Booker Rest Home: Data Analysis and Ratings

CMS Five Star Rating(5 out of 5):

 1012 SOUTH 3RD STREET DAYTON, WA 99328

  509-382-3212

Data date: August 01, 2022

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The Most Important Data about Booker Rest Home

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 Booker Rest Home. (CMS flags facilities where abuse has either happened or is very likely.)

CMS 5-Star Overall Rating: (5 out of 5):
(The national average overall star rating is 3 stars.)

Current Trend: Worsening

Total Nursing Hours Spent Per Resident Per Day: 5.28
(The national average is 3.77 )

According to our analysis, Booker Rest Home is ranked #1 out of 5 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 Booker Rest Home.

What is this page all about?

Below is everything shred of information that we can find about Booker Rest Home, 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: August 01, 2022

Address: 1012 SOUTH 3RD STREET

DAYTON, WA 99328

Phone: 509-382-3212

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Ranking: Booker Rest Home is ranked #1 out of 1 facilities within a 10 mile radius and #1 out of 5 facilities within a 25 mile radius.

Medicare Provider Number: 505437

Participating in Medicare Since: January 01, 1992

No. of Certified Beds: 23

No. of Residents: 20

Occupancy: 86.96 % (as of 09/04/2022 )

Amount fined in recent period: $0.00

Complaints filed: 0

Review of Booker Rest Home 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 5:
Health Inspection Rating 5:
Quality Rating 5:
Staffing Rating 5:

Inspection Scores

Cycle 1 Score (as of November 14, 2019) 20
Cycle 2 Score (as of February 05, 2019) 8
Cycle 3 Score (as of March 27, 2018) 32
Weighted All Cycles Score 18

It has been 32 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!) :

  1. Begin with the Health Inspection Rating
  2. 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".)
  3. Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
  4. Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
  5. 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.

Owner and Operator Information for Booker Rest Home

Our database of owners and operators shows all directo 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:

COLUMBIA COUNTY HOSPITAL DISTRICT

Owners:

Managers and Directors:

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 Booker Rest Home 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 1.49 0.93 / 0.68
Case Mix 0.24 0.41 / 0.39
Adjusted 2.43 NA / NA
Licensed Practical Nurse (LPN)
Hours 0.58 0.80 / 0.89
Case Mix 0.60 NA / NA
Adjusted 0.72 NA / NA
Certified Nursing Assistants (CNA)
Hours 3.20 2.49 / 2.20
Case Mix 1.86 NA / NA
Adjusted 3.50 NA / NA
Total Licensed Staff
Hours 2.08 1.73 / 1.57
Physical Therapist (PT)
Hours 0.00 0.09 / 0.07
Total Nursing Homes Spent per Resident on Average
Hours 5.28 4.22 / 3.77
Case Mix 2.70 3.32 / 3.17
Adjusted 6.19 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 Not Available
Percentage of short-stay residents who had an outpatient emergency department visit Not Available
Number of hospitalizations per 1000 long-stay resident days 0.2% 1.0%
Better
Number of outpatient emergency department visits per 1000 long-stay resident days 0.2% 0.8%
Better
Percentage of long-stay residents whose need for help with daily activities has increased 4.8% 13.9%
Better
Percentage of long-stay residents who lose too much weight 3.1% 6.4%
Better
Percentage of low risk long-stay residents who lose control of their bowels or bladder 53.1% 54.3%
Better
Percentage of long-stay residents with a catheter inserted and left in their bladder 7.0% 1.7%
Worse
Percentage of long-stay residents with a urinary tract infection 5.4% 2.3%
Worse
Percentage of long-stay residents who have depressive symptoms 1.4% 13.7%
Better
Percentage of long-stay residents who were physically restrained 0.0% 0.5%
Better
Percentage of long-stay residents experiencing one or more falls with major injury 0.0% 2.9%
Better
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0% 95.0%
Worse
Percentage of long-stay residents who received an antipsychotic medication 22.4% 13.8%
Worse
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0% 83.7%
Worse
Percentage of short-stay residents who newly received an antipsychotic medication Not Available
Percentage of long-stay residents whose ability to move independently worsened 23.7% 21.8%
Worse
Percentage of long-stay residents who received an antianxiety or hypnotic medication 6.3% 12.3%
Better
Percentage of high risk long-stay residents with pressure ulcers 2.2% 7.1%
Better
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0% 95.3%
Worse
Percentage of short-stay residents who made improvements in function Not Available
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 76.0% 79.2%
Better

Booker Rest Home 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: $0.00, Complaints filed: 0

Deficiency Deficiency Date / Date Corrected
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
(Fire Safety)
03-20-2018 / 05-01-2018
Have generator or other power source capable of supplying service within 10 seconds.
(Fire Safety)
03-20-2018 / 04-11-2018
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
(Health)
03-27-2018 / 05-01-2018
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
(Health)
03-27-2018 / 05-01-2018
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
(Health)
03-27-2018 / 05-01-2018
Ensure that residents are free from significant medication errors.
(Health)
03-27-2018 / 05-01-2018
Provide activities to meet all resident's needs.
(Health)
02-05-2019 / 03-15-2019
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)
02-05-2019 / 03-15-2019
Have simulated fire drills held at unexpected times.
(Fire Safety)
02-05-2019 / 03-21-2019
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
(Fire Safety)
02-05-2019 / 02-28-2019
Establish roles under a Waiver declared by secretary.
(Fire Safety)
11-12-2019 / 12-16-2019
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)
11-12-2019 / 11-13-2019
Inspect, test, and maintain automatic sprinkler systems.
(Fire Safety)
11-12-2019 / 12-04-2019
Have simulated fire drills held at unexpected times.
(Fire Safety)
11-12-2019 / 11-20-2019
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
(Health)
11-14-2019 / 12-20-2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
(Health)
11-14-2019 / 12-20-2019

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 Booker Rest Home

Five different rating results plus detailed inspection numbers and quality measures for Booker Rest Home.

Covid Infections at Booker Rest Home

This report is updated weekly and shows new and historical infection levels.

Nursing Hours Analysis for Booker Rest Home

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 Booker Rest Home

A list of all of the registered owners for Booker Rest Home. This includes direct and indirect owners and managers.

Noted Deficiencies for Booker Rest Home

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 Booker Rest Home compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.

Best Nursing Homes in DAYTON

Homes that you should consider. A list ranking the best skilled nursing facilities in DAYTON based on their weighted inspection score as of August 01, 2022.

Worst Nursing Homes in DAYTON

Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in DAYTON based on their weighted inspection score as of August 01, 2022.