NORTH CASCADES HEALTH AND REHABILITATION CENTER - BELLINGHAM, WA

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Address

4680 CORDATA PARKWAY
BELLINGHAM, WA, 98226

Phone (make sure to verify first before calling): (360) 398-1966

Number of Certified Beds: 122
Total Number of Residents: 82
Percent of Occupied Beds: 67%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 2 Stars
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 7.13
Administrative Staff - Part Time: 0.09
Certified Nurse Aides - Full Time: 29.96
Certified Nurse Aides - Part Time: 0.11
Dietitians - Under Contract: 0.36
Food Service Personnel - Full Time: 9.84
Food Service Personnel - Part Time: 0.66
Housekeeping Personnel - Full Time: 8.79
Licensed Practical/ Vocational Nurses - Full Time: 17.50
Licensed Practical/ Vocational Nurses - Part Time: 0.97
Medical Directors - Under Contract: 0.34
Mental Health Services Personnel - Under Contract: 0.23
Nurses With Administrative Duties - Full Time: 3.24
Occupational Therapy Aides - Full Time: 1.14
Persons Not Included In Any Other Categories - Full Time: 2.56
Registered Nurses - Full Time: 3.31
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Dentists - Under Contract: 0.09
Pharmacists - Under Contract: 0.33
Podiatrists - Under Contract: 0.10
Nurse Aides In Training - Full Time: 7.36
Physician Extenders - Under Contract: 0.14
Sppech Pathologists - Full Time: 0.57
Registered Nurses - Part Time: 0.36
Occupational Therapists - Full Time: 1.03
Physical Therapists - Full Time: 1.06
Occupational Therapy Assistants - Full Time: 0.93
Physical Therapy Aide - Full Time: 0.71
Nurse Aides In Training - Part Time: 0.80

Provided Services

Activities Services Are Provided Onsite To Nonresidents
Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Non Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Onsite To Non Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Non Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Non Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Non Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Non Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	16.2%
Washington:	13.3%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	33.1%
State:	14.6%

Percent of long-stay high-risk residents with pressure ulcers

Here:	12.1%
Washington:	6.0%

Percent of long-stay residents who lose too much weight

This Nursing Home:	12.3%
Washington:	7.5%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	42.9%
State:	52.9%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	1.6%
State:	4.7%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	8.2%
State:	8.3%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	14.7%
Washington:	13.2%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	8.1%
State:	3.0%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	98.6%
Washington:	95.1%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	98.6%
Washington:	95.7%

Percent of short-stay residents who self-report moderate to severe pain

Here:	57.0%
State:	27.2%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	0.9%
State:	1.5%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	95.7%
State:	89.4%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	94.5%
State:	87.7%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	5.3%
Washington:	2.1%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	33.3%
Washington:	22.9%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.170
Washington:	1.030

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.690
State:	0.679

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.860
Washington:	1.696

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.220
State:	0.132

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.220
Washington:	0.134

Complaint Deficiency

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Back-up procedures in place for a faulty automatic sprinkler system: Few (Minimal harm or potential for actual harm)

A separate and independent backup electrical power source: Few (Immediate jeopardy to resident health or safety)

Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety)

Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety)

Fire-resistant interior walls: Few (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Some (Actual harm)

A separate and independent backup electrical power source: Few (Immediate jeopardy to resident health or safety)

Provide proof that all residents' personal money which is deposited with the nursing home, is secure: Some (Actual harm)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Some (Potential for minimal harm)

Send and promptly deliver unopened mail to residents: Some (Potential for minimal harm)

1) Hire only people with 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: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Some (Minimal harm or potential for actual harm)

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Some (Potential for minimal harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Few (Minimal harm or potential for actual harm)

Properly located and lighted Exit signs: Some (Potential for minimal harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Restrictions on the use of highly flammable materials: Few (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Some (Potential for minimal harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Few (Minimal harm or potential for actual harm)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Few (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Some (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Few (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Many (Potential for minimal harm)

Allow residents to easily view the results of the nursing home's most recent survey: Many (Potential for minimal harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Few (Minimal harm or potential for actual harm)

Provide medically-related social services to help each resident achieve the highest possible quality of life: Few (Minimal harm or potential for actual harm)

Provide a safe, clean, comfortable and homelike environment: Some (Minimal harm or potential for actual harm)

Maintain comfortable sound levels: Few (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Post nurse staffing information/data on a daily basis: Some (Potential for minimal harm)

Make sure that special or therapeutic diets are ordered by the attending doctor: Many (Minimal harm or potential for actual harm)

Make sure that a working call system is available in each resident's room or bathroom and bathing area: Some (Minimal harm or potential for actual harm)

Other nearby hospitals and nursing homes

ALDERWOOD PARK CONV CTR LLC (2.19 miles)
BELLINGHAM HEALTH CARE AND REHABILITATION SERVICES (2.49 miles)
MT BAKER KIDNEY CENTER (2.50 miles)
NEEDHAMS NURSING HOME (2.86 miles)
NOR BELL NURSING HOME (2.18 miles)
WALGREENS INFUSION AND RESPIRATORY SERVICES (0.88 miles)
PEACEHEALTH ST JOSEPH MEDICAL CENTER (2.90 miles)

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