US Nursing Home Finder: ASPIRUS ONTONAGON HOSPITAL, INC ONTONAGON MI

General Information: ASPIRUS ONTONAGON HOSPITAL, INC
Nursing home name	ASPIRUS ONTONAGON HOSPITAL, INC
Address	601 SEVENTH STREET ONTONAGON, MI 49953
Phone number	(906) 884-8000
Located within a hospital	Yes
Type of ownership	Non profit - Corporation
Owner operates multiple homes	Yes
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	RESIDENT
Certified number of beds	46
Total number of residents	45
Perc of occupied beds	98
Sprinkler status	fully sprinklered
Last health survey date	11/05/2009
Fire survey date:	11/05/2009

Ratings Summary: ASPIRUS ONTONAGON HOSPITAL, INC
Overall rating	3 out of 5 stars
Nursing Home Staffing	4 out of 5 stars
Registered Nurses only	4 out of 5 stars
Health Inspections	2 out of 5 stars
Quality Measures	3 out of 5 stars

Nursing Home Staffing Info: ASPIRUS ONTONAGON HOSPITAL, INC
	National Average	ASPIRUS ONTONAGON HOSPITAL, INC
Overall staff rating	Not Available.	4 out of 5 stars
Registered Nurses only rating	Not Available	4 out of 5 stars
Total Number of Residents	94.2	45
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.34 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.88 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.46 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.88 hours

Health Inpections: ASPIRUS ONTONAGON HOSPITAL, INC
Inspection Results: 11/05/2009
Corrected	Category	Deficiency	Severity
12/24/2009	Administration Deficiencies	1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides.	E
12/11/2009	Environmental Deficiencies	Provide bedrooms that don't allow residents to see each other when privacy is needed.	D
12/11/2009	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	D
12/04/2009	Resident Assessment Deficiencies	Check and update (if needed) each resident's assessment every 3 months.	D
12/11/2009	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	D
Inspection Results: 08/20/2008
Corrected	Category	Deficiency	Severity
11/12/2008	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
11/12/2008	Administration Deficiencies	Keep accurate and appropriate medical records.	E
09/22/2008	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	E
09/22/2008	Environmental Deficiencies	Have a program to keep infection from spreading.	E
09/20/2008	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	E
09/22/2008	Administration Deficiencies	Set up or keep a group of people to review and ensure quality.	C
09/22/2008	Pharmacy Service Deficiencies	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.	D
09/22/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	E
09/12/2008	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	C
09/22/2008	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	D
11/12/2008	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	D
09/12/2008	Resident Rights Deficiencies	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	B
11/12/2008	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
Inspection Results: 09/19/2007
Corrected	Category	Deficiency	Severity
10/30/2007	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	D
10/19/2007	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	F
10/22/2007	Pharmacy Service Deficiencies	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.	D
10/15/2007	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	B

Fire Safety Inpections: ASPIRUS ONTONAGON HOSPITAL, INC
Inspection Results: 11/05/2009
Corrected	Category	Deficiency	Severity
12/30/2009	Building Service Equipment Deficiencies	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	F
11/30/2009	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	F
12/30/2009	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	F
12/30/2009	Fire Alarm Systems Deficiencies	properly maintained smoke detectors.	F
11/30/2009	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	F
11/30/2009	Emergency Plans and Fire Drills Deficiencies	did not have a written emergency evacuation plan.	F
11/30/2009	Exits and Egress Deficiencies	corridors or aisles that are unobstructed and are at least 8 feet in width.	D
11/30/2009	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	D
Inspection Results: 08/20/2008
Corrected	Category	Deficiency	Severity
09/18/2008	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	F
09/15/2008	Illumination and Emergency Power Deficiencies	properly located and lighted "Exit" signs.	D
09/02/2008	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	D
Inspection Results: 09/21/2007
Corrected	Category	Deficiency	Severity
11/12/2007	Smoking Regulations Deficiencies	posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.	E
10/19/2007	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	F
10/04/2007	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	E
10/02/2007	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	E

Resident Complaints: ASPIRUS ONTONAGON HOSPITAL, INC
Date Complaint Substantiated: 08/04/2009
Corrected	Category	Deficiency	Severity
09/04/2009	Administration Deficiencies	Choose a doctor to be the medical director.	D
09/04/2009	Mistreatment Deficiencies	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.	E
09/04/2009	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	E
09/04/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	G
09/04/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	G
09/04/2009	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	D
Date Complaint Substantiated: 07/21/2009
Corrected	Category	Deficiency	Severity
08/28/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
Date Complaint Substantiated: 03/04/2009
Corrected	Category	Deficiency	Severity
04/23/2009	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	D
04/23/2009	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	E
04/23/2009	Resident Rights Deficiencies	Try to resolve each resident's complaints quickly.	E
Date Complaint Substantiated: 10/05/2007
Corrected	Category	Deficiency	Severity
12/18/2007	Mistreatment Deficiencies	Protect each resident from all abuse, physical punishment, and being separated from others.	G
12/18/2007	Mistreatment Deficiencies	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.	D

Quality Measures: ASPIRUS ONTONAGON HOSPITAL, INC
Quality Measures	National Average	ASPIRUS ONTONAGON HOSPITAL, INC
Overall quality rating	Not Available	3 out of 5 stars
Long-Stay Residents
Percent of low-risk long-stay residents who have pressure sores	2%	Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of long-stay residents who have moderate to severe pain	3%	1%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	1%
Percent of long-stay residents who had a urinary tract infection	9%	4%
Percent of long-stay residents who were physically restrained	3%	0%
Percent of long-stay residents whose need for help with daily activities has increased	14%	15%
Percent of high-risk long-stay residents who have pressure sores	11%	10%
Percent of long-stay residents who lose too much weight	8%	8%
Percent of long-stay residents who are more depressed or anxious	14%	19%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	41%
Percent of long-stay residents given influenza vaccination during the flu season	91%	78%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	3%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	18%
Short-Stay Residents
Percent of short-stay residents who have delirium	2%	0%
Percent of short-stay residents who have pressure sores	13%	11%
Percent of short-stay residents given influenza vaccination during the flu season	83%	83%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	90+%
Percent of short-stay residents who had moderate to severe pain	19%	24%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety

US Nursing Home Finder™: ASPIRUS ONTONAGON HOSPITAL, INC ONTONAGON MI