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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 (26 years)
Capacity122
Residents97
Percent Occupied80%
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 3 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

November 18, 2016 - 7 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
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 InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
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 InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionUse a registered nurse at least 8 hours a day, 7 days a week.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionDevelop 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.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
BSomePotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.

October 6, 2015 - 2 years 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 - 3 years ago

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

July 28, 2014 - 3 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.

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 55min
2hr 30min
ReportedExpected
CNA
25min
45min
ReportedExpected
LPN
60min
1hr 10min
ReportedExpected
RN
3hr 20min
4hr 25min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

84.1%
95.2%
95.2%
95.2%
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.6%
93.2%
98.6%
100.0%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
46.4%
32.4%
38.9%
34.3%
52.7%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
23.9%
18.6%
14.5%
20.0%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
42.8%
27.4%
27.2%
20.7%
18.1%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents whose ability to move independently worsened
8.7%
14.3%
5.9%
8.7%
15.5%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who received an antipsychotic medication
36.6%
19.1%
17.9%
23.5%
13.5%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents whose need for help with daily activities has increased
12.2%
11.6%
16.4%
10.0%
9.1%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who self-report moderate to severe pain
9.9%
4.3%
7.0%
2.8%
6.7%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who lose too much weight
2.0%
0.0%
2.0%
9.3%
4.6%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
9.3%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who have depressive symptoms
8.2%
4.2%
4.2%
1.4%
4.8%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents with a urinary tract infection
4.1%
1.4%
1.4%
1.4%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents experiencing one or more falls with major injury
2.0%
1.7%
0.0%
1.6%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

91.7%
95.0%
90.4%
91.0%
85.6%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.5%
92.2%
92.2%
92.2%
83.7%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
73.7%
70.9%
66.3%
71.1%
67.4%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of short-stay residents who made improvements in function
23.2%
10.9%
13.1%
24.5%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of short-stay residents who self-report moderate to severe pain
2.1%
1.1%
0.0%
2.0%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
0.0%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of short-stay residents with pressure ulcers that are new or worsened