ROYAL VISTA NURSING & REHAB

The information listed below provides an in-depth look into the type and quality of care offered at Royal Vista Nursing & Rehab. 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

ROYAL VISTA NURSING & REHAB
1506 RADIO ROAD
ELLENSBURG, WA 98926
(509) 925-1404

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

72%

Number of Residents and Certified Beds

Residents: 59
Certified Beds: 82

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:

Selah | Yakima | East Wenatchee

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 Royal Vista Nursing & Rehab. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent 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: 2-10	2.3%
Total Percent:	2.3%

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: 11-16	10.0%
ADL Index Range: 6-10	15.1%
ADL Index Range: 0-5	27.3%
Total Percent:	52.4%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	7.4%
ADL Index Range: 0-5	6.9%
Total Percent:	14.2%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	2.3%
ADL Index Range: 6-10	2.6%
ADL Index Range: 0-5	4.3%
Total Percent:	9.2%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	3.9%
ADL Index Range: 6-10	4.9%
ADL Index Range: 0-5	2.3%
Total Percent:	11.1%

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	0.7%
ADL Index Range: 6-10 - No Signs of depression	2.1%
Total Percent:	2.8%

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: 11-14 - No Signs of depression	1.5%
ADL Index Range: 6-10 - Signs of depression	2.1%
Total Percent:	3.6%

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: 15-16 - No Signs of depression	1.0%
Total Percent:	1.0%

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	0.7%
ADL Index Range: 6-10 - Less restorative nursing	2.3%
ADL Index Range: 2-5 - Less restorative nursing	0.3%
ADL Index Range: 0-1 - Less restorative nursing	0.2%
Total Percent:	3.4%

Rating Details For Royal Vista Nursing & Rehab

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 Day	Reported	Expected
Registered Nurse (RN) Hours	56 Minutes	1 Hour and 4 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	21 Minutes	38 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 23 Minutes	2 Hours and 35 Minutes
Total Licensed Nurse Hours	1 Hour and 18 Minutes	1 Hour and 43 Minutes
Total Nurse Hours	3 Hours and 41 Minutes	4 Hours and 17 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 Facility

Washington Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	85%	89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90%	88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain	2%	5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	9%	9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	12%	11%
Percent of Long-Stay Residents Who Were Physically Restrained	-	4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	5%	7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	16%	21%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	12%	10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	-	6%
Percent of Long-Stay Residents Who Lose Too Much Weight	5%	9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	3%	11%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	54%	58%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	87%	83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	78%	81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores	6%	11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	17%	29%
Percent of Short-Stay Residents Who Have Delirium	3%	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 01/21/2011.

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 Inspectors

Degree of Harm

Residents Affected

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 11/19/2009 Correction Date: 01/10/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 11/19/2009 Correction Date: 01/10/2010
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 01/21/2011 Correction Date: 02/21/2011
Provide Needed Housekeeping and Maintenance. Inspection Date: 01/21/2011 Correction Date: 02/21/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/21/2011 Correction Date: 02/21/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 01/21/2011 Correction Date: 02/21/2011

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: 01/21/2011
Correction Date: 02/21/2011

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/29/2009 Correction Date: 03/10/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 01/29/2009 Correction Date: 03/10/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 11/19/2009 Correction Date: 01/10/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 01/21/2011 Correction Date: 02/21/2011
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/21/2011 Correction Date: 02/21/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/21/2011 Correction Date: 02/21/2011
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 01/21/2011 Correction Date: 02/21/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 01/21/2011 Correction Date: 02/21/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 01/29/2009 Correction Date: 03/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/29/2009 Correction Date: 03/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 11/19/2009 Correction Date: 01/10/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 01/21/2011 Correction Date: 02/21/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/21/2011 Correction Date: 02/21/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/29/2009 Correction Date: 03/10/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 11/19/2009 Correction Date: 01/10/2010
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: 01/21/2011 Correction Date: 02/21/2011
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: 01/21/2011 Correction Date: 02/21/2011
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 01/21/2011 Correction Date: 02/21/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Royal Vista Nursing & Rehab, 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 Complaints

Degree of Harm

Residents Affected

Administration

Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Complaint Filed: 02/03/2009 Correction Date: 03/10/2009
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Complaint Filed: 02/03/2009 Correction Date: 03/10/2009
Have Licensed, Certified, or Registered Staff to Give Needed Services. Complaint Filed: 02/03/2009 Correction Date: 03/10/2009
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Complaint Filed: 10/21/2009 Correction Date: 11/15/2009
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Complaint Filed: 10/12/2010 Correction Date: 11/15/2010