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Pacific Health And Rehabilitation

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About Pacific Health And Rehabilitation

General Information

Legal Business NamePacific Gardens Estates LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareApril 1, 2006 (11 years)
Capacity112
Residents58
Percent Occupied52%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Pacific Health And Rehabilitation

Pacific Health And Rehabilitation
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Oregon Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 2, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionUse a registered nurse at least 8 hours a day, 7 days a week.
FManyPotential for HarmHealth InspectionPost nurse staffing information/data on a daily basis.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.

September 29, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionApproved construction type or materials.

September 15, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionUpon the death of a resident, convey the residentís personal funds and an accounting of those funds to the appropriate party.

September 9, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
FManyPotential for HarmFire Safety InspectionAn adequate water supply for the sprinkler system.
DFewPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

June 20, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$7,735 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Pacific Health And Rehabilitation require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

3hr 5min
2hr 15min
ReportedExpected
CNA
25min
35min
ReportedExpected
LPN
40min
55min
ReportedExpected
RN
4hr 10min
3hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

94.1%
75.4%
75.4%
92.8%
Q1 2015Q2 2015Q3 2015OR
Assessed and Appropriately Given the Seasonal Influenza Vaccine
80.0%
81.5%
70.9%
92.7%
Q1 2015Q2 2015Q3 2015OR
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
48.6%
Q1 2015Q2 2015Q3 2015OR
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
26.4%
25.5%
33.3%
17.4%
Q1 2015Q2 2015Q3 2015OR
Received an Antipsychotic Medication
9.6%
8.7%
40.4%
11.6%
Q1 2015Q2 2015Q3 2015OR
Need for Help with ADLs has Increased
23.7%
33.8%
29.4%
14.2%
Q1 2015Q2 2015Q3 2015OR
Self Report Moderate to Severe Pain
3.4%
1.9%
0.0%
7.2%
Q1 2015Q2 2015Q3 2015OR
Lose Too Much Weight
14.3%
14.3%
10.5%
6.9%
Q1 2015Q2 2015Q3 2015OR
High Risk Residents With Pressure Ulcers
6.1%
7.7%
6.1%
4.4%
Q1 2015Q2 2015Q3 2015OR
Have Depressive Symptoms
8.5%
5.6%
5.6%
5.9%
Q1 2015Q2 2015Q3 2015OR
With a Urinary Tract Infection
0.0%
0.0%
0.0%
2.7%
Q1 2015Q2 2015Q3 2015OR
Experiencing One or More Falls with Major Injury
14.6%
14.3%
13.7%
4.9%
Q1 2015Q2 2015Q3 2015OR
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.6%
Q1 2015Q2 2015Q3 2015OR
Were Physically Restrained

Quality Measures for Short Stay Residents

50.0%
45.2%
43.5%
80.1%
Q1 2015Q2 2015Q3 2015OR
Assessed and Appropriately Given the Pneumococcal Vaccine
75.0%
42.0%
42.0%
78.8%
Q1 2015Q2 2015Q3 2015OR
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
27.8%
39.6%
44.2%
23.6%
Q1 2015Q2 2015Q3 2015OR
Self Report Moderate to Severe Pain
0.0%
2.6%
2.8%
1.5%
Q1 2015Q2 2015Q3 2015OR
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.4%
Q1 2015Q2 2015Q3 2015OR
With Pressure Ulcers That Are New or Worsened