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Boundary County Nursing Home
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6640 Kaniksu Street
Bonners Ferry, ID 83805
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Details
| Type of Ownership | Government - County |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 36 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 02/18/2011
| Date of last standard health inspection: | 02/18/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 7 |
| Average number of Health Deficiencies in ID: | 12 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in ID: | 0 - 28 |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate and appropriate medical records. | 02/18/2011 | 03/11/2011 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep safe, clean and homelike surroundings. | 02/18/2011 | 03/11/2011 | Minimal harm or potential for actual harm | Pattern |
| Make sure that the nursing home area is free of dangers that cause accidents. | 02/18/2011 | 03/11/2011 | Actual harm | Isolated |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | 02/18/2011 | 03/11/2011 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | 02/18/2011 | 03/11/2011 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Let residents give themselves their drugs if they are able. | 02/18/2011 | 03/11/2011 | Minimal harm or potential for actual harm | Isolated |
| Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. | 02/18/2011 | 03/11/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 02/12/2010
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep sound levels comfortable. | 02/12/2010 | 03/16/2010 | Minimal harm or potential for actual harm | Isolated |
| Have a program to keep infection from spreading. | 02/12/2010 | 03/16/2010 | Minimal harm or potential for actual harm | Pattern |
| Keep all essential equipment working safely. | 02/12/2010 | 03/16/2010 | Minimal harm or potential for actual harm | Widespread |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | 02/12/2010 | 03/16/2010 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 02/12/2010 | 03/16/2010 | Minimal harm or potential for actual harm | Isolated |
| Give each resident care and services to get or keep the highest quality of life possible. | 02/12/2010 | 03/16/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | 02/12/2010 | 03/16/2010 | Minimal harm or potential for actual harm | Isolated |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 02/12/2010 | 03/16/2010 | Actual harm | Isolated |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 02/12/2010 | 03/16/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | 02/12/2010 | 03/16/2010 | Minimal harm or potential for actual harm | Isolated |
| 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | 02/12/2010 | 03/16/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | 02/12/2010 | 03/16/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 02/12/2010 | 03/16/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 03/12/2009
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide needed housekeeping and maintenance. | 03/12/2009 | 04/16/2009 | Minimal harm or potential for actual harm | Isolated |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people who have 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. | 03/12/2009 | 04/16/2009 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 03/12/2009 | 04/16/2009 | Minimal harm or potential for actual harm | Pattern |
| Give each resident care and services to get or keep the highest quality of life possible. | 03/12/2009 | 04/16/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | 03/12/2009 | 04/16/2009 | Minimal harm or potential for actual harm | Isolated |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | 03/12/2009 | 04/16/2009 | Minimal harm or potential for actual harm | Isolated |
| 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | 03/12/2009 | 04/16/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Tell the resident completely about his or her health status. | 03/12/2009 | 04/16/2009 | Minimal harm or potential for actual harm | Isolated |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in ID | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 5 out of 5 stars |
| Total Number of Residents | 86 | 53 | 28 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 42 minutes | 1 hour 58 minutes |
|
RN Hours per Resident per Day |
40 minutes | 53 minutes | 57 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 48 minutes | 1 hour 1 minute |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 52 minutes | 4 hours 16 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
| Percent of high-risk long-stay residents who have pressure sores | 10% |
| Percent of long-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 16% |
| Percent of long-stay residents who had a urinary tract infection | 6% |
| Percent of long-stay residents who have moderate to severe pain | 2% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 4% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 6% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 90+% |
| Percent of long-stay residents who were physically restrained | 8% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 21% |
| Percent of long-stay residents whose need for help with daily activities has increased | 24% |
| Percent of low-risk long-stay residents who have pressure sores | Not Available |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 75% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 14% |
| Percent of short-stay residents given influenza vaccination during the flu season | Not Available |
| Percent of short-stay residents who had moderate to severe pain | Not Available |
| Percent of short-stay residents who have delirium | Not Available |
| Percent of short-stay residents who have pressure sores | Not Available |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | Not Available |
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 08/31/2010
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 08/31/2010 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 2 |
| Average number of Fire Safety Deficiencies in ID: | 0 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in ID: | 0 - 0 |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 08/31/2010 | 09/17/2010 | Minimal harm or potential for actual harm | Pattern |
Smoking Regulations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. | 08/31/2010 | 09/22/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 09/14/2009
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an approved installation, maintenance and testing program for fire alarm systems. | 09/14/2009 | 09/28/2009 | Minimal harm or potential for actual harm | Widespread |
| properly maintained smoke detectors. | 09/14/2009 | 10/07/2009 | Minimal harm or potential for actual harm | Widespread |
