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Puget Sound Healthcare Center

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About Puget Sound Healthcare Center

General Information

Legal Business NameFmg Capitol Mall Drive Southwest Washington LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 27, 1985 (32 years)
Capacity108
Residents98
Percent Occupied91%
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 Puget Sound Healthcare Center

Puget Sound Healthcare Center
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 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

September 2, 2016 - 7 months ago

 Residents AffectedSeveritySource/TypeDescription
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.

June 30, 2016 - 9 months 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 5, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
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.

March 18, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
HSomeActual HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
HSomeActual HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
HSomeActual HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
HSomeActual HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
HSomeActual HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
HSomeActual HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
FManyPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
GFewActual HarmComplaint+InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
GFewActual HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
GFewActual 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.
ESomePotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
ESomePotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
ESomePotential for HarmHealth InspectionQuickly tell the resident's doctor the results of laboratory tests.
ESomePotential for HarmHealth InspectionKeep complete, dated laboratory records in the resident's file.
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.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
ESomePotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ESomePotential for HarmHealth InspectionMaintain comfortable sound levels.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
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 InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
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 InspectionProvide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
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 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.

February 8, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$2,795 fine
DFewPotential for HarmComplaintCoordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.

January 11, 2016 - 15 months 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.

November 23, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$12,675 fine
FManyPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
GFewActual HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential 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.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

August 14, 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.

June 22, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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.

May 12, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
ESomePotential for HarmComplaint+InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
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 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 care for each resident in a way that maintains or improves their quality of life.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
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 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.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.

April 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,300 fine
GFewActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

February 11, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.

September 25, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintReasonably accommodate the needs and preferences of each resident.

August 6, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
GFewActual HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

July 10, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
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.

May 23, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmHealth InspectionKeep all essential equipment working safely.
ESomePotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
DFewPotential for HarmHealth InspectionGive each resident enough fluids to keep them healthy and prevent dehydration.
DFewPotential for HarmHealth InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionGive notice to the resident before a room or roommate change.
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 that residents are fully informed and understand their health status, care and treatments.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
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.
BSomePotential for Minimal HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

April 3, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive or get specialized rehabilitative services per the patient's assessment or plan 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 Puget Sound Healthcare 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
40min
40min
ReportedExpected
LPN
55min
1hr 5min
ReportedExpected
RN
3hr 30min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

95.2%
72.2%
72.2%
72.2%
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
93.8%
92.5%
96.9%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
37.0%
35.1%
34.3%
33.3%
52.7%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
24.6%
20.5%
11.8%
10.0%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
21.9%
17.0%
11.0%
12.2%
18.1%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents whose ability to move independently worsened
15.9%
12.3%
9.5%
8.5%
15.5%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who received an antipsychotic medication
17.4%
15.4%
14.7%
25.0%
13.5%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents whose need for help with daily activities has increased
1.7%
6.7%
5.7%
2.9%
9.1%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who self-report moderate to severe pain
4.3%
9.9%
2.5%
4.7%
6.7%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who lose too much weight
5.3%
4.3%
9.5%
5.6%
4.6%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of high risk long-stay residents with pressure ulcers
3.1%
0.0%
0.0%
0.0%
9.3%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who have depressive symptoms
7.1%
2.5%
3.8%
7.8%
4.8%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents with a urinary tract infection
2.8%
4.9%
1.2%
3.1%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents experiencing one or more falls with major injury
5.0%
2.6%
1.0%
0.0%
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

80.3%
83.5%
95.0%
90.9%
85.6%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.6%
70.9%
70.9%
70.9%
83.7%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
51.8%
65.2%
-
-
67.4%
Q4 2015Q1 2016Q2 2016Q3 2016WA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
14.3%
4.4%
-
4.3%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016WA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
1.1%
0.0%
0.0%
0.0%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of short-stay residents who newly received an antipsychotic medication
1.4%
1.8%
2.2%
2.1%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of short-stay residents with pressure ulcers that are new or worsened