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North Cascades Health And Rehabilitation Center

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About North Cascades Health And Rehabilitation Center

General Information

Legal Business NameEvergreen At Bellingham, L.L.C.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 1, 1991 (25 years)
Capacity122
Residents91
Percent Occupied75%
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 North Cascades Health And Rehabilitation Center

North Cascades Health And Rehabilitation Center
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 Washington 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 16, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
DFewPotential for HarmFire Safety InspectionRooms that can be unlocked from inside without a key.

October 6, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth Inspection1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmComplaint+InspectionProvide care for each resident in a way that maintains or improves their quality of life.
DFewPotential for HarmHealth InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
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 InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionCoordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.
BSomePotential for Minimal HarmHealth InspectionSend unopened mail from residents and promptly deliver unopened mail to residents.
BSomePotential for Minimal HarmHealth InspectionMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

February 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

December 3, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

July 29, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

July 28, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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 InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

April 9, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
BSomePotential for Minimal HarmComplaintPost nurse staffing information/data on a daily basis.

January 29, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of North Cascades Health And Rehabilitation Center 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.

1hr 60min
2hr 20min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
40min
1hr 5min
ReportedExpected
RN
3hr 25min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

91.5%
84.1%
84.1%
94.9%
Q1 2015Q2 2015Q3 2015WA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
94.4%
92.6%
94.4%
95.1%
Q1 2015Q2 2015Q3 2015WA
Assessed and Appropriately Given the Pneumococcal Vaccine
41.5%
35.0%
-
52.2%
Q1 2015Q2 2015Q3 2015WA
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
13.6%
9.5%
9.0%
16.8%
Q1 2015Q2 2015Q3 2015WA
Received an Antipsychotic Medication
14.9%
21.5%
21.7%
13.7%
Q1 2015Q2 2015Q3 2015WA
Need for Help with ADLs has Increased
6.3%
12.7%
16.7%
9.5%
Q1 2015Q2 2015Q3 2015WA
Self Report Moderate to Severe Pain
7.1%
4.5%
1.5%
7.0%
Q1 2015Q2 2015Q3 2015WA
Lose Too Much Weight
0.0%
2.6%
2.1%
4.9%
Q1 2015Q2 2015Q3 2015WA
High Risk Residents With Pressure Ulcers
5.9%
3.1%
0.0%
9.9%
Q1 2015Q2 2015Q3 2015WA
Have Depressive Symptoms
4.3%
9.0%
11.3%
5.5%
Q1 2015Q2 2015Q3 2015WA
With a Urinary Tract Infection
7.0%
2.9%
4.2%
2.8%
Q1 2015Q2 2015Q3 2015WA
Experiencing One or More Falls with Major Injury
4.6%
0.0%
1.8%
3.1%
Q1 2015Q2 2015Q3 2015WA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.8%
Q1 2015Q2 2015Q3 2015WA
Were Physically Restrained

Quality Measures for Short Stay Residents

96.1%
94.9%
94.6%
85.7%
Q1 2015Q2 2015Q3 2015WA
Assessed and Appropriately Given the Pneumococcal Vaccine
94.2%
90.5%
90.5%
85.8%
Q1 2015Q2 2015Q3 2015WA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
9.4%
12.9%
19.8%
19.5%
Q1 2015Q2 2015Q3 2015WA
Self Report Moderate to Severe Pain
0.0%
0.9%
1.9%
1.6%
Q1 2015Q2 2015Q3 2015WA
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
0.9%
Q1 2015Q2 2015Q3 2015WA
With Pressure Ulcers That Are New or Worsened