BOOKER REST HOME ANNEX

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

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 04/08/2011.

Administration

Hire Nurse Aides Who Have Completed Required Training and Shown That They Are Skilled. Inspection Date: 02/19/2009 Correction Date: 02/20/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/08/2011 Correction Date: 05/13/2011
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 04/08/2011 Correction Date: 05/13/2011

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 04/20/2010 Correction Date: 06/30/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/20/2010 Correction Date: 06/30/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 04/20/2010 Correction Date: 05/30/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 04/08/2011 Correction Date: 05/13/2011

Mistreatment

1) Hire Only People Who Have 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. Inspection Date: 02/19/2009 Correction Date: 03/04/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 04/08/2011 Correction Date: 05/13/2011

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: 02/19/2009 Correction Date: 02/27/2009
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: 04/20/2010 Correction Date: 06/30/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 04/20/2010 Correction Date: 06/30/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/20/2010 Correction Date: 05/30/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/20/2010 Correction Date: 06/30/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/08/2011 Correction Date: 05/13/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/20/2010 Correction Date: 06/30/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 04/08/2011 Correction Date: 05/13/2011
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 04/08/2011 Correction Date: 05/13/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 02/19/2009 Correction Date: 02/25/2009
Do an Assessment of the Resident Every Year. Inspection Date: 02/19/2009 Correction Date: 04/08/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 02/19/2009 Correction Date: 03/09/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 02/19/2009 Correction Date: 03/09/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/20/2010 Correction Date: 05/30/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/20/2010 Correction Date: 05/30/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/08/2011 Correction Date: 05/13/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/08/2011 Correction Date: 05/13/2011
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: 04/08/2011 Correction Date: 05/13/2011

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 02/19/2009 Correction Date: 03/12/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 04/20/2010 Correction Date: 05/30/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 04/20/2010 Correction Date: 05/30/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 04/20/2010 Correction Date: 05/26/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 04/08/2011 Correction Date: 05/13/2011
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death. Inspection Date: 04/08/2011 Correction Date: 05/13/2011

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 Booker Rest Home Annex, 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: 04/15/2009 Correction Date: 05/15/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 07/12/2010 Correction Date: 07/30/2010

Mistreatment

1) Hire Only People Who Have 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. Complaint Filed: 07/22/2008 Correction Date: 08/08/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 07/22/2008 Correction Date: 08/08/2008
1) Hire Only People Who Have 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. Complaint Filed: 04/15/2009 Correction Date: 05/15/2009
1) Hire Only People Who Have 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. Complaint Filed: 09/28/2009 Correction Date: 10/01/2009
1) Hire Only People Who Have 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. Complaint Filed: 04/01/2010 Correction Date: 06/04/2010
1) Hire Only People Who Have 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. Complaint Filed: 04/20/2010 Correction Date: 05/30/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 04/20/2010 Correction Date: 05/30/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 08/23/2010 Correction Date: 09/03/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Complaint Filed: 04/15/2009 Correction Date: 05/15/2009

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Complaint Filed: 07/12/2010 Correction Date: 07/30/2010

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 Booker Rest Home Annex 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 04/05/2011.

Automatic Sprinkler Systems

Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 04/13/2010 Correction Date: 05/18/2010

Building Service Equipment

Restrictions on the Use of Portable Space Heaters. Inspection Date: 02/18/2009 Correction Date: 04/05/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/13/2010 Correction Date: 05/18/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 04/05/2011 Correction Date: 04/30/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 04/13/2010 Correction Date: 05/18/2010
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 04/05/2011 Correction Date: 05/15/2011
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 04/05/2011 Correction Date: 04/15/2011

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 04/13/2010 Correction Date: 05/18/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 02/18/2009 Correction Date: 04/05/2009
Restrictions on the Use of Highly Flammable Materials. Inspection Date: 02/18/2009 Correction Date: 04/05/2009
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 04/13/2010 Correction Date: 05/18/2010
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 04/05/2011 Correction Date: 04/15/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/05/2011 Correction Date: 04/15/2011

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 02/18/2009 Correction Date: 04/05/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 04/13/2010 Correction Date: 05/18/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/13/2010 Correction Date: 05/18/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 04/13/2010 Correction Date: 05/18/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 02/18/2009 Correction Date: 04/05/2009