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Milwaukie Convalescent Ct

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 96
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: 03/07/2012

Date of last standard health inspection: 03/07/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 4
Average number of Health Deficiencies in OR: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in OR: 0 - 4
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/09/2012 01/07/2002 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/09/2012 01/07/2002 3 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/09/2012 01/07/2002 3 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/09/2012 01/07/2002 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/06/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 00/06/2010 02/04/2011 2 Many
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. 00/06/2010 02/04/2011 2 Few
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 00/06/2010 02/04/2011 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/06/2010 02/04/2011 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/06/2010 02/04/2011 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/06/2010 02/04/2011 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/06/2010 02/04/2011 1 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 00/06/2010 02/04/2011 2 Few
Keep each resident free from drugs that restrain them, unless needed for medical treatment. 00/06/2010 02/04/2011 2 Some
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 00/06/2010 02/04/2011 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/06/2010 02/04/2011 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/06/2010 02/04/2011 2 Some
Ensure that residents are safe from serious medication errors. 00/06/2010 02/04/2011 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 00/06/2010 02/04/2011 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/06/2010 02/04/2011 2 Some
Ensure services provided by the nursing facility meet professional standards of quality. 00/06/2010 02/04/2011 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/06/2010 02/04/2011 3 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 00/06/2010 02/04/2011 2 Few
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. 00/06/2010 02/04/2011 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Review or revise the resident's care plan after any major change in physical or mental health. 00/06/2010 02/04/2011 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 00/06/2010 02/04/2011 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 00/06/2010 02/04/2011 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 00/06/2010 02/04/2011 2 Few
Send unopened mail from residents and promptly deliver unopened mail to residents. 00/06/2010 02/04/2011 1 Some
Allow residents to self-administer drugs if determined safe. 00/06/2010 02/04/2011 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/06/2010 02/04/2011 2 Some
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 00/06/2010 02/04/2011 2 Few
Reasonably accommodate the needs and preferences of each resident. 00/06/2010 02/04/2011 2 Few

Inspection, 02/09/2009

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/09/2009 01/08/2011 2 Few

Inspection, 03/01/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 03/01/2008 02/01/2010 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 03/01/2008 02/09/2011 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 03/01/2008 02/09/2011 1 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 03/01/2008 02/01/2010 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. 03/01/2008 02/01/2010 2 Some
Store, cook, and serve food in a safe and clean way. 03/01/2008 02/01/2010 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 03/01/2008 02/09/2011 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 03/01/2008 02/01/2010 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 03/01/2008 02/09/2011 2 Few
Provide proof that residents' personal money that is deposited with the nursing home is secure. 03/01/2008 02/01/2010 1 Some
Keep residents' personal and medical records private and confidential. 03/01/2008 02/01/2010 2 Many
Allow residents to easily view the results of the nursing home's most recent inspection. 03/01/2008 02/01/2010 1 Many

Inspection, 02/08/2006

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/08/2006 00/05/2008 3 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/08/2006 00/05/2008 3 Few

Inspection, 00/08/2006

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/08/2006 02/08/2007 2 Some

Inspection, 00/07/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/07/2005 00/05/2006 2 Few

Inspection, 00/07/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 00/07/2003 02/06/2004 1 Many
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 00/07/2003 02/06/2004 2 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/07/2003 02/06/2004 2 Some
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 00/07/2003 02/06/2004 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/07/2003 00/05/2006 2 Few
Have a program that investigates, controls and keeps infection from spreading. 00/07/2003 00/05/2006 2 Few
Put firmly secured handrails on each side of hallways. 00/07/2003 02/06/2004 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 00/07/2003 02/06/2004 2 Few
Nutrition and Dietary Deficiencies
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. 00/07/2003 02/06/2004 2 Some
Store, cook, and serve food in a safe and clean way. 00/07/2003 02/06/2004 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 00/07/2003 02/06/2004 2 Few
Ensure that residents are safe from serious medication errors. 00/07/2003 02/06/2004 4 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/07/2003 02/06/2004 4 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/07/2003 02/06/2004 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/07/2003 02/06/2004 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/07/2003 02/06/2004 2 Some
Provide or obtain dental services for each resident. 00/07/2003 02/06/2004 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/07/2003 02/06/2004 2 Few
Assess in a timely manner the resident when the resident enters the nursing home. 00/07/2003 02/06/2004 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/07/2003 02/06/2004 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/07/2003 02/06/2004 2 Few
Make sure that doctors visit residents regularly, as required. 00/07/2003 02/06/2004 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 00/07/2003 02/06/2004 2 Many
Try to resolve each resident's complaints quickly. 00/07/2003 02/06/2004 2 Few
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 00/07/2003 02/06/2004 2 Few

Inspection, 02/02/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/02/2002 01/03/2004 Few complete and organized clinical records on each re
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/02/2002 01/03/2004 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/02/2002 01/03/2004 2 Few

Inspection, 00/08/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 00/08/2002 02/09/2003 Few complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/08/2002 02/09/2003 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/08/2002 02/09/2003 2 Few

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 OR Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 53 70
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 12 hours 21 minutes 1 hour 10 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 11 hours 47 minutes 1 hour 7 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 11 hours 33 minutes 2 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 13 hours 58 minutes 2 hours 38 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

Short-Term Residents

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: 02/22/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 02/22/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in OR: 2
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in OR: 0 - 2

Inspection, 02/03/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/03/2009 02/04/2011 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/03/2009 02/04/2011 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/03/2009 02/04/2011 2 Few

Inspection, 02/04/2008

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/04/2008 02/00/2010 2 Few
Automatic sprinkler systems that have been maintained in working order. 02/04/2008 02/00/2010 2 Many
Portable fire extinguishers. 02/04/2008 02/00/2010 2 Some
Back-up procedures in place for a faulty automatic sprinkler system. 02/04/2008 02/00/2010 2 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A two-hour-resistant firewall separation. 02/04/2008 02/00/2010 2 Some
Approved construction type or materials. 02/04/2008 02/00/2010 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 02/04/2008 02/00/2010 2 Few
Properly protected cooking facilities. 02/04/2008 02/00/2010 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/04/2008 02/00/2010 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/04/2008 02/00/2010 2 Many
Properly installed electrical wiring and equipment. 02/04/2008 02/00/2010 2 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 02/04/2008 02/00/2010 2 Many
Record of quarterly fire drills for each shift under varying conditions. 02/04/2008 02/00/2010 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Resident room doors of proper design and width. 02/04/2008 02/00/2010 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 02/04/2008 02/00/2010 2 Many
An approved back-up procedure for a faulty fire alarm system. 02/04/2008 02/00/2010 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 02/04/2008 02/00/2010 2 Many
Restrictions on the use of highly flammable decorations. 02/04/2008 02/00/2010 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/04/2008 02/00/2010 2 Few
Properly installed hallway dispensers for alcohol-based hand rub. 02/04/2008 02/00/2010 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 02/04/2008 02/00/2010 2 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/04/2008 02/00/2010 2 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 02/04/2008 02/00/2010 2 Few
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/04/2008 02/00/2010 2 Some

Inspection, 02/02/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/02/2002 02/06/2004 2 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A two-hour-resistant firewall separation. 02/02/2002 02/06/2004 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/02/2002 02/06/2004 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/02/2002 02/06/2004 2 Many
Properly installed electrical wiring and equipment. 02/02/2002 02/06/2004 2 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 02/02/2002 02/06/2004 2 Many
Record of quarterly fire drills for each shift under varying conditions. 02/02/2002 02/06/2004 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 02/02/2002 02/06/2004 2 Few
Properly sized and located linen or trash receptacles. 02/02/2002 02/06/2004 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/02/2002 02/06/2004 2 Few
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/02/2002 02/06/2004 2 Few
 

12045 Se Stanley Avenue
Milwaukie, OR 97222

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