| General Information: WASHINGTON NURSING FACILITY | |
|---|---|
| Nursing home name | WASHINGTON NURSING FACILITY |
| Address | 2425 25TH STREET SE WASHINGTON, DC 20020 |
| Phone number | (202) 889-3600 |
| Located within a hospital | No |
| Type of ownership | For profit - Partnership |
| Owner operates multiple homes | No |
| Accept Medicare or Medicaid | Medicare and Medicaid |
| Continue Care Retirement Community | No |
| Resident and family councils | RESIDENT |
| Certified number of beds | 360 |
| Total number of residents | 353 |
| Perc of occupied beds | 98 |
| Sprinkler status | fully sprinklered |
| Last health survey date | 12/11/2009 |
| Fire survey date: | 12/11/2009 |
| Ratings Summary: WASHINGTON NURSING FACILITY | |
|---|---|
| Overall rating |
2 out of 5 stars |
| Nursing Home Staffing |
4 out of 5 stars |
| Registered Nurses only |
4 out of 5 stars |
| Health Inspections |
1 out of 5 stars |
| Quality Measures |
5 out of 5 stars |
| Nursing Home Staffing Info: WASHINGTON NURSING FACILITY | ||
|---|---|---|
| National Average | WASHINGTON NURSING FACILITY | |
| Overall staff rating | Not Available. |
4 out of 5 stars |
| Registered Nurses only rating | Not Available |
4 out of 5 stars |
| Total Number of Residents | 94.2 | 353 |
| Total Number of Licensed Nurse Staff Hours per Resident per Day | 1.4 hours | 1.87 hours |
| Registered Nurses Hours per Residents per Day | 0.6 hours | 0.82 hours |
| Licensed Practical or Vacation Nurses Hours per Resident per Day | 0.8 hours | 1.05 hours |
| Certified Nursing Assistants Hours per Residents per Day | 0.6 hours | 0.82 hours |
| Health Inpections: WASHINGTON NURSING FACILITY | |||
|---|---|---|---|
| Inspection Results: 12/11/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 01/15/2010 | Administration Deficiencies | Keep accurate and appropriate medical records. | D |
| 01/15/2010 | Administration Deficiencies | Follow all laws and professional standards. | D |
| 01/15/2010 | Environmental Deficiencies | Keep all essential equipment working safely. | D |
| 01/15/2010 | Environmental Deficiencies | Have a program to keep infection from spreading. | D |
| 01/15/2010 | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | D |
| 01/15/2010 | Quality Care Deficiencies | Give special rehabilitation by skilled workers, when ordered by a doctor. | D |
| 01/15/2010 | Resident Assessment Deficiencies | Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | D |
| 01/15/2010 | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | D |
| 01/15/2010 | Pharmacy Service Deficiencies | 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. | D |
| 01/15/2010 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | E |
| 01/15/2010 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | E |
| 01/15/2010 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | D |
| 01/15/2010 | Resident Assessment Deficiencies | 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. | D |
| 01/15/2010 | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | E |
| 01/15/2010 | Resident Assessment Deficiencies | Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | D |
| 01/15/2010 | Environmental Deficiencies | Provide needed housekeeping and maintenance. | E |
| 01/15/2010 | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | D |
| 01/15/2010 | Resident Rights Deficiencies | Provide proof that all residents' personal money which is deposited with the nursing home, is secure. | D |
| 01/15/2010 | Resident Rights Deficiencies | Quickly give a resident's personal money to the heads of his or her estate after the resident's death. | D |
| 01/15/2010 | Resident Rights Deficiencies | 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. | D |
| Inspection Results: 01/16/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 04/02/2009 | Administration Deficiencies | Keep accurate and appropriate medical records. | D |
| 04/02/2009 | Administration Deficiencies | Follow all laws and professional standards. | D |
| 04/02/2009 | Environmental Deficiencies | Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture. | D |
| 04/02/2009 | Environmental Deficiencies | Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. | D |
| 04/02/2009 | Environmental Deficiencies | Make sure that staff members wash their hands when needed. | E |
| 04/02/2009 | Environmental Deficiencies | Have a program to keep infection from spreading. | D |
| 04/02/2009 | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | D |
| 04/02/2009 | Pharmacy Service Deficiencies | At least once a month, have a licensed pharmacist check the drugs that each resident takes. | D |
| 04/02/2009 | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | E |
| 04/02/2009 | Quality Care Deficiencies | Give or get dental care for each resident. | D |
| 04/02/2009 | Resident Assessment Deficiencies | Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | D |
| 04/02/2009 | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | E |
| 04/02/2009 | Nutrition and Dietary Deficiencies | 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. | E |
| 04/02/2009 | Pharmacy Service Deficiencies | Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | D |
| 04/02/2009 | Pharmacy Service Deficiencies | 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. | D |
| 04/02/2009 | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | D |
| 04/02/2009 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 04/02/2009 | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | D |
| 04/02/2009 | Quality Care Deficiencies | Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. | E |
| 04/02/2009 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | G |
| 04/02/2009 | Resident Assessment Deficiencies | 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. | D |
| 04/02/2009 | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D |
| 04/02/2009 | Resident Assessment Deficiencies | Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | D |
| 04/02/2009 | Environmental Deficiencies | Provide needed housekeeping and maintenance. | E |
| 04/02/2009 | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | D |
| 04/02/2009 | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | D |
| 04/02/2009 | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | D |
| 04/02/2009 | Resident Rights Deficiencies | Let residents talk to and get information from agencies acting on their behalf. | B |
| 04/02/2009 | Resident Rights Deficiencies | Allow residents to easily see the results of the nursing home's most recent survey. | C |
| 04/02/2009 | Resident Rights Deficiencies | Keep each resident's personal and medical records private and confidential. | D |
| 04/02/2009 | Resident Rights Deficiencies | Provide proof that all residents' personal money which is deposited with the nursing home, is secure. | C |
| 04/02/2009 | Resident Rights Deficiencies | 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. | D |
| Inspection Results: 01/14/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 03/14/2008 | Administration Deficiencies | Keep accurate and appropriate medical records. | E |
| 03/14/2008 | Administration Deficiencies | 1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. | E |
| 03/14/2008 | Administration Deficiencies | Follow all laws and professional standards. | D |
| 03/14/2008 | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | E |
| 03/14/2008 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable. | C |
| 03/14/2008 | Environmental Deficiencies | Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. | D |
| 04/04/2008 | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | E |
| 03/14/2008 | Quality Care Deficiencies | Give or get dental care for each resident. | D |
| 03/14/2008 | Resident Assessment Deficiencies | Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | D |
| 03/14/2008 | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | F |
| 03/14/2008 | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | D |
| 03/14/2008 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | G |
| 03/14/2008 | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | G |
| 04/04/2008 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | E |
| 03/14/2008 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | D |
| 03/14/2008 | Resident Assessment Deficiencies | 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. | E |
| 03/14/2008 | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D |
| 03/14/2008 | Resident Assessment Deficiencies | Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | D |
| 02/28/2008 | Environmental Deficiencies | Provide needed housekeeping and maintenance. | E |
| 03/14/2008 | Resident Rights Deficiencies | Give enough notice to the resident before changing the resident's room or roommate. | D |
| 04/04/2008 | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | D |
| 03/14/2008 | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | D |
| 03/14/2008 | Resident Rights Deficiencies | Keep each resident's personal and medical records private and confidential. | D |
| 03/14/2008 | Resident Rights Deficiencies | 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. | D |
| Fire Safety Inpections: WASHINGTON NURSING FACILITY | |||
|---|---|---|---|
| Inspection Results: 12/11/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 01/15/2010 | Fire Alarm Systems Deficiencies | a fire alarm system that can be heard throughout the facility. | D |
| 01/15/2010 | Illumination and Emergency Power Deficiencies | proper backup exit lighting. | E |
| 01/15/2010 | Vertical Openings Deficiencies | exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors. | D |
| 01/15/2010 | Corridor Walls and Doors Deficiencies | corridor and hallway doors that block smoke. | E |
| 01/15/2010 | Corridor Walls and Doors Deficiencies | corridors that are separated from common areas by walls constructed to limit the passage of smoke. | D |
| Inspection Results: 03/25/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 04/03/2009 | Corridor Walls and Doors Deficiencies | corridor and hallway doors that block smoke. | E |
| Inspection Results: 01/11/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 03/20/2008 | Illumination and Emergency Power Deficiencies | proper backup exit lighting. | D |
| 03/20/2008 | Emergency Plans and Fire Drills Deficiencies | did not have a written emergency evacuation plan. | E |
| 03/20/2008 | Corridor Walls and Doors Deficiencies | corridor and hallway doors that block smoke. | E |
| 03/20/2008 | Corridor Walls and Doors Deficiencies | corridors that are separated from common areas by walls constructed to limit the passage of smoke. | E |
| Resident Complaints: WASHINGTON NURSING FACILITY | |||
|---|---|---|---|
| Date Complaint Substantiated: 11/16/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 12/30/2009 | Resident Rights Deficiencies | 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. | G |
| 12/30/2009 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | G |
| 12/30/2009 | Administration Deficiencies | Follow all laws and professional standards. | D |
| Date Complaint Substantiated: 11/03/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 12/16/2009 | Administration Deficiencies | Keep accurate and appropriate medical records. | D |
| Date Complaint Substantiated: 10/30/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 11/30/2009 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | D |
| 11/30/2009 | Resident Assessment Deficiencies | Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | D |
| 11/30/2009 | Administration Deficiencies | Keep accurate and appropriate medical records. | D |
| Date Complaint Substantiated: 10/28/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 12/16/2009 | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | D |
| Date Complaint Substantiated: 10/23/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 11/20/2009 | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | D |
| Date Complaint Substantiated: 10/19/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 12/16/2009 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | D |
| Date Complaint Substantiated: 10/16/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 11/30/2009 | Administration Deficiencies | Follow all laws and professional standards. | D |
| Date Complaint Substantiated: 10/01/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 10/30/2008 | Administration Deficiencies | Keep accurate and appropriate medical records. | D |
| 10/30/2008 | Resident Rights Deficiencies | 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. | D |
| Date Complaint Substantiated: 09/25/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 10/30/2008 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | D |
| 10/30/2008 | Resident Assessment Deficiencies | Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | D |
| 10/30/2008 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 10/30/2008 | Resident Assessment Deficiencies | 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. | D |
| 10/30/2008 | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D |
| Date Complaint Substantiated: 08/01/2008 | |||
| Corrected | Category | Deficiency | Severity |
| Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | D | |
| Date Complaint Substantiated: 06/09/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 08/19/2008 | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | D |
| 08/19/2008 | Resident Assessment Deficiencies | 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. | D |
| 08/19/2008 | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | D |
| Date Complaint Substantiated: 05/26/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 08/01/2008 | Resident Rights Deficiencies | Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility. | D |
| 08/01/2008 | Resident Rights Deficiencies | Provide enough notice before discharging or transferring a resident. | D |
| Date Complaint Substantiated: 12/27/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 12/27/2007 | Resident Assessment Deficiencies | 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. | D |
| Date Complaint Substantiated: 11/05/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 12/03/2007 | Resident Assessment Deficiencies | Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | D |
| 12/03/2007 | Pharmacy Service Deficiencies | At least once a month, have a licensed pharmacist check the drugs that each resident takes. | D |
| 12/03/2007 | Resident Assessment Deficiencies | 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. | D |
| Date Complaint Substantiated: 03/31/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 05/18/2007 | Resident Assessment Deficiencies | Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | D |
| 05/18/2007 | Quality Care Deficiencies | Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | D |
| Date Complaint Substantiated: 03/29/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 02/05/2007 | Resident Rights Deficiencies | Provide enough notice before discharging or transferring a resident. | D |
| Quality Measures: WASHINGTON NURSING FACILITY | ||
|---|---|---|
| Quality Measures | National Average | WASHINGTON NURSING FACILITY |
| Overall quality rating | Not Available |
5 out of 5 stars |
| Long-Stay Residents | ||
| Percent of long-stay residents who lose too much weight | 8% | 8% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 50% | 48% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% | 5% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 5% | 2% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 89% | 42% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 4% | 2% |
| Percent of high-risk long-stay residents who have pressure sores | 11% | 10% |
| Percent of long-stay residents given influenza vaccination during the flu season | 91% | 59% |
| Percent of long-stay residents who are more depressed or anxious | 14% | 3% |
| Percent of long-stay residents who had a urinary tract infection | 9% | 5% |
| Percent of long-stay residents who were physically restrained | 3% | 3% |
| Percent of low-risk long-stay residents who have pressure sores | 2% | 1% |
| Percent of long-stay residents who have moderate to severe pain | 3% | 1% |
| Percent of long-stay residents whose need for help with daily activities has increased | 14% | 7% |
| Short-Stay Residents | ||
| Percent of short-stay residents given influenza vaccination during the flu season | 83% | 35% |
| Percent of short-stay residents who had moderate to severe pain | 19% | 7% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 83% | 28% |
| Percent of short-stay residents who have delirium | 2% | 0% |
| Percent of short-stay residents who have pressure sores | 13% | 14% |
| Severity Codes Explanation. Note: The higher the letter, the higher the severity. | |
|---|---|
| A | Isolated /Potential for minimal harm |
| B | Pattern /Potential for minimal harm |
| C | Widespread /Potential for minimal harm |
| D | Isolated /Minimal harm or potential for actual harm |
| E | Pattern /Minimal harm or potential for actual harm |
| F | Widespread /Minimal harm or potential for actual harm |
| G | Isolated /Actual harm |
| H | Pattern /Actual harm |
| I | Widespread /Actual harm |
| J | Isolated /Immediate jeopardy to resident health or safety |
| K | Pattern /Immediate jeopardy to resident health or safety |
| L | Widespread /Immediate jeopardy to resident health or safety |