Otsego Memorial Hospital Ltcu

825 N Center St
Gaylord, MI 49735
Otsego County
Phone: 989-731-2131
Provider Number: 235006
Last Inspection: 11/26/2014

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
34
Number of Residents
Number of
Residents
29
Number of Beds Available
Beds Available
5
Percent Occupancy
Percent Occupancy
85%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
Non profit - Corporation
Within a Hospital?
Within Hospital?
YES

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • MI
  • USA
  • 11
  • 17
  • 22
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2014
  • 2013
  • 2012
  • 11
  • 26
  • 19
Lower Numbers are Better

Details by Inspection Date

 

11/26/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 1/2/2015
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/2/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 1/2/2015
 

10/24/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/2/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 12/2/2013
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 12/2/2013
Failed To: Have enough backup water supply for essential areas of the nursing home. Widespread : Minimal 5 12/2/2013
Failed To: 1) 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. Isolated : Minimal 3 12/2/2013
Failed To: Develop 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. Isolated : Minimal 3 10/25/2013
 

11/28/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 12/21/2012
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 1/4/2013
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 1/4/2013
Failed To: 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. Isolated : Minimal 3 12/7/2012
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 12/21/2012
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Pattern : Minimal 4 12/28/2012


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

2/4/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 3/13/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 3/13/2015
 

3/12/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 4/15/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MI State Avg
Number of Residents 29 67.50 88.42
Registered Nurses 1.79 1.40 0.92
Licensed Practical / Vocational Nurses 0.53 0.74 0.78
Certified Nursing Assistants 2.96 2.73 2.45
Total Staff Hours 5.28 4.87 4.16

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MI State Avg%
High Risk Long Stay Residents With Pressure Ulcers 8 7 5
Long Stay Residents Experiencing One or More Falls with Major Injury 1 2 3
Long Stay Residents Who Have Depressive Symptoms 27 15 3
Long Stay Residents Who Lose Too Much Weight 9 8 7
Long Stay Residents Who Received an Antipsychotic Medication 11 8 13
Long Stay Residents Who Self Report Moderate to Severe Pain 15 8 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 6 4 6
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 18 14 7
Long Stay Residents Who Were Physically Restrained 0 0 1
Long Stay Residents Whose Need for Help with ADLs has Increased 13 13 14
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 6 5 3
Long Stay Residents With a Urinary Tract Infection 5 3 4
Short Stay Residents Who Newly Received an Antipsychotic Medication 2 58 48
Short Stay Residents Who Self Report Moderate to Severe Pain 19 2 1
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 56 10 18
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 65 30 18
Short Stay Residents With Pressure Ulcers That Are New or Worsened 1 39 19