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Mercer Island Care & Rehab Ctr

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 100
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: 07/08/2011

Date of last standard health inspection: 07/08/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 2
Average number of Health Deficiencies in WA: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in WA: 0 - 11
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents maintain acceptable nutritional status. 00/03/2012 02/08/2002 2 Few
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 00/03/2012 02/08/2002 2 Some

Inspection, 02/03/2011

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/03/2011 01/06/2012 3 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Honor a residents' rights as a residents of the nursing home 02/03/2011 01/06/2012 and as citizens or residents of the United States. free of coercion and reprisal
Provide timely notification to the resident before transfer or discharge. 02/03/2011 01/06/2012 3 Few
Tell the resident or the resident 02/03/2011 01/06/2012 2 Few
Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. 02/03/2011 01/06/2012 2 Few

Inspection, 02/02/2009

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Reasonably accommodate the needs and preferences of each resident. 02/02/2009 03/01/2010 2 Some

Inspection, 00/06/2009

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. 00/06/2009 02/04/2009 2 Many
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. 00/06/2009 02/04/2009 2 Some
Have a detailed 00/06/2009 02/04/2009 such as fire written plan for disasters and emergencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 00/06/2009 02/04/2009 Some and develop corrective plans of action.
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain comfortable and safe temperature levels. 00/06/2009 02/04/2009 2 Many

Inspection, 00/08/2007

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. 00/08/2007 00/08/2008 4 Some
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. 00/08/2007 00/08/2008 2 Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/08/2007 02/04/2008 2 Many
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. 00/08/2007 00/08/2008 2 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/08/2007 00/08/2008 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/08/2007 00/08/2008 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 00/08/2007 00/08/2008 4 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. 00/08/2007 00/08/2008 4 Some
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. 00/08/2007 00/08/2008 2 Some
Store, cook, and serve food in a safe and clean way. 00/08/2007 00/08/2008 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. 00/08/2007 00/08/2008 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 00/08/2007 00/08/2008 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/08/2007 00/08/2008 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/08/2007 00/08/2008 2 Few
Provide care by qualified persons according to each resident's written plan of care. 00/08/2007 00/08/2008 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/08/2007 00/08/2008 3 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/08/2007 00/08/2008 3 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/08/2007 00/08/2008 2 Some
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 00/08/2007 00/08/2008 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/08/2007 00/08/2008 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/08/2007 00/08/2008 2 Some
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 00/08/2007 00/08/2008 2 Some
Make sure that doctors visit residents regularly, as required. 00/08/2007 00/08/2008 2 Some
Make sure that all required doctor visits are made personally. 00/08/2007 00/08/2008 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. 00/08/2007 00/08/2008 2 Few
Upon the death of a resident, convey the resident 00/08/2007 00/08/2008 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/08/2007 00/08/2008 2 Some
Reasonably accommodate the needs and preferences of each resident. 00/08/2007 00/08/2008 2 Few

Inspection, 00/03/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/03/2005 01/05/2006 2 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. 00/03/2005 01/05/2006 2 Some
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. 00/03/2005 01/05/2006 2 Some
Store, cook, and serve food in a safe and clean way. 00/03/2005 01/05/2006 2 Many
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. 00/03/2005 01/05/2006 2 Some
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. 00/03/2005 01/05/2006 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/03/2005 01/05/2006 2 Few
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. 00/03/2005 01/05/2006 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. 00/03/2005 01/05/2006 2 Few
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 00/03/2005 01/05/2006 2 Some

Inspection, 02/03/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 02/03/2004 00/07/2006 2 Few
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%. 02/03/2004 00/07/2006 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 02/03/2004 00/07/2006 2 Some
Ensure services provided by the nursing facility meet professional standards of quality. 02/03/2004 00/07/2006 2 Some
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 02/03/2004 00/07/2006 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 02/03/2004 00/07/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/03/2004 00/07/2006 2 Some
Provide resident groups or resident family groups with private space to meet. 02/03/2004 00/07/2006 2 Some

Inspection, 01/00/2003

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/00/2003 02/08/2003 2 Few

Inspection, 02/08/2001

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. 02/08/2001 02/08/2002 4 Some
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. 02/08/2001 02/08/2002 2 Some
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. 02/08/2001 02/08/2002 4 Some
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. 02/08/2001 02/08/2002 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/08/2001 02/08/2002 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs 02/08/2001 02/08/2002 Some with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 02/08/2001 02/08/2002 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/08/2001 02/08/2002 2 Some

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 WA Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 75 72
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 11 hours 47 minutes 1 hour 29 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 11 hours 8 minutes 52 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 10 hours 47 minutes 36 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 12 hours 37 minutes 2 hours 14 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: 06/21/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 06/21/2011
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 WA: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in WA: 0 - 0

Inspection, 02/01/2006

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. 02/01/2006 02/02/2006 2 Many

Inspection, 00/07/2005

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of portable space heaters. 00/07/2005 00/07/2006 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/07/2005 01/02/2006 2 Many
Properly installed electrical wiring and equipment. 00/07/2005 01/02/2006 2 Many
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. 00/07/2005 01/07/2005 2 Many
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 00/07/2005 01/02/2006 2 Few

Inspection, 02/01/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Portable fire extinguishers. 02/01/2004 02/03/2004 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/01/2004 02/03/2004 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed hallway dispensers for alcohol-based hand rub. 02/01/2004 02/03/2004 2 Few
 

7445 Southeast 24th Street
Mercer Island, WA 98040

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