FIRCREST SCHOOL, PAT N

Nursing Home Inspector

15230-15TH NORTHEAST
SEATTLE, WA 98155
King County
Phone: 206-361-3511
Provider Number: 50A260
Last Inspection: 04/14/2017

About the Nursing Home

Number of Beds: 92
Number of Residents: 89
Beds Available: 3
Percent Occupancy: 97%
Insurance Accepted: Medicaid
Types of Councils: Family
Ownership: Government - State
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

 

9

Facility
43

County
36

WA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

9

2017
3

2016
55

2014

Medicare Ratings

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

 

Details by Inspection Date

4/14/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 5/17/2017
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 5/17/2017
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 5/17/2017
 

2/4/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 2/29/2016
 

12/12/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 2/1/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 2/1/2015
 
Failed To: Keep residents' personal and medical records private and confidential. Pattern : Minimal 4 2/1/2015
 
Failed To: Operate and provide services according to Federal, State, and local laws and professional standards. Isolated : Minimal 3 2/1/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 2/1/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 2/1/2015
 
Failed To: 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. Pattern : Minimal 4 2/1/2015
 
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 2/1/2015
 
Failed To: Make sure the physician properly assigns tasks that can be delegated or satisfied by a physician assistant, nurse practitioner or clinical nurse specialist . Isolated : Minimal 3 2/1/2015
 
Failed To: Make sure that doctors visit residents regularly, as required. Pattern : Minimal 4 2/1/2015
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 2/1/2015
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 2/1/2015
 
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern : Minimal 4 2/1/2015
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern : Minimal 4 2/1/2015
 
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 2/1/2015
 

Complaint Investigation Deficiencies

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

7/21/2017 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 8/9/2017
 

11/22/2016 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 12/20/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 12/20/2016
 

3/10/2016 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 4/15/2016
 

12/4/2015 Investigation

 
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 12/28/2015
 

4/14/2015 Investigation

 
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 5/18/2015
 
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 : Actual 4 5/18/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 5/18/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg WA State Avg
Number of Residents 89 81.23 74.34
Registered Nurses Not Available 1.14 1.07
Licensed Practical / Vocational Nurses Not Available 0.65 0.66
Certified Nursing Assistants Not Available 2.60 2.50
Total Staff Hours Not Available 4.40 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 0 4 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 97 95 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 95 95
of long-stay residents experiencing one or more falls with major injury 0 2 2
of long-stay residents who have depressive symptoms 0 10 9
of long-stay residents who lose too much weight 0 6 6
of long-stay residents who received an antianxiety or hypnotic medication 9 12 15
of long-stay residents who received an antipsychotic medication 27 13 15
of long-stay residents who were physically restrained 93 5 7
of long-stay residents whose ability to move independently worsened 10 1 0
of long-stay residents whose need for help with daily activities has increased 8 16 17
of long-stay residents with a catheter inserted and left in their bladder 1 12 13
of long-stay residents with a urinary tract infection 2 2 2
of short-stay residents assessed and appropriately given the pneumococcal vaccine 45 3 3
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 56 55 52
of short-stay residents with pressure ulcers that are new or worsened 0 88 85