PACIFIC HEALTH AND REHABILITATION - TIGARD, OR

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Submitted by:

Julie Waterhouse, Community Liaison

Name; Pacific Health and Rehabilitation
Address 14145 SW 105th St
Tigard Oregon 97224
Phone; 503-639-1144

Submitted by:

Kent Emry, Owner

the new name is;
Pacific Health and Rehabilitation
14145 SW 105th ST
Tigard OR 97224

Institution representatives - add corrected or new information about PACIFIC HEALTH AND REHABILITATION »

Address

14145 SW 105TH STREET
TIGARD, OR, 97224

Phone (make sure to verify first before calling): (503) 639-1144

Number of Certified Beds: 112
Total Number of Residents: 53
Percent of Occupied Beds: 47%
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?: No
Special Focus Facility?: No

Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 4 Stars

Provided Services

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

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14
Certified Nurse Aides - Full Time: 24.00
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 7.24
Housekeeping Personnel - Full Time: 4.50
Licensed Practical/ Vocational Nurses - Full Time: 7.86
Medical Directors - Under Contract: 0.23
Mental Health Services Personnel - Under Contract: 0.03
Nurses With Administrative Duties - Full Time: 2.57
Registered Nurses - Full Time: 2.23
Rn Director Of Nursing - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Pharmacists - Under Contract: 0.11
Sppech Pathologists - Full Time: 0.11
Social Workers - Part Time: 0.86
Occupational Therapists - Full Time: 1.14
Physical Therapists - Full Time: 1.14
Occupational Therapy Assistants - Full Time: 1.14
Medication Aides/ Technicians - Full Time: 3.00

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.700
State:	0.887

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

This Nursing Home:	0.380
Oregon:	0.560

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.080
Oregon:	1.443

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.050
Oregon:	0.157

Number Therapy Hours Per Resident Per Day

Here:	0.050
State:	0.182

Quality Measures

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

This Nursing Home:	10.9%
State:	12.2%

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

Here:	7.2%
Oregon:	16.2%

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

This Nursing Home:	6.5%
Oregon:	6.8%

Percent of long-stay residents who lose too much weight

This Nursing Home:	9.6%
Oregon:	7.8%

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

This Nursing Home:	6.0%
Oregon:	5.5%

Percent of long-stay residents with a urinary tract infection

Here:	1.9%
State:	8.1%

Percent of long-stay residents who have depressive symptoms

Here:	10.6%
Oregon:	6.2%

Percent of long-stay residents who were physically restrained

This Nursing Home:	7.7%
State:	1.7%

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

Here:	5.7%
Oregon:	3.0%

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

Here:	96.2%
State:	94.9%

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

This Nursing Home:	98.1%
State:	96.5%

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

This Nursing Home:	46.6%
State:	27.8%

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

Here:	89.7%
Oregon:	89.3%

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

This Nursing Home:	82.8%
Oregon:	85.4%

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

Here:	6.3%
State:	1.7%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	21.7%
Oregon:	19.6%

Complaint Deficiency

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

Give the resident's representative the ability to exercise the resident's rights: 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: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: 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)

Proper backup exit lighting: Few (Minimal harm or potential for actual harm)

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

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Corridors or aisles that are unobstructed and are at least 8 feet in width: Few (Minimal harm or potential for actual harm)

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

Properly maintained smoke detectors: 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)

Portable fire extinguishers: 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: Few (Minimal harm or potential for actual harm)

Determine if it is safe for the resident to self-administer drugs: Few (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)

Approved construction type or materials: Some (Minimal harm or potential for actual harm)

Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Many (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

Proper backup exit lighting: Some (Minimal harm or potential for actual harm)

Did not have a written emergency evacuation plan: Many (Minimal harm or potential for actual harm)

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

A fire alarm system that can be heard throughout the facility: Many (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: Many (Minimal harm or potential for actual harm)

Portable fire extinguishers: Few (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm)

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

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

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

Make sure each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care: 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)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual 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)

Provide necessary care and services to maintain the highest well being of each resident : Some (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Some (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)

Provide a tasty and well-balanced diet that meets the nutritional needs of each resident: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: 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)

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)

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

Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Few (Minimal harm or potential for actual harm)

Proper backup exit lighting: Few (Minimal harm or potential for actual harm)

Did not have a written emergency evacuation plan: Many (Minimal harm or potential for actual harm)

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

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

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

Portable fire extinguishers: Some (Minimal harm or potential for actual harm)

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Some (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Few (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

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

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

Other nearby hospitals and nursing homes

PNRS TUALATIN (TUALATIN, 3.07 miles)
AVAMERE REHABILITATION OF KING CITY (1.44 miles)
LEGACY MERIDIAN PARK MEDICAL CENTER (TUALATIN, 3.04 miles)
MERIDIAN PARK DIALYSIS CENTER (TUALATIN, 3.02 miles)
ODYSSEY HEALTHCARE OF PORTLAND (BEAVERTON, 2.70 miles)
PEARL AT KRUSE WAY, THE (LAKE OSWEGO, 3.05 miles)
AMEDISYS HOME HEALTH CARE (PORTLAND, 2.05 miles)

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