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THE ORCHARDS REHABILITATION AND CARE CENTER - LEWISTON, ID

 



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Address
1014 BURRELL AVENUE
LEWISTON, ID, 83501
Phone (make sure to verify first before calling): (208) 743-4558

Number of Certified Beds: 127
Total Number of Residents: 64
Percent of Occupied Beds: 50%
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: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 4 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 5 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 5 Stars

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Administration And Storage Of Blood Services Are Provided Offsite 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
  • Diagnostic Xray Services Are Provided Offsite 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 Offsite To 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 Offsite 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 Offsite To Residents
  • Physician Extender 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
  • 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
  • Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14
Certified Nurse Aides - Full Time: 26.87
Food Service Personnel - Full Time: 7.79
Housekeeping Personnel - Full Time: 5.01
Licensed Practical/ Vocational Nurses - Full Time: 9.41
Medical Directors - Under Contract: 0.09
Nurses With Administrative Duties - Full Time: 1.87
Persons Not Included In Any Other Categories - Full Time: 6.96
Physical Therapists - Under Contract: 1.26
Registered Nurses - Full Time: 5.74
Rn Director Of Nursing - Full Time: 0.69
Social Workers - Full Time: 0.99
Activities Professionals - Full Time: 1.20
Occupational Therapists - Under Contract: 1.31
Speech Pathologists - Under Contract: 0.53
Certified Nurse Aides - Under Contract: 1.04

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

1.050
Idaho:

0.917
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.660
State:

0.830
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.710
State:

1.744
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.090
Idaho:

0.149
Number Therapy Hours Per Resident Per Day
Here:

0.090
Idaho:

0.159

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

19.6%
Idaho:

15.4%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

3.9%
Idaho:

4.4%
Percent of long-stay residents who lose too much weight
Here:

1.7%
State:

6.9%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
This Nursing Home:

3.5%
Idaho:

5.4%
Percent of long-stay residents who have depressive symptoms
Here:

5.1%
Idaho:

7.7%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

8.3%
State:

3.6%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

96.7%
Idaho:

96.7%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

100.0%
State:

98.3%
Percent of short-stay residents who self-report moderate to severe pain
Here:

6.5%
Idaho:

28.4%
Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

2.4%
Idaho:

0.9%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

96.7%
State:

91.5%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

94.4%
State:

90.0%
Percent of long-stay residents who received an antipsychotic medication
Here:

29.5%
State:

24.6%

Complaint Deficiency

Other fire safety features required by fire safety codes: 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 (Immediate jeopardy to resident health or safety)

Hire sufficient dietary support personnel: Some (Minimal harm or potential for actual harm)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: 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)

Reasonably accommodate the needs and preferences of each resident: 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)

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

Allow the resident the right to participate in the planning or revision of the resident's care plan: 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)

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

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Immediate jeopardy to resident health or safety)

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)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: 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)

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

Proper backup exit lighting: 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)

Allow the resident the right to participate in the planning or revision of the resident's care plan: 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)

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 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 (Immediate jeopardy to resident health or safety)

An approved automatic sprinkler system connected to the fire alarm system: Some (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)

Keep each resident's personal and medical records private and confidential: 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)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: 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 a safe, clean, comfortable and homelike environment: Some (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)

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 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)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: 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)

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

Offer other nutritional food to each resident who will not eat the food served: Some (Minimal harm or potential for actual harm)

1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day: Some (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)

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

Train all employees on what to do in an emergency, and carry out announced staff drills: Many (Minimal harm or potential for actual harm)

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