Shuksan Healthcare Center: Data Analysis and Ratings
CMS Five Star Rating(3 out of 5):
1530 JAMES STREET BELLINGHAM, WA 98225
360-733-9161
Data date: May 01, 2023
The Most Important Data about Shuksan Healthcare Center
We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)
There is no indication of abuse occuring at Shuksan Healthcare Center. (CMS flags facilities where abuse has either happened or is very likely.)
CMS 5-Star Overall Rating:
(3 out of 5):
(The national average overall star rating is 3 stars.)
Current Trend: Improving
Total Nursing Hours Spent Per Resident Per Day: 4.16
(The national average is 3.74 )
According to our analysis, Shuksan Healthcare Center is ranked #5 out of 12 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near Shuksan Healthcare Center.
What is this page all about?
Below is everything shred of information that we can find about Shuksan Healthcare Center, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.
General Data Card
These are the basic data points for the facility.
Data date: May 01, 2023
Address: 1530 JAMES STREET
BELLINGHAM, WA 98225
Phone: 360-733-9161
Ranking: Shuksan Healthcare Center is ranked #4 out of 6 facilities within a 10 mile radius and #5 out of 12 facilities within a 25 mile radius.
Medicare Provider Number: 505098
Participating in Medicare Since: January 01, 1967
No. of Certified Beds: 52
No. of Residents: 35
Occupancy: 67.31 % (as of 05/21/2023 )
Amount fined in recent period: $10,650.00
Complaints filed: 9
Ratings History for Shuksan Healthcare Center
Review of Shuksan Healthcare Center Ratings and Inspection Scores
CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.
Ratings
| Overall Rating | 3: |
| Health Inspection Rating | 2: |
| Quality Rating | 5: |
| Staffing Rating | 3: |
Inspection Scores
| Cycle 1 Score (as of February 17, 2023) | 108 |
| Cycle 2 Score (as of June 27, 2019) | 192 |
| Cycle 3 Score (as of March 30, 2018) | 156 |
| Weighted All Cycles Score | 144 |
It has been 2 months since the most recent inspection.
What Goes Into the Nursing Home's 5-Star Rating
CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.
The rating system has five separate ratings including:
- Overall rating
- Health Inspection rating
- Staff rating
- RN Staffing rating
- Quality Measures rating
Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.
Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :
- Begin with the Health Inspection Rating
- Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
- Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
- Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
- Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.
Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)
Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.
Most Recent Nursing Home Inspections
CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for Shuksan Healthcare Center including health, fire, and inspection control inspections:
| Inspection Type | Inspection Date |
|---|---|
| Fire Safety Standard | February 14, 2023 |
| Fire Safety Standard | June 19, 2019 |
| Fire Safety Standard | March 27, 2018 |
| Health Complaint | December 19, 2022 |
| Health Complaint | October 13, 2022 |
| Health Complaint | July 29, 2022 |
| Health Complaint | June 29, 2022 |
| Health Complaint | December 01, 2021 |
| Health Complaint | November 02, 2021 |
| Health Complaint | May 28, 2021 |
| Health Complaint | April 22, 2021 |
| Health Complaint | November 13, 2020 |
| Health Complaint | October 16, 2020 |
| Health Standard | February 17, 2023 |
| Health Standard | June 27, 2019 |
| Health Standard | March 30, 2018 |
| Infection Control | December 19, 2022 |
| Infection Control | February 04, 2022 |
| Infection Control | November 13, 2020 |
| Infection Control | June 18, 2020 |
Owner and Operator Information for Shuksan Healthcare Center
Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.
Business Entity Name:
SOUNDVIEW REHABILITATION AND HEALTH CARE INC
Owners:
- JEFFREY HYATT (DIRECT- 100%)
Managers and Directors:
- AVVENTURA SENIOR LIVING INC (OPERATIONAL/MANAGERIAL CONTROL)
- HEIDI BERK (MANAGING EMPLOYEE)
- HYATT FAMILY FACILITIES LLC (OPERATIONAL/MANAGERIAL CONTROL)
- JEFFREY HYATT (DIRECTOR)
- JEFFREY HYATT (OFFICER)
- JEFFREY HYATT (MANAGING EMPLOYEE)
Analysis of Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of Shuksan Healthcare Center spends MORE time on average with its residents than the state average for total nursing homes spent per resident and MORE time than the national average for total nursing homes spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 1.00 | 0.91 / 0.65 |
| Case Mix | 0.44 | 0.39 / 0.39 |
| Adjusted | 0.88 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 0.90 | 0.79 / 0.88 |
| Case Mix | 0.80 | NA / NA |
| Adjusted | 0.82 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 2.26 | 2.53 / 2.21 |
| Case Mix | 2.16 | NA / NA |
| Adjusted | 2.13 | NA / NA |
| Total Licensed Staff | ||
| Hours | 1.90 | 1.70 / 1.53 |
| Physical Therapist (PT) | ||
| Hours | 0.06 | 0.09 / 0.07 |
| Total Nursing Homes Spent per Resident on Average | ||
| Hours | 4.16 | 4.23 / 3.74 |
| Case Mix | 3.41 | 3.28 / 3.16 |
| Adjusted | 3.86 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc. | State Avg. / Comparison |
|---|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) | 9.8% |
16.9% Better |
| Percentage of short-stay residents who had an outpatient emergency department visit (qm522) | 6.4% |
11.8% Better |
| Number of hospitalizations per 1000 long-stay resident days (qm551) | Not Available | |
| Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) | Not Available | |
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) | 8.3% |
14.7% Better |
| Percentage of long-stay residents who lose too much weight (qm404) | 7.5% |
6.2% Worse |
| Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) | 36.4% |
55.3% Better |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) | 2.0% |
2.1% Better |
| Percentage of long-stay residents with a urinary tract infection (qm407) | 2.2% |
2.3% Better |
| Percentage of long-stay residents who have depressive symptoms (qm408) | 18.7% |
13.0% Worse |
| Percentage of long-stay residents who were physically restrained (qm409) | 0.0% |
0.2% Better |
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) | 5.4% |
2.8% Worse |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) | 96.8% |
95.0% Better |
| Percentage of long-stay residents who received an antipsychotic medication (qm419) | 14.4% |
13.9% Worse |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) | 94.1% |
84.9% Better |
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) | 0.0% |
1.3% Better |
| Percentage of long-stay residents whose ability to move independently worsened (qm451) | 13.9% |
18.7% Better |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) | 14.3% |
12.2% Worse |
| Percentage of high risk long-stay residents with pressure ulcers (qm453) | 1.4% |
7.0% Better |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) | 100.0% |
94.8% Better |
| Percentage of short-stay residents who made improvements in function (qm471) | 85.7% |
73.5% Better |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) | 92.1% |
79.8% Better |
Shuksan Healthcare Center Violations, Complaints and Fines
These are complaints and fines that are reported by CMS. Some of the data is not very recent, but we have decided to include it here so that you have as much information as possible.
Amount fined in recent period: $10,650.00, Complaints filed: 9
| Deficiency | Deficiency Date / Date Corrected |
|---|---|
| Address subsistence needs for staff and patients. (Fire Safety) | 03-27-2018 / 06-18-2018 |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. (Fire Safety) | 03-27-2018 / 04-30-2018 |
| Install emergency lighting that can last at least 1 1/2 hours. (Fire Safety) | 03-27-2018 / 04-30-2018 |
| Provide properly protected cooking facilities. (Fire Safety) | 03-27-2018 / 04-30-2018 |
| Have approved installation, maintenance and testing program for fire alarm systems. (Fire Safety) | 03-27-2018 / 04-30-2018 |
| Inspect, test, and maintain automatic sprinkler systems. (Fire Safety) | 03-27-2018 / 04-30-2018 |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. (Fire Safety) | 03-27-2018 / 04-30-2018 |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. (Fire Safety) | 03-27-2018 / 04-30-2018 |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. (Fire Safety) | 03-27-2018 / 04-30-2018 |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. (Fire Safety) | 03-27-2018 / 04-30-2018 |
| Have generator or other power source capable of supplying service within 10 seconds. (Fire Safety) | 03-27-2018 / 04-30-2018 |
| Ensure that testing and maintenance of electrical equipment is performed. (Fire Safety) | 03-27-2018 / 04-30-2018 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Health) | 03-30-2018 / 05-15-2018 |
| Allow residents to self-administer drugs if determined clinically appropriate. (Health) | 03-30-2018 / 05-15-2018 |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Health) | 03-30-2018 / 05-15-2018 |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Health) | 03-30-2018 / 05-15-2018 |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Health) | 03-30-2018 / 05-15-2018 |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Health) | 03-30-2018 / 05-15-2018 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Health) | 03-30-2018 / 05-15-2018 |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (Health) | 03-30-2018 / 05-15-2018 |
| Assess the resident when there is a significant change in condition (Health) | 03-30-2018 / 05-15-2018 |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. (Health) | 03-30-2018 / 05-15-2018 |
| Ensure each resident receives an accurate assessment. (Health) | 03-30-2018 / 05-15-2018 |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Health) | 03-30-2018 / 05-15-2018 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Health) | 03-30-2018 / 05-15-2018 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 03-30-2018 / 05-15-2018 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Health) | 03-30-2018 / 05-15-2018 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 03-30-2018 / 05-15-2018 |
| Provide safe and appropriate respiratory care for a resident when needed. (Health) | 03-30-2018 / 05-15-2018 |
| Provide safe, appropriate pain management for a resident who requires such services. (Health) | 03-30-2018 / 05-15-2018 |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (Health) | 03-30-2018 / 05-15-2018 |
| Ensure medication error rates are not 5 percent or greater. (Health) | 03-30-2018 / 05-15-2018 |
| Ensure that residents are free from significant medication errors. (Health) | 03-30-2018 / 05-15-2018 |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Health) | 03-30-2018 / 05-15-2018 |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (Health) | 03-30-2018 / 05-15-2018 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 03-30-2018 / 05-15-2018 |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Health) | 03-30-2018 / 05-15-2018 |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. (Health) | 03-30-2018 / 05-15-2018 |
| Keep all essential equipment working safely. (Health) | 03-30-2018 / 05-15-2018 |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Health) | 03-30-2018 / 05-15-2018 |
| Include a process for Emergency Preparedness collaboration. (Fire Safety) | 03-30-2018 / 05-15-2018 |
| Address subsistence needs for staff and patients. (Fire Safety) | 03-30-2018 / 05-15-2018 |
| Establish roles under a Waiver declared by secretary. (Fire Safety) | 03-30-2018 / 05-15-2018 |
| List the names and contact information of those in the facility. (Fire Safety) | 03-30-2018 / 05-15-2018 |
| Provide emergency officials' contact information. (Fire Safety) | 03-30-2018 / 05-15-2018 |
| Provide family notifications of emergency plan. (Fire Safety) | 03-30-2018 / 05-15-2018 |
| Establish an Emergency Preparedness Program (EP). (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Develop and maintain an Emergency Preparedness Program (EP). (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Conduct risk assessment and an All-Hazards approach. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Address patient/client population and determine types of services needed. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Include a process for Emergency Preparedness collaboration. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Develop Emergency Preparedness policies and procedures. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Address subsistence needs for staff and patients. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Establish procedures for tracking staff and patients during an emergency. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Establish policies and procedures including evacuation. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Establish policies and procedures for sheltering. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Establish policies and procedures for medical documentation. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Establish policies and procedures for volunteers. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Create arrangements with other facilities to receive patients. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Establish roles under a Waiver declared by secretary. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Develop a communication plan. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| List the names and contact information of those in the facility. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Provide emergency officials' contact information. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Provide primary/alternate means for communication. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Establish methods for sharing information. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Provide a means of sharing information on occupancy/needs. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Provide family notifications of emergency plan. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Establish emergency prep training and testing. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Establish staff and initial training requirements. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Conduct testing and exercise requirements. (Fire Safety) | 06-19-2019 / 08-20-2019 |
| Have generator or other power source capable of supplying service within 10 seconds. (Fire Safety) | 06-19-2019 / 07-24-2019 |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Health) | 06-27-2019 / 08-06-2019 |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Health) | 06-27-2019 / 08-06-2019 |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Health) | 06-27-2019 / 08-06-2019 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Health) | 06-27-2019 / 08-06-2019 |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Health) | 06-27-2019 / 08-06-2019 |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (Health) | 06-27-2019 / 08-06-2019 |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Health) | 06-27-2019 / 08-06-2019 |
| Ensure each resident receives an accurate assessment. (Health) | 06-27-2019 / 08-06-2019 |
| PASARR screening for Mental disorders or Intellectual Disabilities (Health) | 06-27-2019 / 08-06-2019 |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Health) | 06-27-2019 / 08-06-2019 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 06-27-2019 / 08-06-2019 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Health) | 06-27-2019 / 08-06-2019 |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Health) | 06-27-2019 / 08-06-2019 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (Health) | 06-27-2019 / 08-06-2019 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 06-27-2019 / 08-06-2019 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Health) | 06-27-2019 / 08-06-2019 |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Health) | 06-27-2019 / 08-06-2019 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 06-27-2019 / 08-06-2019 |
| Provide enough food/fluids to maintain a resident's health. (Health) | 06-27-2019 / 08-06-2019 |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. (Health) | 06-27-2019 / 08-06-2019 |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Health) | 06-27-2019 / 08-06-2019 |
| Post nurse staffing information every day. (Health) | 06-27-2019 / 08-06-2019 |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (Health) | 06-27-2019 / 08-06-2019 |
| Ensure medication error rates are not 5 percent or greater. (Health) | 06-27-2019 / 08-06-2019 |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Health) | 06-27-2019 / 08-06-2019 |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (Health) | 06-27-2019 / 08-06-2019 |
| Provide and implement an infection prevention and control program. (Health) | 06-27-2019 / 08-06-2019 |
| Implement a program that monitors antibiotic use. (Health) | 06-27-2019 / 08-06-2019 |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. (Health) | 06-27-2019 / 08-06-2019 |
| Plan the resident's discharge to meet the resident's goals and needs. (Health) | 10-16-2020 / 12-10-2020 |
| Provide enough food/fluids to maintain a resident's health. (Health) | 11-13-2020 / 12-10-2020 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 04-22-2021 / 05-14-2021 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 05-28-2021 / 06-16-2021 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Health) | 05-28-2021 / 06-16-2021 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (Health) | 11-02-2021 / 11-16-2021 |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (Health) | 12-01-2021 / 12-14-2021 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 12-01-2021 / 12-16-2021 |
| Dispose of garbage and refuse properly. (Health) | 12-01-2021 / 12-16-2021 |
| Respond appropriately to all alleged violations. (Health) | 06-29-2022 / 08-05-2022 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 06-29-2022 / 08-05-2022 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Health) | 06-29-2022 / 08-05-2022 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Health) | 07-29-2022 / 09-10-2022 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (Health) | 07-29-2022 / 09-10-2022 |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. (Health) | 07-29-2022 / 09-10-2022 |
| Provide and implement an infection prevention and control program. (Health) | 07-29-2022 / 08-29-2022 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Health) | 10-13-2022 / 12-12-2022 |
| Respond appropriately to all alleged violations. (Health) | 10-13-2022 / 12-12-2022 |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. (Health) | 12-19-2022 / 01-20-2023 |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. (Health) | 12-19-2022 / 01-20-2023 |
| Develop and maintain an Emergency Preparedness Program (EP). (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Conduct risk assessment and an All-Hazards approach. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Include a process for Emergency Preparedness collaboration. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Develop Emergency Preparedness policies and procedures. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Develop a communication plan. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| List the names and contact information of those in the facility. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Provide emergency officials' contact information. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Establish staff and initial training requirements. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Conduct testing and exercise requirements. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Meet other general requirements. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Install emergency lighting that can last at least 1 1/2 hours. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Have properly located and lighted "Exit" signs. (Fire Safety) | 02-14-2023 / 03-02-2023 |
| Provide properly protected cooking facilities. (Fire Safety) | 02-14-2023 / 03-02-2023 |
| Have approved installation, maintenance and testing program for fire alarm systems. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Inspect, test, and maintain automatic sprinkler systems. (Fire Safety) | 02-14-2023 / 03-01-2023 |
| Properly select, install, inspect, or maintain portable fire extinguishes. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Have properly installed electrical wiring and gas equipment. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. (Fire Safety) | 02-14-2023 / 03-13-2023 |
| Have restrictions on the use of portable space heaters. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Have generator or other power source capable of supplying service within 10 seconds. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Ensure proper usage of power strips and extension cords. (Fire Safety) | 02-14-2023 / 03-13-2023 |
| Ensure that testing and maintenance of electrical equipment is performed. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. (Fire Safety) | 02-14-2023 / 03-20-2023 |
| Ensure that residents are fully informed and understand their health status, care and treatments. (Health) | 02-17-2023 / 03-28-2023 |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Health) | 02-17-2023 / 03-28-2023 |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Health) | 02-17-2023 / 03-28-2023 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 02-17-2023 / 03-28-2023 |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Health) | 02-17-2023 / 03-28-2023 |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (Health) | 02-17-2023 / 03-28-2023 |
| Ensure medication error rates are not 5 percent or greater. (Health) | 02-17-2023 / 03-28-2023 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 02-17-2023 / 03-28-2023 |
| Provide and implement an infection prevention and control program. (Health) | 02-17-2023 / 03-28-2023 |
Hospitals Near Shuksan Healthcare Center
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Shuksan Healthcare Center.
This information is based on the most recent Hospital data. Historical data is not available.
| Hospital | 5-Star Overall Rating |
|---|---|
|
SKAGIT VALLEY HOSPITAL 1415 KINCAID STREET MOUNT VERNON, WA 98274 |
3 |
|
ST JOSEPH HOSPITAL 2901 SQUALICUM PARKWAY BELLINGHAM, WA 98225 |
4 |
|
PEACEHEALTH UNITED GENERAL MEDICAL CENTER 2000 HOSPITAL DRIVE SEDRO WOOLLEY, WA 98284 |
4 |
|
ISLAND HOSPITAL 1211 24TH STREET ANACORTES, WA 98221 |
5 |
Medical Professionals Associated with Shuksan Healthcare Center
These are the doctors who are affiliated with Shuksan Healthcare Center. The data is from the most recent period. Historical data is not available.
- MANI SURY ( INTERNAL MEDICINE - WA PACS 2 PC )
- JODHVIR SARAI ( INTERNAL MEDICINE - POST ACUTE MEDICAL PLLC )
Detailed Analysis Pages:
Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.
CMS Five Star Ratings and Quality Measures for Shuksan Healthcare Center
Five different rating results plus detailed inspection numbers and quality measures for Shuksan Healthcare Center.
Covid Infections at Shuksan Healthcare Center
This report is updated weekly and shows new and historical infection levels.
Nursing Hours Analysis for Shuksan Healthcare Center
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
Ownership Details for Shuksan Healthcare Center
A list of all of the registered owners for Shuksan Healthcare Center. This includes direct and indirect owners and managers.
Noted Deficiencies for Shuksan Healthcare Center
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Comparison Ranking of Nearby Skilled Nursing Facilities
How does Shuksan Healthcare Center compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.
Best Nursing Homes in BELLINGHAM, WA
Homes that you should consider. A list ranking the best skilled nursing facilities in BELLINGHAM based on their weighted inspection score as of May 01, 2023.
Worst Nursing Homes in BELLINGHAM, WA
Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in BELLINGHAM based on their weighted inspection score as of May 01, 2023.
Other Data Periods:
Data on Shuksan Healthcare Center is available for the following periods:
