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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 - Partnership
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 1 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

November 28, 2016 - 7 months ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
JFewImmediate JeopardyComplaint+InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
GFewActual HarmComplaint+InspectionEnsure that residents are safe from serious medication errors.
GFewActual HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaint+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 HarmComplaint+InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaint+InspectionEnsure that residents are fully informed and understand their health status, care and treatments.

May 9, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint1) 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.

October 2, 2015 - 2 years 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 15, 2014 - 3 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.

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
2hr 20min
ReportedExpected
CNA
40min
40min
ReportedExpected
LPN
45min
1hr 5min
ReportedExpected
RN
4hr 25min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 40min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

75.4%
98.2%
98.2%
98.2%
92.5%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
51.9%
61.1%
62.5%
79.7%
93.0%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
19.0%
-
8.7%
16.0%
50.7%
Q4 2015Q1 2016Q2 2016Q3 2016OR
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
47.1%
38.9%
32.1%
32.1%
17.2%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of long-stay residents who received an antianxiety or hypnotic medication
22.7%
36.2%
12.7%
22.3%
17.4%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of long-stay residents whose ability to move independently worsened
44.4%
33.3%
30.4%
30.6%
16.1%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of long-stay residents who received an antipsychotic medication
37.2%
27.1%
19.1%
18.4%
12.0%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of long-stay residents whose need for help with daily activities has increased
22.8%
32.4%
27.7%
32.0%
12.1%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of long-stay residents who self-report moderate to severe pain
1.9%
15.1%
9.3%
6.9%
7.1%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of long-stay residents who lose too much weight
8.9%
12.5%
13.2%
12.3%
5.6%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of high risk long-stay residents with pressure ulcers
2.2%
7.0%
4.5%
10.9%
3.4%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of long-stay residents who have depressive symptoms
0.0%
3.8%
7.4%
12.1%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of long-stay residents with a urinary tract infection
0.0%
5.6%
5.4%
3.4%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of long-stay residents experiencing one or more falls with major injury
17.2%
23.8%
12.5%
8.7%
3.7%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

66.1%
62.9%
39.7%
38.5%
81.1%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
42.0%
80.6%
80.6%
80.6%
78.3%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
68.1%
Q4 2015Q1 2016Q2 2016Q3 2016OR
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
51.4%
56.2%
54.5%
-
22.0%
Q4 2015Q1 2016Q2 2016Q3 2016OR
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
3.4%
6.2%
3.4%
8.3%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of short-stay residents who newly received an antipsychotic medication
2.8%
2.4%
0.0%
2.4%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016OR
Percentage of short-stay residents with pressure ulcers that are new or worsened