COLUMBIA CARE CENTER

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 Oregon 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 02/15/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 03/02/2009 Correction Date: 04/21/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 03/02/2009 Correction Date: 04/21/2009

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 03/02/2009 Correction Date: 04/21/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/02/2009 Correction Date: 04/21/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 03/02/2009 Correction Date: 04/21/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 03/02/2010 Correction Date: 04/21/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 03/02/2010 Correction Date: 04/21/2010
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 02/15/2011 Correction Date: 04/06/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 02/15/2011 Correction Date: 04/06/2011

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: 03/02/2010 Correction Date: 04/21/2010

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 03/02/2010 Correction Date: 04/21/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/02/2010 Correction Date: 04/21/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 03/02/2010 Correction Date: 04/21/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/02/2009 Correction Date: 04/21/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/02/2010 Correction Date: 04/21/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/15/2011 Correction Date: 04/01/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 03/02/2009 Correction Date: 04/21/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 02/15/2011 Correction Date: 04/06/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/15/2011 Correction Date: 04/06/2011

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 03/02/2009 Correction Date: 04/21/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/02/2009 Correction Date: 04/21/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 03/02/2009 Correction Date: 04/21/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 02/15/2011 Correction Date: 04/06/2011

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 Columbia Care Center 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 02/09/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/06/2009 Correction Date: 04/21/2009
Portable Fire Extinguishers. Inspection Date: 03/06/2009 Correction Date: 04/21/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 03/03/2010 Correction Date: 04/21/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/03/2010 Correction Date: 04/21/2010
Properly Working Alarms on Sprinkler Valves. Inspection Date: 02/09/2011 Correction Date: 04/06/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 03/06/2009 Correction Date: 04/21/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 03/03/2010 Correction Date: 04/21/2010
Properly Protected Cooking Facilities. Inspection Date: 02/09/2011 Correction Date: 04/06/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/03/2010 Correction Date: 04/21/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/06/2009 Correction Date: 04/21/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/03/2010 Correction Date: 04/21/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/09/2011 Correction Date: 04/06/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 03/06/2009 Correction Date: 04/21/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/06/2009 Correction Date: 04/21/2009
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 02/09/2011 Correction Date: 04/06/2011

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 03/03/2010 Correction Date: 04/21/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 03/03/2010 Correction Date: 04/21/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 03/03/2010 Correction Date: 04/21/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/09/2011 Correction Date: 04/06/2011

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 02/09/2011 Correction Date: 03/08/2011

Laboratories

Proper Facilities for the Use and Storage of Combustible Liquids. Inspection Date: 03/03/2010 Correction Date: 04/21/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/03/2010 Correction Date: 04/21/2010