REXBURG CARE & REHABILITATION CENTER

Nursing Home Inspector

660 SOUTH SECOND STREET WEST
REXBURG, ID 83440
Madison County
Phone: 208-356-0220
Provider Number: 135105
Last Inspection: 05/19/2017

About the Nursing Home

Number of Beds: 119
Number of Residents: 43
Beds Available: 76
Percent Occupancy: 36%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: 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.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

10

Facility
37

County
28

ID
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

10

2017
25

2016
38

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

5/19/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. Isolated : Minimal 3 6/9/2017
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 6/9/2017
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 6/9/2017
 

4/1/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 5/15/2016
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 5/15/2016
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 5/15/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 5/15/2016
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 5/15/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 5/15/2016
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Pattern : Minimal 4 5/15/2016
 

12/18/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 3/4/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 3/4/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 3/4/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 3/4/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 3/4/2015
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 3/4/2015
 
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. Pattern : Minimal 4 3/4/2015
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 3/4/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 4/2/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 3/4/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 3/4/2015
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg ID State Avg
Number of Residents 43 34.00 49.22
Registered Nurses 0.74 1.44 0.87
Licensed Practical / Vocational Nurses 0.64 0.32 0.78
Certified Nursing Assistants 2.92 3.21 2.50
Total Staff Hours 4.29 4.97 4.15

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% ID State Avg%
of high risk long-stay residents with pressure ulcers 1 1 3
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 98 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 100 96
of long-stay residents experiencing one or more falls with major injury 2 2 2
of long-stay residents who have depressive symptoms 2 2 5
of long-stay residents who lose too much weight 2 2 6
of long-stay residents who received an antianxiety or hypnotic medication 26 26 20
of long-stay residents who received an antipsychotic medication 8 8 17
of long-stay residents who self-report moderate to severe pain 3 3 10
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 25 25 17
of long-stay residents whose need for help with daily activities has increased 18 18 15
of long-stay residents with a catheter inserted and left in their bladder 1 1 2
of long-stay residents with a urinary tract infection 1 1 4
of low risk long-stay residents who lose control of their bowels or bladder 2 2 47
of short-stay residents assessed and appropriately given the pneumococcal vaccine 93 95 87
of short-stay residents who had an outpatient emergency department visit 13 12 11
of short-stay residents who made improvements in function 68 72 67
of short-stay residents who newly received an antipsychotic medication 0 0 1
of short-stay residents who self-report moderate to severe pain 16 25 20
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 91 91 83
of short-stay residents who were rehospitalized after a nursing home admission 15 11 14
of short-stay residents who were successfully discharged to the community 42 61 63
of short-stay residents with pressure ulcers that are new or worsened 0 1 0