US Nursing Home Finder: BAYCREST HEALTH CENTER NORTH BEND OR

General Information: BAYCREST HEALTH CENTER
Nursing home name	BAYCREST HEALTH CENTER
Address	3959 SHERIDAN AVENUE NORTH BEND, OR 97459
Phone number	(541) 756-4151
Located within a hospital	No
Type of ownership	For profit - Corporation
Owner operates multiple homes	No
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	Yes
Resident and family councils	BOTH
Certified number of beds	84
Total number of residents	67
Perc of occupied beds	80
Sprinkler status	partially sprinklered
Last health survey date	07/23/2009
Fire survey date:	07/29/2009

Ratings Summary: BAYCREST HEALTH CENTER
Overall rating	3 out of 5 stars
Nursing Home Staffing	4 out of 5 stars
Registered Nurses only	4 out of 5 stars
Health Inspections	3 out of 5 stars
Quality Measures	1 out of 5 stars

Nursing Home Staffing Info: BAYCREST HEALTH CENTER
	National Average	BAYCREST HEALTH CENTER
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	67
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.62 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.93 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.69 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.93 hours

Health Inpections: BAYCREST HEALTH CENTER
Inspection Results: 07/23/2009
Corrected	Category	Deficiency	Severity
09/11/2009	Resident Assessment Deficiencies	Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home.	B
Inspection Results: 06/12/2008
Corrected	Category	Deficiency	Severity
07/18/2008	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
07/18/2008	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	D
07/18/2008	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
07/18/2008	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	D
07/18/2008	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	E
07/18/2008	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
07/18/2008	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	E
07/18/2008	Administration Deficiencies	Set up or keep a group of people to review and ensure quality.	F
07/18/2008	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
07/18/2008	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
07/18/2008	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	F
Inspection Results: 06/21/2007
Corrected	Category	Deficiency	Severity
08/10/2007	Administration Deficiencies	Keep accurate and appropriate medical records.	B
08/10/2007	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	E
08/10/2007	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	C
08/10/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
08/10/2007	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D

Fire Safety Inpections: BAYCREST HEALTH CENTER
Inspection Results: 07/29/2009
Corrected	Category	Deficiency	Severity
09/11/2009	Building Service Equipment Deficiencies	elevators that met current safety standards.	F
09/11/2009	Fire Alarm Systems Deficiencies	an approved back-up procedure for a faulty fire alarm system.	F
09/11/2009	Automatic Sprinkler Systems Deficiencies	back-up procedures in place for a faulty automatic sprinkler system.	F
09/11/2009	Miscellaneous Deficiencies	fire safety features required by current fire safety codes.	F
09/11/2009	Building Service Equipment Deficiencies	properly protected cooking facilities.	D
09/11/2009	Building Service Equipment Deficiencies	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	F
09/11/2009	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	F
09/11/2009	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	F
09/11/2009	Fire Alarm Systems Deficiencies	an automatic smoke detection system in all hallways.	F
09/11/2009	Fire Alarm Systems Deficiencies	a fire alarm system that can be heard throughout the facility.	F
09/11/2009	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	F
09/11/2009	Emergency Plans and Fire Drills Deficiencies	did not have a written emergency evacuation plan.	F
09/11/2009	Illumination and Emergency Power Deficiencies	properly located and lighted "Exit" signs.	F
09/11/2009	Building Construction Deficiencies	a two-hour-resistant firewall in common walls.	F
09/11/2009	Exits and Egress Deficiencies	exits that are accessible at all times.	D
09/11/2009	Vertical Openings Deficiencies	protected exits that allow the resident to escape the building.	F
09/11/2009	Exit and Exit Access Deficiencies	at least two remote exits on each floor or fire section of the building.	D
09/11/2009	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	D
09/11/2009	Vertical Openings Deficiencies	proper stairway enclosures and vertical shafts.	F
09/11/2009	Corridor Walls and Doors Deficiencies	corridors that are separated from common areas by walls constructed to limit the passage of smoke.	F
09/11/2009	Building Construction Deficiencies	approved construction type or materials.	F
09/11/2009	Exits and Egress Deficiencies	corridors or aisles that are unobstructed and are at least 8 feet in width.	F
Inspection Results: 06/12/2008
Corrected	Category	Deficiency	Severity
07/08/2008	Emergency Plans and Fire Drills Deficiencies	did not have a written emergency evacuation plan.	F
Inspection Results: 06/20/2007
Corrected	Category	Deficiency	Severity
08/10/2007	Smoking Regulations Deficiencies	posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.	E
08/10/2007	Medical Gases and Anesthetizing Areas Deficiencies	proper medical gas storage and administration areas.	D
08/10/2007	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	F
08/10/2007	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	D

Resident Complaints: BAYCREST HEALTH CENTER
Date Complaint Substantiated: 01/15/2008
Corrected	Category	Deficiency	Severity
	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
Date Complaint Substantiated: 04/18/2007
Corrected	Category	Deficiency	Severity
06/04/2007	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.	G
06/04/2007	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	D
06/04/2007	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
06/04/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
Date Complaint Substantiated: 03/06/2007
Corrected	Category	Deficiency	Severity
04/02/2007	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

Quality Measures: BAYCREST HEALTH CENTER
Quality Measures	National Average	BAYCREST HEALTH CENTER
Overall quality rating	Not Available	1 out of 5 stars
Long-Stay Residents
Percent of low-risk long-stay residents who have pressure sores	2%	Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of long-stay residents who have moderate to severe pain	3%	8%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	70%
Percent of long-stay residents who lose too much weight	8%	9%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	10%
Percent of long-stay residents who were physically restrained	3%	2%
Percent of long-stay residents who are more depressed or anxious	14%	14%
Percent of high-risk long-stay residents who have pressure sores	11%	15%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	7%
Percent of long-stay residents whose need for help with daily activities has increased	14%	8%
Percent of long-stay residents who had a urinary tract infection	9%	19%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	4%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Short-Stay Residents
Percent of short-stay residents who had moderate to severe pain	19%	61%
Percent of short-stay residents who have pressure sores	13%	18%
Percent of short-stay residents who have delirium	2%	13%
Percent of short-stay residents given influenza vaccination during the flu season	83%	88%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	90+%

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

US Nursing Home Finder™: BAYCREST HEALTH CENTER NORTH BEND OR