Whidbey Island Manor

235 SOUTHWEST 6TH AVENUE
Oak Harbor, WA 98277
(360) 675-5913
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 58
Number of Residents: 27
Percent of Occupied Beds: 47%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? No
Resident and Family Councils? None
Continuing Care Retirement Community? No
Quality Indicator Survey? Yes
Special Focus Facility? No
Overall: 2 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 4 Star Nurse Staffing Rating
Quality Measures: 2 Star Quality Measures Rating
RN Only: 4 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071210 Health Environmental Deficiencies Provide needed housekeeping and maintenance. Pattern Potential for minimal harm
20080124 Health Resident Assessment Deficiencies 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. Isolated Minimal harm or potential for actual harm 20080314
20081114 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. Isolated Minimal harm or potential for actual harm 20081231
20081114 Health Pharmacy Service Deficiencies At least once a month, have a licensed pharmacist check the drugs that each resident takes. Isolated Minimal harm or potential for actual harm 20081231
20081114 Health Pharmacy Service Deficiencies Properly mark drugs and other similar products. Isolated Minimal harm or potential for actual harm 20081231
20090108 Health Pharmacy Service Deficiencies Properly mark drugs and other similar products. Pattern Minimal harm or potential for actual harm 20090215
20090108 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. Isolated Minimal harm or potential for actual harm 20090215
20090108 Health Mistreatment Deficiencies Keep each resident free from physical restraints, unless needed for medical treatment. Isolated Minimal harm or potential for actual harm 20090215
20090401 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20090515
20090413 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Immediate jeopardy to resident health or safety 20090515
20090413 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20090515
20090413 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 Immediate jeopardy to resident health or safety 20090515
20090413 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Widespread Immediate jeopardy to resident health or safety 20090515
20090413 Health Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Isolated Minimal harm or potential for actual harm 20090515
20090413 Health Administration Deficiencies Be administered in a way that leads to the highest possible level of well being for each resident. Pattern Actual harm 20090515
20090413 Health Administration Deficiencies Choose a doctor to be the medical director. Widespread Minimal harm or potential for actual harm 20090515
20090413 Health Administration Deficiencies Set up or keep a group of people to review and ensure quality. Widespread Minimal harm or potential for actual harm 20090515
20090604 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Minimal harm or potential for actual harm 20090715
20090604 Health Resident Assessment Deficiencies Do an assessment of the resident every year. Isolated Minimal harm or potential for actual harm 20090715
20090604 Health Pharmacy Service Deficiencies 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. Pattern Minimal harm or potential for actual harm 20090715
20090824 Health Quality Care Deficiencies Have enough nurses to care for every resident in a way that maximizes the resident's well being. Isolated Actual harm 20090925
20090824 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Immediate jeopardy to resident health or safety 20090925
20090824 Health Administration Deficiencies 1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. Pattern Immediate jeopardy to resident health or safety 20090925
20100625 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Pattern Minimal harm or potential for actual harm 20100731
20100625 Health Resident Assessment Deficiencies 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. Isolated Minimal harm or potential for actual harm 20100731
20100625 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Minimal harm or potential for actual harm 20100731
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 96
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 90
Percent of long-stay residents whose need for help with daily activities has increased: 18
Percent of long-stay residents who have moderate to severe pain: 11
Percent of high-risk long-stay residents who have pressure sores: 3
Percent of low-risk long-stay residents who have pressure sores: Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.
Percent of long-stay residents who were physically restrained: 5
Percent of long-stay residents who are more depressed or anxious: 15
Percent of low-risk long-stay residents who lose control of their bowels or bladder: Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.
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: 0
Percent of long-stay residents whose ability to move about in and around their room got worse: 4
Percent of long-stay residents who had a urinary tract infection: 6
Percent of long-stay residents who lose too much weight: 8
Percent of short-stay residents given influenza vaccination during the flu season: Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.
Percent of short-stay residents who were assessed and given pneumococcal vaccination: Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.
Percent of short-stay residents who have delirium: Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.
Percent of short-stay residents who had moderate to severe pain: Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.
Percent of short-stay residents who have pressure sores: Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.
# of Residents: 27
# RN Hours per Resident: 0.58
# LPN Hours per Resident: 0.37
# CNA Hours per Resident: 2.94
Total Staff Hours per Resident: 0.95