PACIFIC SPECIALTY & REHAB CARE

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.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Extensive Services

Special Care High

Special Care Low

Clinically Complex

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 Washington 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

Short-Term Stay Preventive Actions

Short-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 12/01/2010.

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

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.

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.

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

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.

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