PACIFIC SPECIALTY & REHAB CARE

The information listed below provides an in-depth look into the type and quality of care offered at Pacific Specialty & Rehab Care. 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

PACIFIC SPECIALTY & REHAB CARE
1015 NORTH GARRISON ROAD
VANCOUVER, WA 98664
(360) 694-7501

Nursing Home Ratings

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

Percent of Beds Occupied

86%

Number of Residents and Certified Beds

  • Residents: 89
  • Certified Beds: 104

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:

Camas | Battle Ground | Woodland

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 Pacific Specialty & Rehab Care. 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 Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-1611.8%
ADL Index Range: 2-103.6%
Total Percent:15.5%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-101.0%
Total Percent:1.0%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.0%
Total Percent:1.0%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.0%
Total Percent:1.0%
 

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: 11-1615.7%
ADL Index Range: 6-1019.0%
ADL Index Range: 0-54.9%
Total Percent:39.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1615.2%
ADL Index Range: 6-102.8%
ADL Index Range: 0-55.4%
Total Percent:23.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.7%
Total Percent:1.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-165.6%
ADL Index Range: 6-101.2%
ADL Index Range: 0-50.1%
Total Percent:7.0%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Tracheostomy care and ventilator/respirator
4.9%
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
2.0%
Total Percent:2.0%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.2%
Total Percent:0.2%
 

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: 0-1
- No Signs of depression
2.8%
Total Percent:2.8%
 

Rating Details For Pacific Specialty & Rehab Care

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) Hours1 Hour1 Hour and 30 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours28 Minutes57 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 20 Minutes2 Hours and 43 Minutes
Total Licensed Nurse Hours1 Hour and 28 Minutes2 Hours and 27 Minutes
Total Nurse Hours3 Hours and 49 Minutes5 Hours and 9 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 FacilityWashington Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season75%88%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination74%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious31%21%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased14%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%11%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%7%
Percent of Long-Stay Residents Who Lose Too Much Weight8%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores5%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair23%6%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder66%58%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season67%81%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination71%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores19%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain17%29%
Percent of Short-Stay Residents Who Have Delirium-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 12/01/2010.

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

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 01/27/2009
  • Correction Date: 02/24/2009
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 12/01/2010
  • Correction Date: 01/11/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/27/2009
  • Correction Date: 02/24/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/02/2009
  • Correction Date: 11/19/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/27/2009
  • Correction Date: 02/24/2009

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 01/27/2009
  • Correction Date: 03/10/2009

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 01/27/2009
  • Correction Date: 02/24/2009
Make Sure That a Resident Does Not Become Withdrawn, Angry or Depressed if These Problems Did Not Exist Before.
  • Inspection Date: 01/27/2009
  • Correction Date: 02/24/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Inspection Date: 01/27/2009
  • Correction Date: 02/24/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 10/02/2009
  • Correction Date: 11/19/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/02/2009
  • Correction Date: 11/19/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 10/02/2009
  • Correction Date: 11/19/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 10/02/2009
  • Correction Date: 11/19/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 10/02/2009
  • Correction Date: 11/19/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 12/01/2010
  • Correction Date: 01/11/2011
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/01/2010
  • Correction Date: 01/11/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/01/2010
  • Correction Date: 01/11/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 12/01/2010
  • Correction Date: 01/11/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 12/01/2010
  • Correction Date: 01/11/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 12/01/2010
  • Correction Date: 01/11/2011

Resident Rights

Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
  • Inspection Date: 01/27/2009
  • Correction Date: 02/24/2009
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 12/01/2010
  • Correction Date: 01/11/2011

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 TakenDateAmount
Denial of Payment for New Admission (DPNA)01/14/2009-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Pacific Specialty & Rehab Care, 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: 09/22/2008
  • Correction Date: 10/21/2008

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 01/27/2009
  • Correction Date: 03/10/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 11/06/2008
  • Correction Date: 12/01/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 01/27/2009
  • Correction Date: 02/24/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 07/23/2009
  • Correction Date: 08/10/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 03/19/2010
  • Correction Date: 05/04/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 09/22/2008
  • Correction Date: 10/21/2008

Resident Rights

Tell the Resident Completely About His or Her Health Status.
  • Complaint Filed: 09/22/2008
  • Correction Date: 10/21/2008
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: 09/22/2008
  • Correction Date: 10/21/2008
Let Residents Give Themselves Their Drugs if They Are Able.
  • Complaint Filed: 08/26/2010
  • Correction Date: 09/23/2010

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 Pacific Specialty & Rehab Care 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 11/15/2010.

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: 09/29/2009
  • Correction Date: 10/30/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/29/2009
  • Correction Date: 10/30/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 11/15/2010
  • Correction Date: 12/21/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/29/2009
  • Correction Date: 10/30/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/15/2010
  • Correction Date: 12/21/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 09/29/2009
  • Correction Date: 10/30/2009
Properly Maintained Smoke Detectors.
  • Inspection Date: 11/15/2010
  • Correction Date: 12/21/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 09/29/2009
  • Correction Date: 10/30/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/15/2010
  • Correction Date: 12/21/2010

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 09/29/2009
  • Correction Date: 10/30/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 09/29/2009
  • Correction Date: 10/30/2009
Source: Medicare Nursing Home Compare; Dept of Social and Health Services of Washington-Aging and Adult Services Admin-Residential Care - Retrieved 2011