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1000 5th Avenue South
Sequim, WA 98382
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| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 125 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | Yes |
| 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: | 07/08/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 26 |
| Average number of Health Deficiencies in WA: | 11 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in WA: | 0 - 47 |
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. | 10/31/2011 | 11/22/2011 | 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 |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | 10/31/2011 | 11/22/2011 | Minimal harm or potential for actual harm | Isolated |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have licensed, certified, or registered staff to give needed services. | 07/08/2011 | 08/22/2011 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide needed housekeeping and maintenance. | 07/08/2011 | 08/22/2011 | Minimal harm or potential for actual harm | Pattern |
| Make sure that the nursing home area is free of dangers that cause accidents. | 07/08/2011 | 08/22/2011 | Actual harm | Isolated |
| Have a program to keep infection from spreading. | 07/08/2011 | 08/22/2011 | Minimal harm or potential for actual harm | Pattern |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | 07/08/2011 | 08/22/2011 | Minimal harm or potential for actual harm | Isolated |
| Put firmly secured handrails on each side of hallways. | 07/08/2011 | 08/22/2011 | Minimal harm or potential for actual harm | Pattern |
| Make sure there is a program to prevent/deal with mice, insects, or other pests. | 07/08/2011 | 08/22/2011 | Minimal harm or potential for actual harm | Pattern |
Mistreatment Deficiencies |
||||
| 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. | 07/08/2011 | 08/22/2011 | 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. | 07/08/2011 | 08/22/2011 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 07/08/2011 | 08/22/2011 | Minimal harm or potential for actual harm | Pattern |
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. | 07/08/2011 | 08/22/2011 | Minimal harm or potential for actual harm | Isolated |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 07/08/2011 | 08/22/2011 | Minimal harm or potential for actual harm | Isolated |
| Properly mark drugs and other similar products. | 07/08/2011 | 08/22/2011 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give each resident care and services to get or keep the highest quality of life possible. | 07/08/2011 | 08/22/2011 | Minimal harm or potential for actual harm | Pattern |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | 07/08/2011 | 08/22/2011 | Actual harm | Pattern |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 07/08/2011 | 08/22/2011 | Minimal harm or potential for actual harm | Isolated |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | 07/08/2011 | 08/22/2011 | 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 |
| 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. | 07/08/2011 | 08/22/2011 | Minimal harm or potential for actual harm | Isolated |
| Let residents give themselves their drugs if they are able. | 07/08/2011 | 08/22/2011 | Minimal harm or potential for actual harm | Isolated |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 07/08/2011 | 08/22/2011 | Minimal harm or potential for actual harm | Pattern |
| Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. | 07/08/2011 | 08/22/2011 | 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 |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | 03/11/2011 | 03/31/2011 | Minimal harm or potential for actual harm | Isolated |
| Give professional services that follow each resident's written care plan. | 02/14/2011 | 03/01/2011 | Minimal harm or potential for actual harm | Isolated |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 12/14/2010 | 01/14/2011 | Minimal harm or potential for actual harm | Isolated |
Mistreatment Deficiencies |
||||
| 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. | 08/17/2010 | 08/27/2010 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 06/16/2010 | 06/29/2010 | Actual harm | Isolated |
Mistreatment Deficiencies |
||||
| 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. | 06/16/2010 | 06/29/2010 | 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. | 06/16/2010 | 06/29/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 06/16/2010 | 06/29/2010 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program to keep infection from spreading. | 04/29/2010 | 06/29/2010 | Minimal harm or potential for actual harm | Widespread |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 04/29/2010 | 06/29/2010 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 04/29/2010 | 06/29/2010 | Minimal harm or potential for actual harm | Widespread |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 04/29/2010 | 06/29/2010 | Minimal harm or potential for actual harm | Pattern |
| Give each resident care and services to get or keep the highest quality of life possible. | 04/29/2010 | 06/29/2010 | Minimal harm or potential for actual harm | Pattern |
| Make sure that each resident's nutritional needs were met. | 04/29/2010 | 06/29/2010 | Actual harm | Isolated |
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. | 04/29/2010 | 06/29/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure that doctors visit residents regularly, as required. | 04/29/2010 | 06/29/2010 | Minimal harm or potential for actual harm | Isolated |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that residents are safe from serious medication errors. | 09/29/2009 | 11/16/2009 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 09/29/2009 | 11/16/2009 | Minimal harm or potential for actual harm | Isolated |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 09/29/2009 | 11/16/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 09/29/2009 | 11/16/2009 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 06/18/2009 | 07/31/2009 | Minimal harm or potential for actual harm | Isolated |
| Have a program to keep infection from spreading. | 06/18/2009 | 07/31/2009 | Potential for minimal harm | Widespread |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 06/18/2009 | 07/31/2009 | Minimal harm or potential for actual harm | Widespread |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 06/18/2009 | 07/31/2009 | Minimal harm or potential for actual harm | Isolated |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 06/18/2009 | 07/31/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| 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. | 06/18/2009 | 07/31/2009 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide needed housekeeping and maintenance. | 04/21/2009 | 06/01/2009 | Potential for minimal harm | Pattern |
Resident Rights Deficiencies |
||||
| 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. | 04/21/2009 | 06/01/2009 | Minimal harm or potential for actual harm | Pattern |
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 WA | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 3 out of 5 stars |
| Total Number of Residents | 86 | 75 | 92 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 37 minutes | 1 hour 31 minutes |
|
RN Hours per Resident per Day |
40 minutes | 55 minutes | 42 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 41 minutes | 49 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 35 minutes | 2 hours 11 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 | 7% |
| Percent of long-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 17% |
| Percent of long-stay residents who had a urinary tract infection | 7% |
| Percent of long-stay residents who have moderate to severe pain | 3% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 3% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 4% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 90+% |
| Percent of long-stay residents who were physically restrained | 1% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 3% |
| Percent of long-stay residents whose need for help with daily activities has increased | 4% |
| 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 | 60% |
| Percent of long-stay residents who lose too much weight | 10% |
| Percent of short-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of short-stay residents who had moderate to severe pain | 53% |
| Percent of short-stay residents who have delirium | 2% |
| 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: | 06/27/2011 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 4 |
| Average number of Fire Safety Deficiencies in WA: | 3 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in WA: | 0 - 5 |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| automatic sprinkler systems that have been maintained in working order. | 06/27/2011 | 07/13/2011 | Minimal harm or potential for actual harm | Isolated |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| approved construction type or materials. | 06/27/2011 | 07/13/2011 | Minimal harm or potential for actual harm | Isolated |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly installed electrical wiring and equipment. | 06/27/2011 | 07/13/2011 | Minimal harm or potential for actual harm | Pattern |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| proper medical gas storage and administration areas. | 06/27/2011 | 07/13/2011 | Minimal harm or potential for actual harm | Isolated |
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| approved construction type or materials. | 04/26/2010 | 05/14/2010 | Minimal harm or potential for actual harm | Isolated |
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. | 04/26/2010 | 05/14/2010 | Minimal harm or potential for actual harm | Isolated |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly installed electrical wiring and equipment. | 04/26/2010 | 05/14/2010 | Minimal harm or potential for actual harm | Pattern |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are accessible at all times. | 04/26/2010 | 05/14/2010 | Minimal harm or potential for actual harm | Widespread |
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| automatic sprinkler systems that have been maintained in working order. | 06/18/2009 | 06/30/2009 | Potential for minimal harm | Pattern |
Vertical Openings Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| proper stairway enclosures and vertical shafts. | 06/18/2009 | 06/30/2009 | Potential for minimal harm | Pattern |