US Nursing Home Finder: BOOKER REST HOME ANNEX DAYTON WA

General Information: BOOKER REST HOME ANNEX
Nursing home name	BOOKER REST HOME ANNEX
Address	1012 SOUTH 3RD STREET DAYTON, WA 99328
Phone number	(509) 382-3212
Located within a hospital	Yes
Type of ownership	Government - Hospital district
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	34
Total number of residents	29
Perc of occupied beds	85
Sprinkler status	fully sprinklered
Last health survey date	02/19/2009
Fire survey date:	02/18/2009

Ratings Summary: BOOKER REST HOME ANNEX
Overall rating	4 out of 5 stars
Nursing Home Staffing	4 out of 5 stars
Registered Nurses only	5 out of 5 stars
Health Inspections	3 out of 5 stars
Quality Measures	3 out of 5 stars

Nursing Home Staffing Info: BOOKER REST HOME ANNEX
	National Average	BOOKER REST HOME ANNEX
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	29
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.22 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.7 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.52 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.7 hours

Health Inpections: BOOKER REST HOME ANNEX
Inspection Results: 02/19/2009
Corrected	Category	Deficiency	Severity
02/20/2009	Administration Deficiencies	Hire nurse aides who have completed required training and shown that they are skilled.	D
02/27/2009	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
03/09/2009	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.	E
03/09/2009	Resident Assessment Deficiencies	Check and update (if needed) each resident's assessment every 3 months.	D
04/08/2009	Resident Assessment Deficiencies	Do an assessment of the resident every year.	D
02/25/2009	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
03/04/2009	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
03/12/2009	Resident Rights Deficiencies	Allow residents to easily see the results of the nursing home's most recent survey.	B
Inspection Results: 03/12/2008
Corrected	Category	Deficiency	Severity
05/12/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
05/12/2008	Administration Deficiencies	Get services outside the nursing home that meet professional standards.	D
05/12/2008	Administration Deficiencies	Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person.	E
05/12/2008	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
05/12/2008	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	D
05/12/2008	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	E
05/12/2008	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
Inspection Results: 04/19/2007
Corrected	Category	Deficiency	Severity
06/08/2007	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	F
06/08/2007	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
06/08/2007	Quality Care Deficiencies	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	G
06/08/2007	Quality Care Deficiencies	Make sure that each residents' abilities to take care of themselves does not lessen, unless a change cannot be avoided.	G
06/08/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	G
06/08/2007	Resident Assessment Deficiencies	Check and update (if needed) each resident's assessment every 3 months.	D
06/08/2007	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D

Fire Safety Inpections: BOOKER REST HOME ANNEX
Inspection Results: 02/18/2009
Corrected	Category	Deficiency	Severity
04/05/2009	Furnishings and Decorations Deficiencies	restrictions on the use of highly flammable materials.	F
04/05/2009	Furnishings and Decorations Deficiencies	exits that are free from obstructions and can be used at all times.	E
04/05/2009	Building Service Equipment Deficiencies	restrictions on the use of portable space heaters.	E
04/05/2009	Smoking Regulations Deficiencies	posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.	E
04/05/2009	Illumination and Emergency Power Deficiencies	proper backup exit lighting.	E
Inspection Results: 03/12/2008
Corrected	Category	Deficiency	Severity
05/12/2008	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	F
05/12/2008	Furnishings and Decorations Deficiencies	exits that are free from obstructions and can be used at all times.	D
05/12/2008	Furnishings and Decorations Deficiencies	restrictions on the use of highly flammable materials.	D
05/12/2008	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	E
Inspection Results: 04/17/2007
Corrected	Category	Deficiency	Severity
05/25/2007	Automatic Sprinkler Systems Deficiencies	back-up procedures in place for a faulty automatic sprinkler system.	F
05/25/2007	Fire Alarm Systems Deficiencies	an approved back-up procedure for a faulty fire alarm system.	F
05/25/2007	Furnishings and Decorations Deficiencies	exits that are free from obstructions and can be used at all times.	E
05/25/2007	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	D
05/25/2007	Smoke Compartmentation and Control Deficiencies	smoke barrier doors that can resist smoke for at least 20 minutes.	F
05/25/2007	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	E

Resident Complaints: BOOKER REST HOME ANNEX
Date Complaint Substantiated: 09/28/2009
Corrected	Category	Deficiency	Severity
10/01/2009	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
Date Complaint Substantiated: 04/15/2009
Corrected	Category	Deficiency	Severity
05/15/2009	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
05/15/2009	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
05/15/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
Date Complaint Substantiated: 07/22/2008
Corrected	Category	Deficiency	Severity
08/08/2008	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	D
08/08/2008	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

Quality Measures: BOOKER REST HOME ANNEX
Quality Measures	National Average	BOOKER REST HOME ANNEX
Overall quality rating	Not Available	3 out of 5 stars
Long-Stay Residents
Percent of long-stay residents who were physically restrained	3%	0%
Percent of long-stay residents who have moderate to severe pain	3%	3%
Percent of long-stay residents who are more depressed or anxious	14%	13%
Percent of high-risk long-stay residents who have pressure sores	11%	9%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	85%
Percent of long-stay residents who had a urinary tract infection	9%	8%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	10%
Percent of long-stay residents whose need for help with daily activities has increased	14%	11%
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 spend most of their time in bed or in a chair	4%	1%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	44%
Percent of low-risk long-stay residents who have pressure sores	2%	5%
Percent of long-stay residents who lose too much weight	8%	7%
Short-Stay Residents
Percent of short-stay residents who had moderate to severe pain	19%	Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.%
Percent of short-stay residents given influenza vaccination during the flu season	83%	Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.%
Percent of short-stay residents who have delirium	2%	Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.%
Percent of short-stay residents who have pressure sores	13%	Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.%

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™: BOOKER REST HOME ANNEX DAYTON WA