| General |
| City |
| Issaquah |
Auburn |
| State attribute explanation |
| Wa |
Wa |
| Street |
| 805 Front Street |
2830 I Street Northeast |
| Zip Code |
| 98,027 |
98,002 |
| Phone |
| 4,253,921,271 |
2,535,618,100 |
|
Overall Star Rating |
| 5 |
1 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
3 |
|
Quality Measures Star Rating |
| 5 |
3 |
|
RN Only Star Rating |
| 4 |
3 |
|
Number of Certified Beds |
| 140 |
125 |
|
Total Number of Residents |
| 116 |
76 |
|
Percent of Occupied Beds |
| 83 % |
61 % |
| Health Survey Date |
| 11/7/2011 |
12/14/2011 |
| Fire Survey Date |
| 11/7/2011 |
12/5/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Individual |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Both |
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 |
| 3 |
25 |
|
| Staff Information |
| Number of Residents |
| 116 |
76 |
| Number of RN Hours Per Resident Per Day |
| 0.9 |
0.77 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.53 |
0.79 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.43 |
1.56 |
| Number of CNA Hours Per Resident Per Day |
| 0.15 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.15 |
0.07 |
| Environmental Deficiencies |
| Deficiency #1 |
| 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: 03/08/2011date Of Correction: 04/08/2011 |
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: 02/02/2012date Of Correction: 02/06/2012 |
| Deficiency #2 |
|
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: 10/26/2010date Of Correction: 11/22/2010 |
| Deficiency #3 |
|
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: 03/30/2010date Of Correction: 04/15/2010 |
| 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: 11/05/2009date Of Correction: 12/14/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel 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: 11/04/2011date Of Correction: 12/01/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 11/05/2009date Of Correction: 12/14/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 01/25/2010date Of Correction: 03/19/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 03/17/2011date Of Correction: 04/14/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 03/11/2010date Of Correction: 04/15/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 06/10/2009date Of Correction: 07/14/2009 |
Scope: Somelevel 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: 01/09/2012date Of Correction: 02/06/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/19/2011date Of Correction: 02/06/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 11/02/2011date Of Correction: 12/01/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/02/2011date Of Correction: 12/01/2011 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 05/17/2010date Of Correction: 06/14/2010 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/17/2010date Of Correction: 04/15/2010 |
| Deficiency #7 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/17/2010date Of Correction: 04/15/2010 |
| Deficiency #8 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/11/2010date Of Correction: 04/15/2010 |
| Deficiency #9 |
|
Scope: Somelevel 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: 09/16/2009date Of Correction: 10/12/2009 |
| Deficiency #10 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 09/16/2009date Of Correction: 10/12/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Post-discharge Plan With The Resident And Family For The Resident's Care After Leaving The Nursing Home.survey Date: 08/24/2009date Of Correction: 10/12/2009 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 03/17/2011date Of Correction: 04/14/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 10/08/2010date Of Correction: 11/22/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Train All Employees On What To Do In An Emergency, And Carry Out Announced Staff Drills.survey Date: 08/24/2009date Of Correction: 10/12/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 11/02/2011date Of Correction: 12/01/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 05/16/2011date Of Correction: 06/13/2011 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 3deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 03/17/2010date Of Correction: 04/15/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 36.9 % |
12.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.4 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 75.2 % |
31.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.8 % |
16 % |
| Percent of long-stay residents who lose too much weight |
| 6.7 % |
3.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 76.5 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.6 % |
3.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.3 % |
12.1:1 |
| Percent of long-stay residents who have depressive symptoms |
| 4.5 % |
10.5 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 3.6 % |
25 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 82.8 % |
84.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.9 % |
87.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.7 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
1.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 41.5 % |
16.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.9 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.50 % |
27.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.4 % |
11.3 % |
| Percent of long-stay residents who lose too much weight |
| 3.5 % |
3.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 76.4 % |
52.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.1 % |
3.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.1 % |
8.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 3.1 % |
8.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 0.8 % |
2.20 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 5 % |
31.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 68.9 % |
74.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.8 % |
76.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2 % |
21.7 % |