US Nursing Home Finder: KITSAP HEALTH & REHABILITATION CENTER BREMERTON WA

General Information: KITSAP HEALTH & REHABILITATION CENTER
Nursing home name	KITSAP HEALTH & REHABILITATION CENTER
Address	3517 ELEVENTH STREET BREMERTON, WA 98312
Phone number	(360) 377-5537
Located within a hospital	No
Type of ownership	For profit - Corporation
Owner operates multiple homes	Yes
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	RESIDENT
Certified number of beds	62
Total number of residents	36
Perc of occupied beds	58
Sprinkler status	fully sprinklered
Last health survey date	06/08/2009
Fire survey date:	06/08/2009

Ratings Summary: KITSAP HEALTH & REHABILITATION CENTER
Overall rating	2 out of 5 stars
Nursing Home Staffing	4 out of 5 stars
Registered Nurses only	5 out of 5 stars
Health Inspections	1 out of 5 stars
Quality Measures	2 out of 5 stars

Nursing Home Staffing Info: KITSAP HEALTH & REHABILITATION CENTER
	National Average	KITSAP HEALTH & REHABILITATION CENTER
Overall staff rating	Not Available.	4 out of 5 stars
Registered Nurses only rating	Not Available	5 out of 5 stars
Total Number of Residents	94.2	36
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.51 hours
Registered Nurses Hours per Residents per Day	0.6 hours	1.09 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.42 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	1.09 hours

Health Inpections: KITSAP HEALTH & REHABILITATION CENTER
Inspection Results: 06/08/2009
Corrected	Category	Deficiency	Severity
07/20/2009	Administration Deficiencies	Get proof that a nurse aide has the training and skills that the State requires.	D
07/20/2009	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	E
07/20/2009	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.	E
07/20/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
07/20/2009	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.	D
07/20/2009	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
07/20/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
07/20/2009	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
07/20/2009	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	E
07/20/2009	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
07/20/2009	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
07/20/2009	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	B
Inspection Results: 05/08/2008
Corrected	Category	Deficiency	Severity
07/15/2008	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.	D
07/15/2008	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	F
07/15/2008	Quality Care Deficiencies	Use a registered nurse at least 8 hours a day, 7 days a week.	F
07/15/2008	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	D
07/15/2008	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.	E
07/15/2008	Administration Deficiencies	Keep accurate and appropriate medical records.	F
07/15/2008	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
09/04/2008	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	E
07/15/2008	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
07/15/2008	Mistreatment Deficiencies	1) Hire only people who have 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.	D
07/15/2008	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	D
07/15/2008	Resident Rights Deficiencies	Tell the resident completely about his or her health status.	E
Inspection Results: 05/25/2007
Corrected	Category	Deficiency	Severity
07/06/2007	Administration Deficiencies	Keep accurate and appropriate medical records.	E
07/06/2007	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	E
07/06/2007	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
07/06/2007	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	E
07/06/2007	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
07/06/2007	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	E
07/06/2007	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.	D
07/06/2007	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	G
07/05/2007	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.	G
07/06/2007	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	G
07/25/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	G
07/06/2007	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	D

Fire Safety Inpections: KITSAP HEALTH & REHABILITATION CENTER
Inspection Results: 05/05/2008
Corrected	Category	Deficiency	Severity
05/06/2008	Fire Alarm Systems Deficiencies	an approved back-up procedure for a faulty fire alarm system.	D
05/06/2008	Automatic Sprinkler Systems Deficiencies	back-up procedures in place for a faulty automatic sprinkler system.	D
05/06/2008	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
05/06/2008	Furnishings and Decorations Deficiencies	exits that are free from obstructions and can be used at all times.	F
06/18/2008	Automatic Sprinkler Systems Deficiencies	portable fire extinguishers.	D
05/05/2008	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	D
07/18/2008	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	F
Inspection Results: 05/22/2007
Corrected	Category	Deficiency	Severity
06/28/2007	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
06/28/2007	Furnishings and Decorations Deficiencies	exits that are free from obstructions and can be used at all times.	D
06/28/2007	Building Service Equipment Deficiencies	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	D
06/28/2007	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	F
06/28/2007	Illumination and Emergency Power Deficiencies	properly located and lighted "Exit" signs.	D
06/28/2007	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	E

Resident Complaints: KITSAP HEALTH & REHABILITATION CENTER
Date Complaint Substantiated: 02/12/2010
Corrected	Category	Deficiency	Severity
03/04/2010	Mistreatment Deficiencies	1) Hire only people who have 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.	E
03/04/2010	Mistreatment Deficiencies	Protect each resident from all abuse, physical punishment, and being separated from others.	G
Date Complaint Substantiated: 11/25/2008
Corrected	Category	Deficiency	Severity
12/15/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
Date Complaint Substantiated: 08/20/2008
Corrected	Category	Deficiency	Severity
09/04/2008	Mistreatment Deficiencies	1) Hire only people who have 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.	D
Date Complaint Substantiated: 08/07/2008
Corrected	Category	Deficiency	Severity
09/04/2008	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	J
Date Complaint Substantiated: 06/26/2008
Corrected	Category	Deficiency	Severity
09/04/2008	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	G
09/04/2008	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
09/04/2008	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
Date Complaint Substantiated: 03/26/2008
Corrected	Category	Deficiency	Severity
04/15/2008	Administration Deficiencies	Have licensed, certified, or registered staff to give needed services.	D
04/15/2008	Administration Deficiencies	Get proof that a nurse aide has the training and skills that the State requires.	D
Date Complaint Substantiated: 11/16/2007
Corrected	Category	Deficiency	Severity
12/21/2007	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	B
12/21/2007	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
12/21/2007	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
12/21/2007	Resident Rights Deficiencies	Provide enough notice before discharging or transferring a resident.	D
Date Complaint Substantiated: 09/13/2007
Corrected	Category	Deficiency	Severity
10/09/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
Date Complaint Substantiated: 07/19/2007
Corrected	Category	Deficiency	Severity
07/25/2007	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
07/25/2007	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	D
07/25/2007	Mistreatment Deficiencies	1) Hire only people who have 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.	D
Date Complaint Substantiated: 02/28/2007
Corrected	Category	Deficiency	Severity
04/02/2007	Resident Assessment Deficiencies	Develop a plan with the resident and family for the resident's care after leaving the nursing home.	D
04/02/2007	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.	D

Quality Measures: KITSAP HEALTH & REHABILITATION CENTER
Quality Measures	National Average	KITSAP HEALTH & REHABILITATION CENTER
Overall quality rating	Not Available	2 out of 5 stars
Long-Stay Residents
Percent of long-stay residents who are more depressed or anxious	14%	16%
Percent of low-risk long-stay residents who have pressure sores	2%	11%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	5%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who were physically restrained	3%	3%
Percent of long-stay residents who have moderate to severe pain	3%	4%
Percent of long-stay residents who had a urinary tract infection	9%	5%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	47%
Percent of long-stay residents whose need for help with daily activities has increased	14%	10%
Percent of long-stay residents who lose too much weight	8%	11%
Percent of high-risk long-stay residents who have pressure sores	11%	13%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	12%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	2%
Short-Stay Residents
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	77%
Percent of short-stay residents who had moderate to severe pain	19%	27%
Percent of short-stay residents who have pressure sores	13%	12%
Percent of short-stay residents who have delirium	2%	1%
Percent of short-stay residents given influenza vaccination during the flu season	83%	83%

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™: KITSAP HEALTH & REHABILITATION CENTER BREMERTON WA