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Mount Si Transitional Health Center
219 CEDAR AVENUE SOUTH
North Bend, WA 98045
(425) 888-2129
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 64 |
| Number of Residents: | 41 |
| Percent of Occupied Beds: | 64% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: | |
| Quality Measures: | |
| RN Only: |  |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071130 | Health | Mistreatment Deficiencies | 1) Hire only people who have 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. | Pattern | Minimal harm or potential for actual harm | 20080110 |
| 20071130 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Minimal harm or potential for actual harm | 20080110 |
| 20071130 | Health | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | Widespread | Minimal harm or potential for actual harm | 20080110 |
| 20071224 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Widespread | Minimal harm or potential for actual harm | 20080110 |
| 20071224 | Health | Administration Deficiencies | Get services outside the nursing home that meet professional standards. | Widespread | Minimal harm or potential for actual harm | 20080110 |
| 20071224 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Pattern | Immediate jeopardy to resident health or safety | 20080110 |
| 20071224 | Health | Mistreatment Deficiencies | 1) Hire only people who have 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. | Pattern | Minimal harm or potential for actual harm | 20080110 |
| 20080416 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm | 20080619 |
| 20080416 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20080619 |
| 20080416 | Health | Nutrition and Dietary Deficiencies | Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Pattern | Minimal harm or potential for actual harm | 20080619 |
| 20080529 | Health | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm | 20080619 |
| 20080613 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20080619 |
| 20081125 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20090123 |
| 20090102 | Health | Quality Care Deficiencies | Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | Isolated | Actual harm | 20090123 |
| 20090226 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Pattern | Minimal harm or potential for actual harm | 20090512 |
| 20090226 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm | 20090512 |
| 20090522 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm | 20090706 |
| 20090522 | Health | Resident Rights Deficiencies | Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. | Pattern | Minimal harm or potential for actual harm | 20090706 |
| 20100401 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20100511 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 80 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 87 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 11 | |
| Percent of long-stay residents who have moderate to severe pain: | 26 | |
| Percent of high-risk long-stay residents who have pressure sores: | 9 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 21 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 52 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 9 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 13 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 13 | |
| Percent of long-stay residents who had a urinary tract infection: | 14 | |
| Percent of long-stay residents who lose too much weight: | 9 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 66 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 75 | |
| Percent of short-stay residents who have delirium: | 3 | |
| Percent of short-stay residents who had moderate to severe pain: | 46 | |
| Percent of short-stay residents who have pressure sores: | 6 | |
| # of Residents: | 41 |
| # RN Hours per Resident: | 0.73 |
| # LPN Hours per Resident: | 0.36 |
| # CNA Hours per Resident: | 1.8 |
| Total Staff Hours per Resident: | 1.09 |
