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Paramount Rehabilitation And Nursing

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Overall Rating 5.0 / 5.0 ★★★★★

  • ★★★★★ 10 months ago

About Paramount Rehabilitation And Nursing

General Information

Legal Business NameParamount Rehabilitation And Nursing LLC
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareJune 11, 2003 (14 years)
Capacity165
Residents131
Percent Occupied79%
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 Paramount Rehabilitation And Nursing

Paramount Rehabilitation And Nursing
was reviewed by 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

Note that this facility has changed ownership within the past 12 months.

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 8, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
JFewImmediate JeopardyComplaintEnsure that residents are safe from serious medication errors.
FManyPotential for HarmComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
FManyPotential for HarmComplaintEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
ESomePotential for HarmComplaintMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
ESomePotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintEnsure 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 HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

August 9, 2016 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.

June 24, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$287,430 fine
JFewImmediate JeopardyComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
FManyPotential for HarmComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
FManyPotential for HarmComplaintEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
FManyPotential for HarmComplaint1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
FManyPotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
FManyPotential for HarmComplaintMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
GFewActual HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual 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.
GFewActual HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmComplaintTry to resolve each resident's complaints quickly.
DFewPotential for HarmComplaintAllow residents to self-administer drugs if determined safe.
DFewPotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintMake sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor.

March 29, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.
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.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

February 16, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.

November 3, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential 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.
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 InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
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 InspectionAllow residents to easily view the results of the nursing home's most recent inspection.
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 InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
BSomePotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.

April 3, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintCoordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.

March 4, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

January 27, 2015 - 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.

August 29, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,170 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Paramount Rehabilitation And Nursing 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 30min
2hr 30min
ReportedExpected
CNA
45min
40min
ReportedExpected
LPN
40min
55min
ReportedExpected
RN
3hr 50min
4hr 5min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

95.8%
94.5%
94.5%
94.5%
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.0%
90.4%
89.2%
69.9%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
37.1%
27.0%
32.5%
25.0%
52.7%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
13.9%
12.6%
13.0%
12.1%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
1.4%
0.0%
2.6%
2.6%
18.1%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents whose ability to move independently worsened
14.3%
16.2%
16.5%
18.1%
15.5%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who received an antipsychotic medication
6.7%
6.8%
5.4%
6.4%
13.5%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents whose need for help with daily activities has increased
10.4%
10.5%
9.6%
7.9%
9.1%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who self-report moderate to severe pain
5.9%
4.3%
1.7%
3.4%
6.7%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who lose too much weight
4.4%
3.4%
2.2%
3.4%
4.6%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of high risk long-stay residents with pressure ulcers
1.8%
3.8%
1.9%
2.6%
9.3%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who have depressive symptoms
4.2%
3.5%
1.7%
2.5%
4.8%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents with a urinary tract infection
2.5%
1.7%
2.5%
1.6%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents experiencing one or more falls with major injury
2.3%
0.9%
2.6%
3.4%
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%
0.8%
0.8%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

50.0%
50.6%
58.9%
61.1%
85.6%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
79.5%
70.1%
70.1%
70.1%
83.7%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
64.4%
54.5%
44.0%
27.9%
67.4%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of short-stay residents who made improvements in function
38.0%
34.3%
43.1%
46.2%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016WA
Percentage of short-stay residents who self-report moderate to severe pain
1.7%
0.0%
0.0%
0.0%
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



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