MOUNT SI TRANSITIONAL HEALTH CENTER

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Mount Si Transitional Health Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

Clinically Complex

Reduced Physical Function

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Washington are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 10/22/2010.

Administration

Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 03/27/2009 Correction Date: 05/12/2009
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 03/27/2009 Correction Date: 05/12/2009
Post Nurse Staffing Information. Inspection Date: 10/22/2010 Correction Date: 12/03/2010
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 10/22/2010 Correction Date: 12/03/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 10/22/2010 Correction Date: 12/03/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 03/27/2009 Correction Date: 05/12/2009
Get Rid of Garbage Properly. Inspection Date: 03/27/2009 Correction Date: 05/12/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 03/27/2009 Correction Date: 05/12/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 02/08/2010 Correction Date: 03/23/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 02/08/2010 Correction Date: 03/23/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 03/27/2009 Correction Date: 05/12/2009

Nutrition and Dietary

Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 03/27/2009 Correction Date: 05/12/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/27/2009 Correction Date: 05/12/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/08/2010 Correction Date: 03/23/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/22/2010 Correction Date: 12/03/2010

Pharmacy Service

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. Inspection Date: 03/27/2009 Correction Date: 05/12/2009
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. Inspection Date: 02/08/2010 Correction Date: 03/23/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 03/27/2009 Correction Date: 05/12/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/27/2009 Correction Date: 05/12/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 03/27/2009 Correction Date: 05/12/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/27/2009 Correction Date: 05/12/2009
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 03/27/2009 Correction Date: 05/12/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/08/2010 Correction Date: 03/23/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/08/2010 Correction Date: 03/23/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 02/08/2010 Correction Date: 03/23/2010
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 02/08/2010 Correction Date: 03/23/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 10/22/2010 Correction Date: 12/03/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 10/22/2010 Correction Date: 12/03/2010

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 03/27/2009 Correction Date: 05/12/2009

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 03/27/2009 Correction Date: 05/12/2009
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death. Inspection Date: 02/08/2010 Correction Date: 03/23/2010
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 10/22/2010 Correction Date: 12/03/2010
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 10/22/2010 Correction Date: 12/03/2010

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for Mount Si Transitional Health Center, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/16/2008 Correction Date: 06/19/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 11/25/2008 Correction Date: 01/23/2009
Provide Needed Housekeeping and Maintenance. Complaint Filed: 02/26/2009 Correction Date: 05/12/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Complaint Filed: 04/16/2008 Correction Date: 06/19/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Complaint Filed: 05/29/2008 Correction Date: 06/19/2008

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Complaint Filed: 04/16/2008 Correction Date: 06/19/2008
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 06/13/2008 Correction Date: 06/19/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Complaint Filed: 01/02/2009 Correction Date: 01/23/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 04/01/2010 Correction Date: 05/11/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 02/26/2009 Correction Date: 05/12/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 05/22/2009 Correction Date: 07/06/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Complaint Filed: 05/22/2009 Correction Date: 07/06/2009

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Mount Si Transitional Health Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 10/25/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/08/2010 Correction Date: 03/05/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 10/25/2010 Correction Date: 10/27/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/18/2009 Correction Date: 04/10/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/18/2009 Correction Date: 04/10/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 02/08/2010 Correction Date: 03/05/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/08/2010 Correction Date: 03/05/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 02/08/2010 Correction Date: 03/05/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 02/08/2010 Correction Date: 03/05/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 02/08/2010 Correction Date: 03/05/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/18/2009 Correction Date: 04/30/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 02/08/2010 Correction Date: 03/05/2010