WASHINGTON VETERAN HOME-RETSIL

The information listed below provides an in-depth look into the type and quality of care offered at Washington Veteran Home-Retsil. 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

WASHINGTON VETERAN HOME-RETSIL
1141 BEACH DRIVE
RETSIL, WA 98378
(360) 895-4700

Nursing Home Ratings

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

Percent of Beds Occupied

98%

Number of Residents and Certified Beds

  • Residents: 196
  • Certified Beds: 200

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - State
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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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 Washington Veteran Home-Retsil. 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: 11-163.4%
ADL Index Range: 6-1022.3%
ADL Index Range: 0-57.3%
Total Percent:32.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.6%
ADL Index Range: 6-1025.4%
ADL Index Range: 0-54.8%
Total Percent:34.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-55.6%
Total Percent:5.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-165.1%
ADL Index Range: 6-105.1%
ADL Index Range: 0-59.2%
Total Percent:19.4%
 

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
- Signs of depression
2.2%
ADL Index Range: 6-10
- No Signs of depression
0.7%
ADL Index Range: 2-5
- No Signs of depression
3.4%
ADL Index Range: 0-1
- No Signs of depression
1.0%
Total Percent:7.3%
 

Rating Details For Washington Veteran Home-Retsil

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) Hours49 Minutes56 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours53 Minutes35 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 57 Minutes2 Hours and 15 Minutes
Total Licensed Nurse Hours1 Hour and 42 Minutes1 Hour and 32 Minutes
Total Nurse Hours3 Hours and 40 Minutes3 Hours and 47 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 Season90-100%88%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination88%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder14%7%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%10%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased12%11%
Percent of Long-Stay Residents Who Are More Depressed or Anxious15%21%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder41%58%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Lose Too Much Weight7%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores15%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%6%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season77%81%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination64%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain34%29%
Percent of Short-Stay Residents Who Have Pressure Sores10%11%

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 03/01/2011.

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 InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 03/01/2011
  • Correction Date: 04/11/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/08/2010
  • Correction Date: 05/21/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/08/2010
  • Correction Date: 05/21/2010

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: 03/24/2009
  • Correction Date: 05/08/2009
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: 04/08/2010
  • Correction Date: 05/21/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/08/2010
  • Correction Date: 05/21/2010
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: 03/01/2011
  • Correction Date: 04/11/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009
Make Sure That Each Residents' Abilities to Take Care of Themselves Does Not Lessen, Unless a Change Cannot Be Avoided.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 04/08/2010
  • Correction Date: 05/21/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/01/2011
  • Correction Date: 04/11/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/01/2011
  • Correction Date: 04/11/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 03/01/2011
  • Correction Date: 04/11/2011
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 03/01/2011
  • Correction Date: 04/11/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/08/2009
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: 03/24/2009
  • Correction Date: 05/08/2009

Resident Rights

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: 03/24/2009
  • Correction Date: 05/08/2009
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: 03/24/2009
  • Correction Date: 05/08/2009
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 04/08/2010
  • Correction Date: 05/21/2010
Tell the Resident Completely About His or Her Health Status.
  • Inspection Date: 03/01/2011
  • Correction Date: 04/11/2011
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: 03/01/2011
  • Correction Date: 04/11/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Washington Veteran Home-Retsil, 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: 07/17/2008
  • Correction Date: 08/08/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/26/2010
  • Correction Date: 10/09/2010

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: 11/26/2008
  • Correction Date: 01/09/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 07/17/2008
  • Correction Date: 08/08/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 02/04/2009
  • Correction Date: 02/27/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 12/15/2009
  • Correction Date: 01/29/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 06/03/2011
  • Correction Date: 06/27/2011

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 Washington Veteran Home-Retsil 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 02/17/2011.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/19/2009
  • Correction Date: 03/19/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/17/2011
  • Correction Date: 03/20/2011

Building Service Equipment

Restrictions on the Use of Portable Space Heaters.
  • Inspection Date: 02/17/2011
  • Correction Date: 03/20/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/17/2011
  • Correction Date: 03/20/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/19/2009
  • Correction Date: 03/19/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 02/17/2011
  • Correction Date: 03/20/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 02/17/2011
  • Correction Date: 03/20/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 03/19/2009
  • Correction Date: 03/19/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 02/17/2011
  • Correction Date: 03/20/2011

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 03/19/2009
  • Correction Date: 03/19/2009

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 02/17/2011
  • Correction Date: 03/20/2011
Source: Medicare Nursing Home Compare; Dept of Social and Health Services of Washington-Aging and Adult Services Admin-Residential Care - Retrieved 2011