CLEARWATER HEALTH & REHABILITATION

The information listed below provides an in-depth look into the type and quality of care offered at Clearwater Health & Rehabilitation. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

CLEARWATER HEALTH & REHABILITATION
1204 SHRIVER ROAD
OROFINO, ID 83544
(208) 476-4568

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

77%

Number of Residents and Certified Beds

  • Residents: 46
  • Certified Beds: 60

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Limited Liability Company
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Lewiston | Moscow | Grangeville

Resident Services

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 "Medium 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 Clearwater Health & Rehabilitation. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1017.9%
ADL Index Range: 0-512.8%
Total Percent:30.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.7%
ADL Index Range: 0-518.9%
Total Percent:23.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.0%
ADL Index Range: 6-1030.4%
ADL Index Range: 0-52.7%
Total Percent:36.1%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- Signs of depression
4.1%
Total Percent:4.1%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
5.4%
Total Percent:5.4%
 

Rating Details For Clearwater Health & Rehabilitation

Nursing Staff -

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.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 3 Minutes1 Hour and 8 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours21 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 20 Minutes2 Hours and 23 Minutes
Total Licensed Nurse Hours1 Hour and 24 Minutes1 Hour and 46 Minutes
Total Nurse Hours3 Hours and 44 Minutes4 Hours and 10 Minutes

Quality of Care -

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 Idaho are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityIdaho Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%93%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased23%14%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder48%55%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious7%18%
Percent of Long-Stay Residents Who Lose Too Much Weight4%8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder-7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse14%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season88%87%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores14%11%
Percent of Short-Stay Residents Who Have Delirium9%4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain23%28%

Health Inspection Details -

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 03/04/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Have a Detailed, Written Plan for Disasters and Emergencies.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/08/2011
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/08/2011

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/14/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/14/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/14/2010
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/14/2010
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/08/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/08/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/08/2011

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: 01/16/2009
  • Correction Date: 02/20/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/08/2011

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: 03/12/2010
  • Correction Date: 04/14/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/14/2010
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: 03/04/2011
  • Correction Date: 04/08/2011
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/08/2011
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/08/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/14/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/14/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/14/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/14/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/08/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/08/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/08/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009
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: 03/12/2010
  • Correction Date: 04/14/2010
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: 03/12/2010
  • Correction Date: 04/14/2010
Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/14/2010
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: 03/04/2011
  • Correction Date: 04/08/2011

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/20/2009
Let the Resident or the Resident's Representative Look at All Records.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/14/2010
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: 03/12/2010
  • Correction Date: 04/14/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/14/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/14/2010
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: 03/04/2011
  • Correction Date: 04/08/2011
Have a Private Telephone Available for Use.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/08/2011

Enforcement

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.

Action TakenDateAmount
Civil Money Penalty (CMP)12/17/2009$3,250

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Clearwater Health & Rehabilitation, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 01/16/2009
  • Correction Date: 02/20/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 12/17/2009
  • Correction Date: 01/15/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 12/17/2009
  • Correction Date: 01/15/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 07/29/2009
  • Correction Date: 08/20/2009

Quality Care

Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 07/02/2008
  • Correction Date: 08/15/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 11/05/2008
  • Correction Date: 12/10/2008

Fire Safety

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 Clearwater Health & Rehabilitation 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 10/01/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 10/01/2010
  • Correction Date: 10/29/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 11/19/2008
  • Correction Date: 12/10/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 11/19/2008
  • Correction Date: 12/10/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/19/2008
  • Correction Date: 12/10/2008

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 11/19/2008
  • Correction Date: 12/10/2008
Source: Medicare Nursing Home Compare; Idaho Department of Health and Welfare - Retrieved 2011