Alderwood Park Health And Rehabilitation

2726 Alderwood Avenue
Bellingham, WA 98225
Whatcom County
Phone: 360-733-2322
Provider Number: 505092
Last Inspection: 01/25/2016

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
102
Number of Residents
Number of
Residents
82
Number of Beds Available
Beds Available
20
Percent Occupancy
Percent Occupancy
80%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
For profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • WA
  • USA
  • 28
  • 25
  • 25
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2016
  • 2014
  • 2013
  • 28
  • 36
  • 20
Lower Numbers are Better

Details by Inspection Date

 

1/25/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3  
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3  
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3  
Failed To: Provide or obtain laboratory services only when ordered by the attending physician. Isolated : Minimal 3  
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3  
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4  
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3  
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3  
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3  
 

10/9/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 11/18/2014
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 11/18/2014
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 11/18/2014
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Isolated : Minimal 3 11/18/2014
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern : Minimal 4 11/18/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 11/18/2014
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Isolated : Minimal 3 11/18/2014
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 11/18/2014
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 11/18/2014
Failed To: 1) 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. Isolated : Minimal 3 11/18/2014
Failed To: Ensure 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. Isolated : Minimal 3 11/18/2014
 

11/19/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 12/31/2013
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 12/31/2013
Failed To: Post nurse staffing information/data on a daily basis. Pattern : Potential 3 12/31/2013
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 12/31/2013
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 12/31/2013
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Minimal 4 12/31/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

7/8/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop 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. Isolated : Minimal 3 8/6/2015
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 8/6/2015
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 8/6/2015
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 8/6/2015
 

6/3/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 6/24/2015
 

5/6/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 6/10/2015
 

1/29/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 2/24/2015
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 2/24/2015
 

12/10/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop 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. Pattern : Minimal 4 1/6/2015
 

11/4/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 12/25/2014
 

9/2/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 9/4/2014
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 9/4/2014
 

7/30/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 7/30/2014
 

6/26/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 7/30/2014
 

6/13/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 7/9/2014
 

4/22/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 5/26/2014
Failed To: Post nurse staffing information/data on a daily basis. Pattern : Potential 3 5/26/2014
 

7/31/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide timely notification to the resident before transfer or discharge. Isolated : Minimal 3 8/1/2013
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 8/1/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg WA State Avg
Number of Residents 82 72.89 76.75
Registered Nurses 0.94 0.96 1.17
Licensed Practical / Vocational Nurses 0.74 0.66 0.61
Certified Nursing Assistants 2.48 2.51 2.57
Total Staff Hours 4.15 4.13 4.36

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% WA State Avg%
High Risk Long Stay Residents With Pressure Ulcers 14 4 4
Long Stay Residents Experiencing One or More Falls with Major Injury 9 4 2
Long Stay Residents Who Have Depressive Symptoms 23 10 9
Long Stay Residents Who Lose Too Much Weight 5 4 7
Long Stay Residents Who Received an Antipsychotic Medication 30 22 16
Long Stay Residents Who Self Report Moderate to Severe Pain 16 10 9
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 1 2 4
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 1 4 5
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 19 15 13
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 1 3 3
Long Stay Residents With a Urinary Tract Infection 12 5 5
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 29 44 52
Short Stay Residents Who Newly Received an Antipsychotic Medication 2 1 1
Short Stay Residents Who Self Report Moderate to Severe Pain 41 24 19
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 16 10 14
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 12 10 14
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 0 0