| General |
| City |
| Aberdeen |
Seattle |
| State attribute explanation |
| Wa |
Wa |
| Street |
| 920 Anderson Drive |
1040 South Henderson Street |
| Zip Code |
| 98,520 |
98,108 |
| Phone |
| 3,605,325,122 |
2,067,635,210 |
|
Overall Star Rating |
| 2 |
1 |
|
Health Inspections Star Rating |
| 2 |
1 |
|
Nurse Staffing Star Rating |
| 3 |
4 |
|
Quality Measures Star Rating |
| 2 |
1 |
|
RN Only Star Rating |
| 4 |
4 |
|
Number of Certified Beds |
| 105 |
100 |
|
Total Number of Residents |
| 79 |
94 |
|
Percent of Occupied Beds |
| 75 % |
94 % |
| Health Survey Date |
| 9/12/2011 |
9/15/2011 |
| Fire Survey Date |
| 9/7/2011 |
9/7/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 13 |
20 |
|
| Staff Information |
| Number of Residents |
| 79 |
94 |
| Number of RN Hours Per Resident Per Day |
| 0.98 |
0.77 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.63 |
0.67 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.6 |
1.44 |
| Number of CNA Hours Per Resident Per Day |
| 0.17 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.17 |
0.08 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 05/03/2012date Of Correction: 07/03/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 05/03/2011date Of Correction: 06/07/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 07/12/2010date Of Correction: 10/10/2010 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 07/12/2010date Of Correction: 10/10/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 06/15/2009date Of Correction: 07/10/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 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.survey Date: 06/25/2012date Of Correction: 07/03/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 12/21/2011date Of Correction: 02/02/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: 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.survey Date: 11/16/2010date Of Correction: 01/05/2011 |
Scope: Fewlevel Of Harm: 2deficiency: 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.survey Date: 07/11/2011date Of Correction: 10/28/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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.survey Date: 03/31/2011date Of Correction: 06/07/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 11/09/2010date Of Correction: 01/20/2011 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 3deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 08/25/2010date Of Correction: 10/10/2010 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 01/08/2010date Of Correction: 02/05/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.survey Date: 10/05/2010date Of Correction: 10/30/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 04/26/2010date Of Correction: 05/21/2010 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.survey Date: 11/23/2009date Of Correction: 01/20/2010 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 06/18/2009date Of Correction: 07/23/2009 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 06/25/2012date Of Correction: 07/03/2012 |
Scope: Fewlevel Of Harm: 3deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 12/21/2011date Of Correction: 02/02/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 11/17/2011date Of Correction: 12/23/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/17/2011date Of Correction: 06/07/2011 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/25/2011date Of Correction: 07/12/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 11/09/2010date Of Correction: 01/20/2011 |
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 05/07/2010date Of Correction: 06/01/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 12/18/2009date Of Correction: 02/05/2010 |
| Deficiency #5 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 01/05/2010date Of Correction: 01/20/2010 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 06/25/2012date Of Correction: 07/03/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 07/26/2011date Of Correction: 10/28/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 05/25/2011date Of Correction: 07/12/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 05/03/2011date Of Correction: 06/07/2011 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 05/03/2011date Of Correction: 06/07/2011 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 05/17/2011date Of Correction: 06/07/2011 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 07/12/2010date Of Correction: 10/10/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 33.3 % |
35.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.4 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10.6 % |
16.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.6:1 |
4.7 % |
| Percent of long-stay residents who lose too much weight |
| 8.2 % |
4.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 45.2 % |
43.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.9 % |
1.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.6 % |
8.1 / 8.8 |
| Percent of long-stay residents who have depressive symptoms |
| 33.3 % |
3.5 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
4.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 22.6 % |
44.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.3 % |
71.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 98.9 % |
66 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.3 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.3 % |
4.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 31.2 % |
30.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.8 % |
1.50 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 12.7 % |
13 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.6 % |
10.9 % |
| Percent of long-stay residents who lose too much weight |
| 5.2 % |
9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 46.2 % |
41.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2 % |
3.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.9:1 |
10.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 28.4 % |
2.8 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
5.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.6:1 |
4.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 23.3 % |
52.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 86 % |
76.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 98.9 % |
49.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 20.8 % |
2.9 % |