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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)

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