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Americana Health & Rehab Ctr

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About Americana Health & Rehab Ctr

General Information

Legal Business NameEvergreen Washington Healthcare Americana, L.L.C.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1990 (27 years)
Capacity74
Residents48
Percent Occupied65%
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 Americana Health & Rehab Ctr

Americana Health & Rehab Ctr
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

May 15, 2015 - 2 years ago

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

April 14, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential 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 InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

April 10, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
FManyPotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.

December 15, 2014 - 2 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.
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

March 21, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth Inspection1) 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.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionProvide care for each resident in a way that maintains or improves their quality of life.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionListen to the resident groups and act on their complaints and suggestions that affect resident care and life.
DFewPotential for HarmHealth InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionGive notice to the resident before a room or roommate change.
DFewPotential for HarmHealth InspectionMaintain comfortable sound levels.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
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 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.

March 20, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved back-up procedure for a faulty fire alarm system.
FManyPotential for HarmFire Safety InspectionSigns that state that exit doors are to be kept closed.
FManyPotential for HarmFire Safety InspectionBack-up procedures in place for a faulty automatic sprinkler system.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
DFewPotential for HarmFire Safety InspectionApproved construction type or materials.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Americana Health & Rehab Ctr 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.

2hr 5min
2hr 40min
ReportedExpected
CNA
25min
40min
ReportedExpected
LPN
1hr 5min
1hr
ReportedExpected
RN
3hr 30min
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

92.9%
91.7%
91.7%
94.9%
Q1 2015Q2 2015Q3 2015WA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
83.3%
95.5%
100.0%
95.1%
Q1 2015Q2 2015Q3 2015WA
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
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
9.8%
14.3%
16.3%
16.8%
Q1 2015Q2 2015Q3 2015WA
Received an Antipsychotic Medication
17.1%
11.6%
4.7%
13.7%
Q1 2015Q2 2015Q3 2015WA
Need for Help with ADLs has Increased
-
5.3%
11.0%
9.5%
Q1 2015Q2 2015Q3 2015WA
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
12.2%
22.7%
4.5%
7.0%
Q1 2015Q2 2015Q3 2015WA
Lose Too Much Weight
8.1%
5.3%
2.6%
4.9%
Q1 2015Q2 2015Q3 2015WA
High Risk Residents With Pressure Ulcers
0.0%
0.0%
2.4%
9.9%
Q1 2015Q2 2015Q3 2015WA
Have Depressive Symptoms
4.9%
2.3%
4.5%
5.5%
Q1 2015Q2 2015Q3 2015WA
With a Urinary Tract Infection
2.4%
6.8%
6.7%
2.8%
Q1 2015Q2 2015Q3 2015WA
Experiencing One or More Falls with Major Injury
7.6%
14.9%
12.8%
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

70.6%
77.3%
80.5%
85.7%
Q1 2015Q2 2015Q3 2015WA
Assessed and Appropriately Given the Pneumococcal Vaccine
92.0%
90.2%
90.2%
85.8%
Q1 2015Q2 2015Q3 2015WA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
16.1%
14.8%
31.0%
19.5%
Q1 2015Q2 2015Q3 2015WA
Self Report Moderate to Severe Pain
0.0%
0.0%
0.0%
1.6%
Q1 2015Q2 2015Q3 2015WA
Newly Received an Antipsychotic Medication
1.4%
0.0%
4.8%
0.9%
Q1 2015Q2 2015Q3 2015WA
With Pressure Ulcers That Are New or Worsened