DISCOVERY NURSING & REHAB OF VANCOUVER

Nursing Home Inspector

5220 NORTHEAST HAZEL DELL AVENUE
VANCOUVER, WA 98663
Clark County
Phone: 360-693-1474
Provider Number: 505341
Last Inspection: 04/11/2017

About the Nursing Home

Number of Beds: 89
Number of Residents: 72
Beds Available: 17
Percent Occupancy: 81%
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

 

26

Facility
28

County
36

WA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

26

2017
17

2016
12

2015

Medicare Ratings

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

 

Details by Inspection Date

4/11/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 5/8/2017
 
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 5/8/2017
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Actual 4 5/8/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 5/8/2017
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 5/8/2017
 
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Isolated : Minimal 3 5/8/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 5/8/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 5/8/2017
 

3/29/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 4/27/2016
 
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 4/27/2016
 
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 4/27/2016
 
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 4/27/2016
 
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Pattern : Minimal 4 4/27/2016
 

1/22/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are fully informed and understand their health status, care and treatments. Isolated : Minimal 3 2/23/2015
 
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 2/23/2015
 
Failed To: Ensure the activities program is directed by a qualified professional. Isolated : Minimal 3 2/23/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 2/23/2015
 

Complaint Investigation Deficiencies

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

9/15/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Actual 4 9/17/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Immediate 5 9/17/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg WA State Avg
Number of Residents 72 73.25 74.34
Registered Nurses 1.01 1.40 1.07
Licensed Practical / Vocational Nurses 0.53 0.64 0.66
Certified Nursing Assistants 2.23 2.46 2.50
Total Staff Hours 3.77 4.51 4.23

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% WA State Avg%
of high risk long-stay residents with pressure ulcers 2 3 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 95 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 94 95
of long-stay residents experiencing one or more falls with major injury 3 2 2
of long-stay residents who have depressive symptoms 11 4 9
of long-stay residents who lose too much weight 7 5 6
of long-stay residents who received an antianxiety or hypnotic medication 26 15 15
of long-stay residents who received an antipsychotic medication 2 12 15
of long-stay residents who self-report moderate to severe pain 3 6 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 16 18 17
of long-stay residents whose need for help with daily activities has increased 15 15 13
of long-stay residents with a catheter inserted and left in their bladder 0 1 2
of long-stay residents with a urinary tract infection 3 1 3
of low risk long-stay residents who lose control of their bowels or bladder 49 43 52
of short-stay residents assessed and appropriately given the pneumococcal vaccine 98 84 85
of short-stay residents who had an outpatient emergency department visit 16 16 11
of short-stay residents who made improvements in function 73 66 70
of short-stay residents who newly received an antipsychotic medication 0 0 1
of short-stay residents who self-report moderate to severe pain 6 12 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97 86 84
of short-stay residents who were rehospitalized after a nursing home admission 25 21 16
of short-stay residents who were successfully discharged to the community 59 63 60
of short-stay residents with pressure ulcers that are new or worsened 0 0 0