GRANGEVILLE HEALTH & REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Grangeville Health & Rehabilitation 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

GRANGEVILLE HEALTH & REHABILITATION CENTER
410 EAST NORTH 2ND STREET
GRANGEVILLE, ID 83530
(208) 983-1131

Nursing Home Ratings

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

Percent of Beds Occupied

85%

Number of Residents and Certified Beds

  • Residents: 51
  • Certified Beds: 60

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:

Orofino | Lewiston | Moscow

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 "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 Grangeville Health & Rehabilitation Center. 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

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: 11-164.2%
Total Percent:4.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-168.9%
ADL Index Range: 6-105.2%
ADL Index Range: 0-513.5%
Total Percent:27.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-1016.7%
ADL Index Range: 0-57.3%
Total Percent:24.0%
 

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
- Signs of depression
15.6%
Total Percent:15.6%
 

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
2.6%
Total Percent:2.6%
 

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: 2-5
- No Signs of depression
4.7%
ADL Index Range: 0-1
- No Signs of depression
4.7%
Total Percent:9.4%
 

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: 15-16
- Less restorative nursing
0.5%
ADL Index Range: 11-14
- Less restorative nursing
8.9%
ADL Index Range: 2-5
- Less restorative nursing
2.6%
ADL Index Range: 0-1
- Less restorative nursing
4.7%
Total Percent:16.7%
 

Rating Details For Grangeville Health & Rehabilitation 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 DayReportedExpected
Registered Nurse (RN) Hours42 Minutes56 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours32 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 5 Minutes2 Hours and 10 Minutes
Total Licensed Nurse Hours1 Hour and 13 Minutes1 Hour and 34 Minutes
Total Nurse Hours4 Hours and 18 Minutes3 Hours and 44 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 Idaho are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityIdaho Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%93%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season50%92%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder76%55%
Percent of Long-Stay Residents Who Are More Depressed or Anxious20%18%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection13%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse7%11%
Percent of Long-Stay Residents Who Were Physically Restrained6%5%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%5%
Percent of Long-Stay Residents Who Lose Too Much Weight6%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%7%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores4%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased5%14%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season64%87%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain16%28%
Percent of Short-Stay Residents Who Have Delirium2%4%
Percent of Short-Stay Residents Who Have Pressure Sores2%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 07/02/2010.

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

Hire Nurse Aides Who Have Completed Required Training and Shown That They Are Skilled.
  • Inspection Date: 04/23/2009
  • Correction Date: 05/23/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 04/23/2009
  • Correction Date: 05/23/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/28/2008
  • Correction Date: 03/24/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/23/2009
  • Correction Date: 05/23/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/02/2010
  • Correction Date: 08/05/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/02/2010
  • Correction Date: 08/05/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 04/23/2009
  • Correction Date: 05/23/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/23/2009
  • Correction Date: 05/23/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/02/2010
  • Correction Date: 08/05/2010

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: 04/23/2009
  • Correction Date: 05/23/2009
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: 07/02/2010
  • Correction Date: 08/05/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 02/28/2008
  • Correction Date: 03/24/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 02/28/2008
  • Correction Date: 03/24/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 02/28/2008
  • Correction Date: 03/24/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/23/2009
  • Correction Date: 05/23/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 04/23/2009
  • Correction Date: 05/23/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/02/2010
  • Correction Date: 08/05/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 07/02/2010
  • Correction Date: 08/05/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 04/23/2009
  • Correction Date: 05/23/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 04/23/2009
  • Correction Date: 05/23/2009
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: 04/23/2009
  • Correction Date: 05/23/2009
Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor.
  • Inspection Date: 07/02/2010
  • Correction Date: 08/05/2010

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 04/23/2009
  • Correction Date: 05/23/2009
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: 07/02/2010
  • Correction Date: 08/05/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/02/2010
  • Correction Date: 08/05/2010

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)12/29/2009$3,250

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Grangeville Health & Rehabilitation 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 ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 12/29/2009
  • Correction Date: 01/25/2010

Mistreatment

Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment.
  • Complaint Filed: 12/29/2009
  • Correction Date: 01/25/2010
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: 12/29/2009
  • Correction Date: 01/25/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 12/29/2009
  • Correction Date: 01/25/2010

Resident Rights

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: 12/29/2009
  • Correction Date: 01/25/2010
Source: Medicare Nursing Home Compare; Idaho Department of Health and Welfare - Retrieved 2011