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Tacoma Nursing And Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 150
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: 03/01/2012

Date of last standard health inspection: 03/01/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 3
Average number of Health Deficiencies in WA: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in WA: 0 - 11
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. 02/01/2012 01/04/2001 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 02/01/2012 01/04/2001 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/01/2012 01/04/2001 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/04/2010

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. 00/04/2010 00/06/2011 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 00/04/2010 00/06/2011 Few with timetables and actions that can be measured.

Inspection, 01/07/2009

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 01/07/2009 02/09/2010 investigation identification
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. 01/07/2009 02/09/2010 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 01/07/2009 02/09/2010 Few with timetables and actions that can be measured.

Inspection, 01/05/2009

Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional 01/05/2009 00/07/2010 tasty appetizing

Inspection, 01/01/2008

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. 01/01/2008 00/01/2009 3 Few

Inspection, 02/06/2007

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 02/06/2007 00/09/2009 2 Few
Assist those residents who need help with eating/drinking 02/06/2007 00/09/2009 Few grooming and personal and oral hygiene.
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 02/06/2007 00/09/2009 Few with timetables and actions that can be measured.

Inspection, 00/09/2007

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. 00/09/2007 00/03/2008 2 Few

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 01/05/2007 3 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/08/2006 01/05/2007 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/00/2006

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 01/00/2006 02/03/2006 3 Few

Inspection, 02/09/2005

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. 02/09/2005 01/05/2006 3 Few

Inspection, 01/00/2005

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. 01/00/2005 02/03/2006 2 Few

Inspection, 00/02/2005

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 00/02/2005 01/07/2005 investigation identification

Inspection, 03/00/2003

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. 03/00/2003 01/06/2004 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. 03/00/2003 01/06/2004 2 Few

Inspection, 00/05/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 00/05/2003 00/08/2004 1 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/05/2003 00/08/2004 1 Many
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/05/2003 00/08/2004 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with 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. 00/05/2003 00/08/2004 2 Few
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. 00/05/2003 00/08/2004 1 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. 00/05/2003 00/08/2004 2 Few
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. 00/05/2003 00/08/2004 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/05/2003 00/08/2004 2 Few
Provide care by qualified persons according to each resident's written plan of care. 00/05/2003 00/08/2004 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/05/2003 00/08/2004 3 Few
Ensure residents maintain acceptable nutritional status. 00/05/2003 00/08/2004 3 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/05/2003 00/08/2004 2 Few
Provide or obtain dental services for each resident. 00/05/2003 00/08/2004 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. 00/05/2003 00/08/2004 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/05/2003 00/08/2004 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/05/2003 00/08/2004 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/05/2003 00/08/2004 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. 00/05/2003 00/08/2004 2 Few

Inspection, 00/01/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/01/2003 03/00/2003 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/01/2003 03/00/2003 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/01/2003 03/00/2003 2 Few
Keep all essential equipment working safely. 00/01/2003 03/00/2003 2 Few
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. 00/01/2003 03/00/2003 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. 00/01/2003 03/00/2003 2 Some
Offer other nutritional food to each resident who will not eat the food served. 00/01/2003 03/00/2003 2 Few
Store, cook, and serve food in a safe and clean way. 00/01/2003 03/00/2003 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. 00/01/2003 03/00/2003 2 Few
Ensure that residents are safe from serious medication errors. 00/01/2003 03/00/2003 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. 00/01/2003 03/00/2003 2 Few
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 00/01/2003 03/00/2003 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. 00/01/2003 03/00/2003 2 Many
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are fully informed and understand their health status, care and treatments. 00/01/2003 03/00/2003 2 Few
Provide care for each resident in a way that maintains or improves their quality of life. 00/01/2003 03/00/2003 2 Some

Inspection, 01/07/2002

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/07/2002 02/06/2003 2 Few

Inspection, 01/00/2002

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. 01/00/2002 00/07/2003 2 Many
Quickly tell the resident's doctor the results of laboratory tests. 01/00/2002 00/07/2003 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/00/2002 00/07/2003 2 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 01/00/2002 00/07/2003 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/00/2002 00/07/2003 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/00/2002 00/07/2003 2 Some
Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. 01/00/2002 00/07/2003 4 Many
Keep all essential equipment working safely. 01/00/2002 00/07/2003 2 Many
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 01/00/2002 00/07/2003 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. 01/00/2002 00/07/2003 2 Some
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/00/2002 00/07/2003 2 Some
Ensure that residents are safe from serious medication errors. 01/00/2002 00/07/2003 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. 01/00/2002 00/07/2003 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/00/2002 00/07/2003 2 Few
Ensure residents maintain acceptable nutritional status. 01/00/2002 00/07/2003 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/00/2002 00/07/2003 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 01/00/2002 00/07/2003 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. 01/00/2002 00/07/2003 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/00/2002 00/07/2003 2 Few
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 01/00/2002 00/07/2003 2 Some
Make sure that doctors visit residents regularly, as required. 01/00/2002 00/07/2003 2 Some
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. 01/00/2002 00/07/2003 2 Few

Inspection, 02/05/2001

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. 02/05/2001 00/07/2003 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/05/2001 00/07/2003 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/05/2001 00/07/2003 and a family member of situations (injury/decline/ the resident's doctor

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 3 out of 5 stars
Total Number of Residents 86 75 95
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 11 hours 47 minutes 1 hour 21 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 11 hours 8 minutes 32 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 10 hours 47 minutes 48 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 12 hours 37 minutes 2 hours 32 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: 02/17/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 02/17/2012
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 WA: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in WA: 0 - 0

Inspection, 02/02/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Portable fire extinguishers. 02/02/2002 00/08/2003 1 Some
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 00/08/2003 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/02/2002 00/08/2003 2 Some

Inspection, 01/07/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/07/2002 00/09/2003 2 Few
Portable fire extinguishers. 01/07/2002 00/09/2003 1 Some
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 01/07/2002 00/09/2003 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/07/2002 00/09/2003 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. 01/07/2002 00/09/2003 2 Many
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly located and lighted Exit" signs." 01/07/2002 00/09/2003 2 Few

Inspection, 00/03/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/03/2002 00/04/2003 2 Few
Portable fire extinguishers. 00/03/2002 00/04/2003 2 Few
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 00/03/2002 00/04/2003 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/03/2002 00/04/2003 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A separate and independent backup electrical power source. 00/03/2002 00/04/2003 4 Many
Properly installed electrical wiring and equipment. 00/03/2002 00/04/2003 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 00/03/2002 00/04/2003 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. 00/03/2002 00/04/2003 2 Some
Properly sized and located linen or trash receptacles. 00/03/2002 00/04/2003 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/03/2002 00/04/2003 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 00/03/2002 00/04/2003 2 Few
 

2102 South 96th Street
Tacoma, WA 98444

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