity51
Residents50
Percent Occupied98%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalYes
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Chippewa County War Mem Hosp Ltcu

Chippewa County War Mem Hosp Ltcu
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Michigan Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

September 16, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
FManyPotential for HarmHealth InspectionHave a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionKeep all essential equipment working safely.
ESomePotential for HarmHealth InspectionEnsure 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.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.

August 12, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint1) Hire only people with 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.

October 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.

January 8, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 27 days
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionProvide adequate and comfortable lighting levels in all areas.
DFewPotential for HarmHealth InspectionEnsure 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.
BSomePotential for Minimal HarmHealth InspectionHonor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States.

October 29, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint1) Hire only people with 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.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Chippewa County War Mem Hosp Ltcu require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

35min
2hr 35min
ReportedExpected
CNA
1hr 15min
35min
ReportedExpected
LPN
40min
50min
ReportedExpected
RN
2hr 25min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.8%
96.0%
96.0%
96.0%
92.2%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.8%
97.8%
95.5%
97.7%
93.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
49.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
26.7%
26.1%
22.7%
36.4%
22.6%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who received an antianxiety or hypnotic medication
23.0%
22.1%
29.5%
18.2%
17.5%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents whose ability to move independently worsened
24.4%
24.4%
27.9%
32.6%
13.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who received an antipsychotic medication
9.1%
13.3%
11.6%
18.2%
14.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents whose need for help with daily activities has increased
27.1%
30.6%
25.0%
26.3%
7.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who self-report moderate to severe pain
15.6%
9.1%
6.8%
7.0%
7.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who lose too much weight
9.7%
9.7%
9.7%
6.2%
5.8%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of high risk long-stay residents with pressure ulcers
9.1%
9.1%
7.0%
14.3%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who have depressive symptoms
11.1%
11.4%
6.8%
11.6%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents with a urinary tract infection
2.2%
4.3%
4.5%
6.8%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents experiencing one or more falls with major injury
1.7%
1.9%
0.0%
0.0%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents with a catheter inserted and left in their bladder
2.2%
2.2%
0.0%
6.8%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

97.2%
-
95.7%
100.0%
80.4%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.9%
-
-
-
79.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
70.2%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
25.0%
-
-
-
17.4%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
-
-
5.0%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
11.0%
-
3.9%
8.0%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents with pressure ulcers that are new or worsened