| General |
| City |
| Battle Ground |
Bainbridge Island |
| State attribute explanation |
| Wa |
Wa |
| Street |
| 510 North Parkway |
10861 Manitou Park Blvd North |
| Zip Code |
| 98,604 |
98,110 |
| Phone |
| 3,606,875,141 |
2,068,422,654 |
|
Overall Star Rating |
| 3 |
2 |
|
Health Inspections Star Rating |
| 2 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
5 |
|
RN Only Star Rating |
| 4 |
4 |
|
Number of Certified Beds |
| 83 |
96 |
|
Total Number of Residents |
| 74 |
71 |
|
Percent of Occupied Beds |
| 89 % |
74 % |
| Health Survey Date |
| 3/26/2012 |
1/24/2012 |
| Fire Survey Date |
| 3/21/2012 |
1/9/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| 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 |
1 |
| # of deficiencies |
| 11 |
15 |
|
| Staff Information |
| Number of Residents |
| 74 |
71 |
| Number of RN Hours Per Resident Per Day |
| 0.9 |
0.93 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.53 |
0.58 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.43 |
1.51 |
| Number of CNA Hours Per Resident Per Day |
| 0.08 |
0.17 |
| Number Therapy Hours Per Resident Per Day |
| 0.08 |
0.17 |
| 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: 05/06/2010date Of Correction: 05/06/2010 |
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: 01/30/2012date Of Correction: 03/09/2012 |
| 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: 10/18/2011date Of Correction: 11/12/2011 |
| 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: 08/15/2011date Of Correction: 09/09/2011 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 4deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 10/21/2009date Of Correction: 11/12/2009 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 3deficiency: 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: 10/21/2009date Of Correction: 11/12/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.survey Date: 08/24/2011date Of Correction: 09/06/2011 |
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: 08/15/2011date Of Correction: 09/09/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.survey Date: 02/17/2011date Of Correction: 03/16/2011 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 3deficiency: Honor All Of The Resident's Rights As A Resident Of The Nursing Home, Free Of Coercion And Reprisal, And As A Citizen Or Resident Of The United States.survey Date: 11/17/2009date Of Correction: 12/18/2009 |
|
| Deficiency #4 |
| 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: 04/24/2009date Of Correction: 05/15/2009 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/13/2011date Of Correction: 12/29/2011 |
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 01/30/2012date Of Correction: 03/09/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 02/17/2011date Of Correction: 03/16/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 10/05/2011date Of Correction: 10/21/2011 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 01/05/2011date Of Correction: 02/04/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/12/2010date Of Correction: 05/30/2010 |
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.survey Date: 11/17/2009date Of Correction: 12/18/2009 |
Scope: Fewlevel Of Harm: 3deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.survey Date: 03/31/2010date Of Correction: 04/30/2010 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/31/2010date Of Correction: 04/30/2010 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 08/24/2011date Of Correction: 09/06/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 05/16/2011date Of Correction: 06/03/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 10/14/2010date Of Correction: 11/12/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.survey Date: 10/21/2009date Of Correction: 11/12/2009 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 10/21/2009date Of Correction: 11/12/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 01/05/2011date Of Correction: 02/04/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 70.2 % |
50 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.2 % |
4.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.1 % |
1.4 % |
| Percent of long-stay residents who lose too much weight |
| 3 % |
7.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.5 % |
15.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.6 % |
68.6 % |
| Percent of long-stay residents who were physically restrained |
| 4.5 % |
2.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 19.4:1 |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.5 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.9 % |
|
| Percent of short-stay residents who newly received an antipsychotic medication |
|
1 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.50 % |
2.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 65.9 % |
46.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.1 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 8.6:1 |
2.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.1 / 8.8 |
2.9 % |
| Percent of long-stay residents who lose too much weight |
| 2.1 % |
10 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 51.3 % |
17 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 11.2-20 |
15.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.3 % |
61.2 % |
| Percent of long-stay residents who were physically restrained |
| 2.6 / 3 |
1.4 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.1 % |
2.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 19.2 % |
13.6-28 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.7 % |
42.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.9 % |
47.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 5.8 % |
|