AMERICANA HEALTH & REHAB CENTER

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

AMERICANA HEALTH & REHAB CENTER
917 7TH AVENUE
LONGVIEW, WA 98632
(360) 425-5910

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

62%

Number of Residents and Certified Beds

Residents: 46
Certified Beds: 74

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Corporation
Offers Both Resident and Family Counseling Services
This Facility is Part of a Chain or Franchise

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Nearby Cities:

Woodland | Cathlamet | Battle Ground

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 "Very 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 Americana Health & Rehab 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: 11-16	7.1%
ADL Index Range: 6-10	6.4%
ADL Index Range: 0-5	14.5%
Total Percent:	27.9%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	12.1%
ADL Index Range: 0-5	35.4%
Total Percent:	47.5%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	4.7%
ADL Index Range: 0-5	18.2%
Total Percent:	22.9%

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	0.3%
ADL Index Range: 0-1 - Less restorative nursing	1.3%
Total Percent:	1.7%

Rating Details For Americana Health & Rehab 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	1 Hour	1 Hour and 9 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	21 Minutes	40 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 5 Minutes	2 Hours and 25 Minutes
Total Licensed Nurse Hours	1 Hour and 21 Minutes	1 Hour and 49 Minutes
Total Nurse Hours	3 Hours and 27 Minutes	4 Hours and 14 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 Washington are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

Washington Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	89%	89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	5%	6%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	23%	11%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	24%	9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	6%	11%
Percent of Long-Stay Residents Who Lose Too Much Weight	6%	9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	7%	7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	26%	21%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	13%	10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	2%	5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	58%	58%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	4%
Percent of Long-Stay Residents Who Were Physically Restrained	-	4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	67%	83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	68%	81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	25%	29%
Percent of Short-Stay Residents Who Have Pressure Sores	8%	11%
Percent of Short-Stay Residents Who Have Delirium	1%	4%

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 12/21/2010.

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 Inspectors

Degree of Harm

Residents Affected

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 01/21/2010 Correction Date: 02/18/2010
Post Nurse Staffing Information. Inspection Date: 12/21/2010 Correction Date: 01/09/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 12/21/2010 Correction Date: 01/09/2011

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: 01/21/2010
Correction Date: 02/18/2010

Nutrition and Dietary

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

Inspection Date: 12/21/2010
Correction Date: 01/09/2011

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: 04/10/2009 Correction Date: 06/10/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 12/21/2010 Correction Date: 01/09/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 12/21/2010 Correction Date: 01/09/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/21/2010 Correction Date: 02/18/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 01/21/2010 Correction Date: 02/18/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 12/21/2010 Correction Date: 01/09/2011

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: 12/21/2010
Correction Date: 01/09/2011

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 04/10/2009 Correction Date: 06/10/2009
Tell the Resident Completely About His or Her Health Status. Inspection Date: 12/21/2010 Correction Date: 01/09/2011
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: 12/21/2010 Correction Date: 01/09/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Americana Health & Rehab 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