INDEPENDENCE HEALTH AND REHABILITATION CENTER

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

INDEPENDENCE HEALTH AND REHABILITATION CENTER
1525 MONMOUTH STREET
INDEPENDENCE, OR 97351
(503) 838-0001

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

46%

Number of Residents and Certified Beds

Residents: 37
Certified Beds: 80

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:

Dallas | Salem | Keizer

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

Resident Services

Resident Conditions

Percent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
A second rehabilitation discipline three days/week

ADL Index Range: 0-5	9.4%
Total Percent:	9.4%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	2.1%
ADL Index Range: 0-5	4.2%
Total Percent:	6.2%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	24.0%
ADL Index Range: 0-5	26.0%
Total Percent:	50.0%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	24.0%
ADL Index Range: 6-10	6.3%
Total Percent:	30.2%

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 - No Signs of depression	3.1%
Total Percent:	3.1%

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: 2-5 - Less restorative nursing	1.0%
Total Percent:	1.0%

Rating Details For Independence Health and Rehabilitation Center

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 Day	Reported	Expected
Registered Nurse (RN) Hours	29 Minutes	1 Hour and 24 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	35 Minutes	52 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 46 Minutes	2 Hours and 39 Minutes
Total Licensed Nurse Hours	1 Hour and 4 Minutes	2 Hours and 16 Minutes
Total Nurse Hours	3 Hours and 50 Minutes	4 Hours and 55 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 Facility

Oregon Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	71%	83%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	70%	83%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	10%	9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	9%	13%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	19%	11%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	5%	10%
Percent of Long-Stay Residents Who Lose Too Much Weight	5%	9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	14%	8%
Percent of Long-Stay Residents Who Were Physically Restrained	-	5%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	4%	7%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	11%	5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	70%	60%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	11%	10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	80%	76%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	79%	75%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium	-	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	23%	30%
Percent of Short-Stay Residents Who Have Pressure Sores	13%	11%

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 03/14/2011.

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 Inspectors

Degree of Harm

Residents Affected

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 03/14/2011 Correction Date: 05/25/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/14/2011 Correction Date: 05/25/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/26/2010 Correction Date: 07/06/2010
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. Inspection Date: 03/14/2011 Correction Date: 05/25/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.

Inspection Date: 03/14/2011
Correction Date: 05/25/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 05/26/2010 Correction Date: 07/06/2010
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: 03/14/2011 Correction Date: 05/25/2011
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 03/14/2011 Correction Date: 05/25/2011
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 03/14/2011 Correction Date: 05/25/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/14/2011 Correction Date: 05/25/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 03/14/2011 Correction Date: 05/25/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/14/2011 Correction Date: 05/25/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/01/2009 Correction Date: 07/27/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 05/01/2009 Correction Date: 06/08/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 03/14/2011 Correction Date: 05/25/2011
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/14/2011 Correction Date: 05/25/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/14/2011 Correction Date: 05/25/2011
Give or Get Dental Care for Each Resident. Inspection Date: 03/14/2011 Correction Date: 05/25/2011
Give or Get Dental Care for Each Resident. Inspection Date: 03/14/2011 Correction Date: 05/25/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/01/2009 Correction Date: 06/08/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 03/14/2011 Correction Date: 05/25/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/14/2011 Correction Date: 05/25/2011
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: 03/14/2011 Correction Date: 05/25/2011

Resident Rights

Send and Promptly Deliver Unopened Mail to Residents. Inspection Date: 05/26/2010 Correction Date: 07/06/2010
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: 03/14/2011 Correction Date: 05/25/2011
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 03/14/2011 Correction Date: 05/25/2011

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 Taken	Date	Amount
Civil Money Penalty (CMP)	12/19/2008	$975
Civil Money Penalty (CMP)	03/14/2011	$975

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Independence Health and Rehabilitation Center, 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 Complaints

Degree of Harm

Residents Affected