COLVILLE TRIBAL CONVALESCENT CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Colville Tribal Convalescent 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

COLVILLE TRIBAL CONVALESCENT CENTER
PO BOX 150
NESPELEM, WA 99155
(509) 634-2878

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

52%

Number of Residents and Certified Beds

Residents: 23
Certified Beds: 44

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By Government - Federal
Offers Both Resident and Family Counseling Services
This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Tekoa

Rating Details For Colville Tribal Convalescent 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	28 Minutes	50 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	1 Hour and 13 Minutes	36 Minutes
Certified Nursing Assistant (CNA) Hours	3 Hours and 5 Minutes	2 Hours and 7 Minutes
Total Licensed Nurse Hours	1 Hour and 41 Minutes	1 Hour and 27 Minutes
Total Nurse Hours	4 Hours and 45 Minutes	3 Hours and 33 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 Given Influenza Vaccination During the Flu Season	88%	88%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	87%	89%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	15%	11%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	13%	11%
Percent of Long-Stay Residents Who Lose Too Much Weight	7%	9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	16%	21%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	7%	6%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	6%	7%
Percent of Long-Stay Residents Who Were Physically Restrained	1%	4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	18%	58%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	5%	4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	12%	5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	5%	10%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	6%	9%

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 05/17/2011.

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

Administration

Post Nurse Staffing Information. Inspection Date: 06/01/2009 Correction Date: 07/29/2009
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 07/08/2010 Correction Date: 08/06/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/01/2009 Correction Date: 07/29/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 06/01/2009 Correction Date: 07/29/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/08/2010 Correction Date: 08/06/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 07/08/2010 Correction Date: 08/06/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/17/2011 Correction Date: 07/01/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/17/2011 Correction Date: 07/01/2011

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: 05/17/2011 Correction Date: 07/01/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/17/2011 Correction Date: 07/01/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 06/01/2009 Correction Date: 07/29/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/01/2009 Correction Date: 07/29/2009

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 06/01/2009 Correction Date: 07/29/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 06/01/2009 Correction Date: 07/29/2009
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: 07/08/2010 Correction Date: 08/06/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 05/17/2011 Correction Date: 07/01/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 06/01/2009 Correction Date: 07/29/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 06/01/2009 Correction Date: 07/29/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 06/01/2009 Correction Date: 07/29/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 06/01/2009 Correction Date: 07/29/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 06/01/2009 Correction Date: 07/29/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 06/01/2009 Correction Date: 07/29/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 06/01/2009 Correction Date: 07/29/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 06/01/2009 Correction Date: 07/29/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 07/08/2010 Correction Date: 08/06/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/08/2010 Correction Date: 08/06/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 07/08/2010 Correction Date: 08/06/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/17/2011 Correction Date: 07/01/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 05/17/2011 Correction Date: 07/01/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/08/2010 Correction Date: 08/06/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/08/2010 Correction Date: 08/06/2010
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: 07/08/2010 Correction Date: 08/06/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/17/2011 Correction Date: 07/01/2011
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: 05/17/2011 Correction Date: 07/01/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 06/01/2009 Correction Date: 07/29/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 07/08/2010 Correction Date: 08/06/2010
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: 05/17/2011 Correction Date: 07/01/2011
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 05/17/2011 Correction Date: 07/01/2011

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
Denial of Payment for New Admission (DPNA)	06/02/2010	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Colville Tribal Convalescent 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