COLUMBIA BASIN CARE FACILITY

The information listed below provides an in-depth look into the type and quality of care offered at Columbia Basin Care Facility. 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

COLUMBIA BASIN CARE FACILITY
1015 WEBBER ROAD
THE DALLES, OR 97058
(541) 296-2156

Nursing Home Ratings

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

Percent of Beds Occupied

47%

Number of Residents and Certified Beds

  • Residents: 56
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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This FacilityFor-ProfitNon-ProfitGovt

Nearby Cities:

Hood River | Gresham | Wood Village

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 "Ultra-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 Columbia Basin Care Facility. 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

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 6-1018.7%
ADL Index Range: 0-532.7%
Total Percent:51.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-106.4%
ADL Index Range: 0-522.8%
Total Percent:29.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-51.7%
Total Percent:1.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-103.2%
ADL Index Range: 0-51.7%
Total Percent:4.9%
 

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: 11-14
- No Signs of depression
0.9%
Total Percent:0.9%
 

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
6.5%
Total Percent:6.5%
 

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: 11-14
- Less restorative nursing
1.7%
ADL Index Range: 6-10
- Two or more restorative nursing on 6+ days/wk
1.1%
ADL Index Range: 2-5
- Less restorative nursing
1.3%
ADL Index Range: 0-1
- Less restorative nursing
1.3%
Total Percent:5.4%
 

Rating Details For Columbia Basin Care Facility

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) Hours54 Minutes56 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours44 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 44 Minutes2 Hours and 21 Minutes
Total Licensed Nurse Hours1 Hour and 38 Minutes1 Hour and 32 Minutes
Total Nurse Hours5 Hours and 22 Minutes3 Hours and 53 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 Given Influenza Vaccination During the Flu Season89%83%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%83%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%7%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious15%13%
Percent of Long-Stay Residents Who Lose Too Much Weight10%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse10%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder61%60%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased12%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination85%76%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season77%75%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores12%11%
Percent of Short-Stay Residents Who Have Delirium3%3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain37%30%

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 04/23/2010.

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 InspectorsDegree of HarmResidents Affected

Administration

Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person.
  • Inspection Date: 03/13/2008
  • Correction Date: 05/01/2008
Get Services Outside the Nursing Home That Meet Professional Standards.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/08/2009
Post Nurse Staffing Information.
  • Inspection Date: 04/23/2010
  • Correction Date: 06/22/2010
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 04/23/2010
  • Correction Date: 06/22/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/08/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/23/2010
  • Correction Date: 06/22/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 04/23/2010
  • Correction Date: 06/22/2010

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 03/13/2008
  • Correction Date: 05/01/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/08/2009

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: 03/13/2008
  • Correction Date: 05/01/2008
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress.
  • Inspection Date: 04/23/2010
  • Correction Date: 06/22/2010

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)11/25/2008$975
Civil Money Penalty (CMP)09/13/2010$975

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Columbia Basin Care Facility, 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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 11/25/2008
  • Correction Date: 01/07/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 09/13/2010
  • Correction Date: 10/11/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 10/22/2010
  • Correction Date: 12/11/2010

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.
  • Complaint Filed: 09/13/2010
  • Correction Date: 10/11/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/07/2008
  • Correction Date: 05/30/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 12/10/2009
  • Correction Date: 01/29/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/07/2010
  • Correction Date: 06/12/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 05/07/2010
  • Correction Date: 06/12/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 05/07/2010
  • Correction Date: 06/12/2010
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.
  • Complaint Filed: 09/13/2010
  • Correction Date: 10/11/2010

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 Columbia Basin Care Facility 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 04/19/2010.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 03/14/2008
  • Correction Date: 03/18/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/19/2010
  • Correction Date: 06/12/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009
Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 04/19/2010
  • Correction Date: 06/12/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 03/14/2008
  • Correction Date: 03/18/2008
Source: Medicare Nursing Home Compare; Seniors and People with Disability - Retrieved 2011