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1220 Montana Street
Gooding, ID 83330
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| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 80 |
| 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
| Date of last standard health inspection: | 04/29/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 28 |
| 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 |
| Have a detailed, written plan for disasters and emergencies. | 04/29/2011 | 06/24/2011 | Minimal harm or potential for actual harm | Widespread |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Be administered in a way that leads to the highest possible level of well being for each resident. | 04/29/2011 | 06/24/2011 | Actual harm | Pattern |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 04/29/2011 | 06/24/2011 | Actual harm | Isolated |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Protect each resident from all abuse, physical punishment, and being separated from others. | 04/29/2011 | 06/24/2011 | Immediate jeopardy to resident health or safety | Pattern |
| 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. | 04/29/2011 | 06/24/2011 | Immediate jeopardy to resident health or safety | Pattern |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | 04/29/2011 | 06/24/2011 | Minimal harm or potential for 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. | 04/29/2011 | 06/24/2011 | Minimal harm or potential for actual harm | Pattern |
| Properly mark drugs and other similar products. | 04/29/2011 | 06/24/2011 | 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 |
| Provide activities to meet the needs of each resident. | 04/29/2011 | 06/24/2011 | 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. | 04/29/2011 | 06/24/2011 | Minimal harm or potential for actual harm | Isolated |
| Develop/implement required procedures for the administration of immunizations. | 04/29/2011 | 06/24/2011 | Minimal harm or potential for actual harm | Isolated |
| Give or get dental care for each resident. | 04/29/2011 | 06/24/2011 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | 04/29/2011 | 06/24/2011 | Actual harm | Pattern |
| Give professional services that meet a professional standard of quality. | 04/29/2011 | 06/24/2011 | Actual harm | Isolated |
| Give each resident care and services to get or keep the highest quality of life possible. | 04/29/2011 | 06/24/2011 | Actual harm | Isolated |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 04/29/2011 | 06/24/2011 | Minimal harm or potential for actual harm | Isolated |
| Give the right treatment and services to residents who have mental or social problems adjusting. | 04/29/2011 | 06/24/2011 | Actual harm | Isolated |
| Make sure that each resident's nutritional needs were met. | 04/29/2011 | 06/24/2011 | Actual harm | Pattern |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | 04/29/2011 | 06/24/2011 | Minimal harm or potential for actual harm | Pattern |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Do a new assessment after any major change in a resident's physical or mental health. | 04/29/2011 | 06/24/2011 | Minimal harm or potential for actual harm | Isolated |
| Make sure that doctors visit residents regularly, as required. | 04/29/2011 | 06/24/2011 | 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. | 04/29/2011 | 06/24/2011 | 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. | 04/29/2011 | 06/24/2011 | 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. | 04/29/2011 | 06/24/2011 | 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 |
| Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States. | 04/29/2011 | 06/24/2011 | Minimal harm or potential for actual harm | Pattern |
| Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | 04/29/2011 | 06/24/2011 | Minimal harm or potential for actual harm | Pattern |
| Protect the resident from a transfer or discharge that is not wanted or needed. | 04/29/2011 | 06/24/2011 | Minimal harm or potential for actual harm | Isolated |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 04/29/2011 | 06/24/2011 | Minimal harm or potential for actual harm | Isolated |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate and appropriate medical records. | 08/27/2010 | 09/16/2010 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program to keep infection from spreading. | 08/27/2010 | 09/16/2010 | Minimal harm or potential for actual harm | Isolated |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident free from physical restraints, unless needed for medical treatment. | 08/27/2010 | 09/16/2010 | Minimal harm or potential for actual harm | Isolated |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | 08/27/2010 | 09/16/2010 | Minimal harm or potential for actual harm | Isolated |
Pharmacy Service Deficiencies |
||||
| 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. | 08/27/2010 | 09/16/2010 | Minimal harm or potential for actual harm | Pattern |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 08/27/2010 | 09/16/2010 | Minimal harm or potential for actual harm | Isolated |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | 08/27/2010 | 09/16/2010 | 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. | 08/27/2010 | 09/16/2010 | Minimal harm or potential for actual harm | Isolated |
| Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. | 08/27/2010 | 09/16/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. | 08/27/2010 | 09/16/2010 | Minimal harm or potential for actual harm | Isolated |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give or get lab tests to meet the needs of residents. | 07/20/2009 | 08/17/2009 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 07/20/2009 | 08/17/2009 | Actual harm | Isolated |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 07/20/2009 | 08/17/2009 | Minimal harm or potential for actual harm | Pattern |
| 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. | 07/20/2009 | 08/17/2009 | Minimal harm or potential for actual harm | Pattern |
| Store, cook, and give out food in a safe and clean way. | 07/20/2009 | 08/17/2009 | Minimal harm or potential for actual harm | Widespread |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | 07/20/2009 | 08/17/2009 | Actual harm | Isolated |
| Give each resident care and services to get or keep the highest quality of life possible. | 07/20/2009 | 08/17/2009 | Actual harm | Isolated |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Get doctor orders for the resident's immediate care when admitted. | 07/20/2009 | 08/17/2009 | Minimal harm or potential for actual harm | Isolated |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | 07/20/2009 | 08/17/2009 | Minimal harm or potential for actual harm | Pattern |
| Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor. | 07/20/2009 | 08/17/2009 | Minimal harm or potential for actual harm | Isolated |
| Make sure that all needed doctor visits are made personally by a doctor, as required. | 07/20/2009 | 08/17/2009 | Potential for minimal harm | Pattern |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide services to meet the needs and preferences of each resident. | 07/20/2009 | 08/17/2009 | 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 |
| Give enough notice to the resident before changing the resident's room or roommate. | 07/20/2009 | 08/17/2009 | Minimal harm or potential for actual harm | Isolated |
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 | 4 out of 5 stars |
| Total Number of Residents | 86 | 53 | 44 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 42 minutes | 1 hour 33 minutes |
|
RN Hours per Resident per Day |
40 minutes | 53 minutes | 57 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 48 minutes | 35 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 52 minutes | 4 hours 3 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.
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.
| Percent of high-risk long-stay residents who have pressure sores | Not Available |
| Percent of long-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 11% |
| Percent of long-stay residents who had a urinary tract infection | 3% |
| Percent of long-stay residents who have moderate to severe pain | 6% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 11% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 0% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 90+% |
| Percent of long-stay residents who were physically restrained | 2% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 8% |
| Percent of long-stay residents whose need for help with daily activities has increased | 17% |
| Percent of low-risk long-stay residents who have pressure sores | 1% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 32% |
| Percent of long-stay residents who lose too much weight | 14% |
| Percent of short-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of short-stay residents who had moderate to severe pain | 34% |
| Percent of short-stay residents who have delirium | 3% |
| Percent of short-stay residents who have pressure sores | 8% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 90% |
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.
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 04/29/2011 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| 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 |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| record of quarterly fire drills for each shift under varying conditions. | 06/07/2010 | 06/22/2010 | Minimal harm or potential for actual harm | Widespread |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| construction that can resist fire for one hour or an approved fire extinguishing system. | 06/07/2010 | 06/22/2010 | Minimal harm or potential for actual harm | Pattern |
Illumination and Emergency Power Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| emergency lighting that can last at least 1 1/2 hours. | 06/07/2010 | 06/22/2010 | Minimal harm or potential for actual harm | Widespread |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| weekly inspections and monthly testing of generators. | 06/29/2009 | 07/17/2009 | Minimal harm or potential for actual harm | Widespread |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| record of quarterly fire drills for each shift under varying conditions. | 06/29/2009 | 07/17/2009 | Minimal harm or potential for actual harm | Widespread |
Furnishings and Decorations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are free from obstructions and can be used at all times. | 06/29/2009 | 07/17/2009 | Minimal harm or potential for actual harm | Pattern |
Hazardous Area Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| construction that can resist fire for one hour or an approved fire extinguishing system. | 06/29/2009 | 07/17/2009 | Minimal harm or potential for actual harm | Pattern |