CLEARWATER HEALTH & REHABILITATION

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.

Very High Rehabilitation

High Rehabilitation

Medium 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 Idaho 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 03/04/2011.

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

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 Clearwater Health & Rehabilitation, as well as complaints by residents or their family in the previous three years.

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

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.

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