General Information: SAN JUAN REHAB AND CARE CENTER
Nursing home name SAN JUAN REHAB AND CARE CENTER
Address911 21ST STREET
ANACORTES, WA 98221
Phone number (360) 293-7222
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 52
Total number of residents 50
Perc of occupied beds 96
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: SAN JUAN REHAB AND CARE CENTER
Overall rating 4
4
Nursing Home Staffing 4
4
Registered Nurses only 4
4
Health Inspections 4
4
Quality Measures 4
4
Nursing Home Staffing Info: SAN JUAN REHAB AND CARE CENTER
National AverageWashington AverageSAN JUAN REHAB AND CARE CENTER
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 50
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.42 hours 3.88 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.76 hours 1.52 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.15 hours 0.86 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.61 hours 0.66 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.65 hours 2.36 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.15 hours 0.32 hours
Health Survey: SAN JUAN REHAB AND CARE CENTER
Heath Survey Summary on 2013-05-03
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-03-02
Total Number of Health Deficiencies 1
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-02-11
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: SAN JUAN REHAB AND CARE CENTER
Inspection Results: 05/03/2013
Corrected Deficiency Scope and Severity
06/15/2013 Give residents a notice of rights, rules, services and charges. Isolated/Minimal harm or potential for actual harm
06/15/2013 Allow residents to self-administer drugs if determined safe. Isolated/Minimal harm or potential for actual harm
06/15/2013 Provide activities to meet the interests and needs of each resident. Pattern/Minimal harm or potential for actual harm
06/15/2013 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
06/15/2013 Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. Pattern/Minimal harm or potential for actual harm
06/15/2013 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
Inspection Results: 03/02/2012
Corrected Deficiency Scope and Severity
04/27/2012 Conduct initial and periodic assessments of each resident's functional capacity. Pattern/Minimal harm or potential for actual harm
Inspection Results: 02/11/2011
Corrected Deficiency Scope and Severity
03/25/2011 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. Isolated/Minimal harm or potential for actual harm
03/25/2011 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
03/25/2011 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: SAN JUAN REHAB AND CARE CENTER
Fire Safety Survey Summary on 2013-05-03
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2012-03-06
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-02-08
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey: SAN JUAN REHAB AND CARE CENTER
Fire Safety Survey Results: 03/06/2012
Corrected Deficiency Severity
03/08/2012 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
03/08/2012 Smoke barrier doors that can resist smoke for at least 20 minutes. Pattern/Minimal harm or potential for actual harm
03/08/2012 Emergency lighting that can last at least 1 1/2 hours. Pattern/Minimal harm or potential for actual harm
03/22/2012 Properly maintained smoke detectors. Widespread /Minimal harm or potential for actual harm
03/09/2012 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 02/08/2011
Corrected Deficiency Severity
03/14/2011 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
03/14/2011 Weekly inspections and monthly testing of generators. Isolated/Minimal harm or potential for actual harm
03/14/2011 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm

Resident Complaints: SAN JUAN REHAB AND CARE CENTER
Date Complaint Substantiated: 01/28/2013
CorrectedCategoryDeficiencySeverity
02/28/2013Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
02/28/2013Provide necessary care and services to maintain or improve the highest well being of each resident . D
Date Complaint Substantiated: 10/18/2012
CorrectedCategoryDeficiencySeverity
11/07/2012Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. D

Quality Measures: SAN JUAN REHAB AND CARE CENTER
Quality Measures National Average Washington Average SAN JUAN REHAB AND CARE CENTER
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 13.2% 12.8%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 10.8% 9.3%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.6% 6.6%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.6% 3.4%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 50.8% 61.0%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.6% 5.4%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.4% 6.9%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 11.9% 4.8%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.1% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.1% 6.8%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 91.3% 98.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.4% 98.9%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 19.4% 18.1%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 22.2% 10.4%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.0% 1.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 86.2% 98.4%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 86.1% 98.5%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.1% 1.5%

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