ISLAND HEALTH AND REHAB CENTER - BAINBRIDGE ISLAND, WA
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Address 835 MADISON AVENUE NORTHPhone (make sure to verify first before calling): (206) 842-4765 Number of Certified Beds: 69 Total Number of Residents: 48 Percent of Occupied Beds: 70% 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: 4 Stars Health Inspections Star Rating: 3 Stars Nurse Staffing Star Rating: 3 Stars Quality Measures Star Rating: 5 Stars RN Only Star Rating: 4 Stars Employment Full-Time EquivalentAdministrative Staff - Full Time: 5.09Certified Nurse Aides - Full Time: 3.11 Certified Nurse Aides - Part Time: 2.61 Food Service Personnel - Full Time: 6.43 Food Service Personnel - Part Time: 0.60 Housekeeping Personnel - Full Time: 3.84 Nurses With Administrative Duties - Full Time: 3.26 Persons Not Included In Any Other Categories - Full Time: 8.30 Physical Therapists - Under Contract: 3.43 Registered Nurses - Full Time: 4.79 Rn Director Of Nursing - Full Time: 0.91 Social Workers - Full Time: 1.23 Activities Professionals - Full Time: 1.04 Nurses With Administrative Duties - Part Time: 0.97 Occupational Therapists - Under Contract: 2.31 Pharmacists - Under Contract: 0.11 Physician Extenders - Full Time: 0.23 Speech Pathologists - Under Contract: 0.96 Nurse Aides In Training - Full Time: 22.03 Persons Not Included In Any Other Categories - Part Time: 0.46 Registered Nurses - Part Time: 3.66 Nurse Aides In Training - Under Contract: 0.86 Nurse Aides In Training - Part Time: 2.41 Certified Nurse Aides - Under Contract: 0.47 Medication Aides/ Technicians - Part Time: 0.97 Provided Services
Staff InformationNumber of Registered Nurses Hours Per Resident Per Day
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Total Number of Licensed Staff Hours Per Resident Per Day
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Number Therapy Hours Per Resident Per Day
Quality MeasuresPercent of long-stay residents whose need for help with daily activities has increased
Percent of long-stay high-risk residents with pressure ulcers
Percent of long-stay residents who lose too much weight
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Percent of long-stay residents with a urinary tract infection
Percent of long-stay residents who have depressive symptoms
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who self-report moderate to severe pain
Percent of short-stay residents with Pressure ulcers that are new or worsened
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who newly received an antipsychotic medication
Percent of long-stay residents who received an antipsychotic medication
Complaint DeficiencyMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm)Properly installed electrical wiring and equipment: Some (Actual harm) Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety) Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm) Review or revise the resident's care plan after any major change in a resident's physical or mental health: 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) Provide doctors orders for the resident's immediate care, at the time the resident was admitted: Few (Minimal harm or potential for actual harm) Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm) Properly protected cooking facilities: Few (Minimal harm or potential for actual harm) Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm) Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm) Provide activities to meet the interests and needs of each resident: Some (Minimal harm or potential for actual harm) Provide housekeeping and maintenance services: Some (Potential for minimal harm) Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm) Make sure each resident receives an accurate assessment by a qualified health professional: Some (Potential for minimal harm) Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm) Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm) Make sure that residents receive treatment/services to not only continue, but improve the ability to care for themselves: Few (Minimal harm or potential for actual harm) Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm) Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm) Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Few (Minimal harm or potential for actual harm) Use a registered nurse at least 8 hours a day, 7 days a week: Many (Minimal harm or potential for actual harm) Give or get specialized rehabilitative services per the patient's assessment or plan of care: Few (Minimal harm or potential for actual harm) Give specialized rehabilitative services that are medically necessary by qualified personnel, when ordered by a doctor: Few (Minimal harm or potential for actual harm) Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm) Train all employees on what to do in an emergency, and carry out announced staff drills: Some (Minimal harm or potential for actual harm) Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Many (Potential for minimal harm) Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm) Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors: Few (Minimal harm or potential for actual harm) Make sure services provided by the nursing facility meet professional standards of quality: 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: Some (Minimal harm or potential for actual harm) Make sure that residents are safe from serious medication errors: Few (Minimal harm or potential for actual harm) Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm) Portable fire extinguishers: Few (Minimal harm or potential for actual harm) Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (Minimal harm or potential for actual harm) Conduct initial and periodic assessments of each resident's functional capacity: 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) Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm) Keep all essential equipment working safely: Many (Minimal harm or potential for actual harm) Other nearby hospitals and nursing homes
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