PACIFIC HEALTH AND REHABILITATION

The information listed below provides an in-depth look into the type and quality of care offered at Pacific Health and 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

PACIFIC HEALTH AND REHABILITATION
14145 SW 105TH STREET
TIGARD, OR 97224
(503) 639-1144

Nursing Home Ratings

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

Percent of Beds Occupied

54%

Number of Residents and Certified Beds

  • Residents: 60
  • Certified Beds: 112

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

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Nearby Cities:

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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 Pacific Health and 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

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-103.3%
Total Percent:3.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.6%
ADL Index Range: 6-1016.3%
ADL Index Range: 0-59.8%
Total Percent:27.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-522.3%
Total Percent:22.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.1%
ADL Index Range: 6-107.6%
ADL Index Range: 0-525.5%
Total Percent:34.2%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-5
- No Signs of depression
2.2%
Total Percent:2.2%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- Signs of depression
6.5%
Total Percent:6.5%
 

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: 2-5
- No Signs of depression
2.2%
Total Percent:2.2%
 

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
1.6%
Total Percent:1.6%
 

Rating Details For Pacific Health and 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) Hours42 Minutes1 Hour and 8 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours24 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 40 Minutes2 Hours and 18 Minutes
Total Licensed Nurse Hours1 Hour and 5 Minutes1 Hour and 50 Minutes
Total Nurse Hours3 Hours and 45 Minutes4 Hours and 8 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 Oregon are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityOregon Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination68%83%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season87%83%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain12%5%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores6%5%
Percent of Long-Stay Residents Who Lose Too Much Weight9%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased8%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%11%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder18%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder77%60%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%7%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse3%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores12%10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious10%13%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season69%75%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination56%76%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain47%30%
Percent of Short-Stay Residents Who Have Pressure Sores17%11%
Percent of Short-Stay Residents Who Have Delirium-3%

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 01/31/2011.

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

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/31/2011
  • Correction Date: 03/18/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 01/31/2011
  • Correction Date: 03/18/2011

Nutrition and Dietary

Provide a Tasty and Well-Balanced Diet That Meets the Nutritional Needs of Each Resident.
  • Inspection Date: 01/31/2011
  • Correction Date: 03/18/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 01/26/2010
  • Correction Date: 03/15/2010
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: 01/31/2011
  • Correction Date: 03/18/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 01/31/2011
  • Correction Date: 03/18/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/31/2011
  • Correction Date: 03/18/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 01/31/2011
  • Correction Date: 03/18/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 01/31/2011
  • Correction Date: 03/18/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 01/31/2011
  • Correction Date: 03/18/2011

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 07/10/2009
  • Correction Date: 08/14/2009
Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 01/26/2010
  • Correction Date: 03/15/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 01/31/2011
  • Correction Date: 03/18/2011
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.
  • Inspection Date: 01/31/2011
  • Correction Date: 03/18/2011

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)05/11/2010$1,500

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Pacific Health and 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

Give or Get X-Rays or Tests Only when the Resident's Doctor Ordered Them.
  • Complaint Filed: 05/11/2010
  • Correction Date: 06/10/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/11/2010
  • Correction Date: 06/10/2010

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.
  • Complaint Filed: 06/26/2008
  • Correction Date: 08/15/2008

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: 06/26/2008
  • Correction Date: 08/15/2008
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Complaint Filed: 06/26/2008
  • Correction Date: 08/15/2008

Resident Rights

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: 06/26/2008
  • Correction Date: 08/15/2008

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 Pacific Health and 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 01/25/2011.

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

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 07/07/2009
  • Correction Date: 08/14/2009
Portable Fire Extinguishers.
  • Inspection Date: 07/07/2009
  • Correction Date: 08/14/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 01/26/2010
  • Correction Date: 03/29/2010
Portable Fire Extinguishers.
  • Inspection Date: 01/26/2010
  • Correction Date: 03/29/2010
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 01/25/2011
  • Correction Date: 03/18/2011
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 01/25/2011
  • Correction Date: 04/15/2011
Portable Fire Extinguishers.
  • Inspection Date: 01/25/2011
  • Correction Date: 03/18/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 01/25/2011
  • Correction Date: 03/18/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/07/2009
  • Correction Date: 08/14/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/26/2010
  • Correction Date: 03/29/2010
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 01/25/2011
  • Correction Date: 04/15/2011
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/25/2011
  • Correction Date: 03/18/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 07/07/2009
  • Correction Date: 08/14/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/26/2010
  • Correction Date: 03/29/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/26/2010
  • Correction Date: 03/15/2010
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/25/2011
  • Correction Date: 04/15/2011
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/25/2011
  • Correction Date: 04/15/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 07/07/2009
  • Correction Date: 08/14/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 07/07/2009
  • Correction Date: 08/14/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 01/26/2010
  • Correction Date: 03/15/2010
Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 01/25/2011
  • Correction Date: 03/18/2011
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 01/25/2011
  • Correction Date: 04/15/2011

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 07/07/2009
  • Correction Date: 08/14/2009
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 01/26/2010
  • Correction Date: 03/15/2010
Exits That Are Accessible at All Times.
  • Inspection Date: 01/25/2011
  • Correction Date: 03/18/2011

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 01/26/2010
  • Correction Date: 03/29/2010
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 01/25/2011
  • Correction Date: 04/15/2011

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials.
  • Inspection Date: 07/07/2009
  • Correction Date: 08/14/2009
Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 01/25/2011
  • Correction Date: 03/18/2011

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 07/07/2009
  • Correction Date: 08/14/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/25/2011
  • Correction Date: 03/18/2011

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 01/25/2011
  • Correction Date: 03/18/2011

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 07/07/2009
  • Correction Date: 08/14/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 07/07/2009
  • Correction Date: 08/14/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 07/07/2009
  • Correction Date: 08/14/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 07/07/2009
  • Correction Date: 08/14/2009
Source: Medicare Nursing Home Compare; Seniors and People with Disability - Retrieved 2011