TACOMA LUTHERAN HOME - TACOMA, WA

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Addresss:

1301 N HIGHLANDS PARKWAY
TACOMA, WA, 98406

Phone (make sure to verify first before calling): (253) 752-7112

Number of Certified Beds: 187
Total Number of Residents: 162
Percent of Occupied Beds: 87%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Church related
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: Yes
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 5 Stars
Health Inspections Star Rating: 5 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 20.80

Administrative Staff - Part Time: 3.34

Certified Nurse Aides - Full Time: 80.17

Certified Nurse Aides - Part Time: 9.89

Dietitians - Under Contract: 1.14

Food Service Personnel - Full Time: 18.93

Food Service Personnel - Part Time: 7.94

Housekeeping Personnel - Full Time: 19.41

Licensed Practical/ Vocational Nurses - Full Time: 29.36

Licensed Practical/ Vocational Nurses - Part Time: 5.56

Medical Directors - Under Contract: 0.06

Mental Health Services Personnel - Under Contract: 0.11

Nurses With Administrative Duties - Full Time: 4.23

Persons Not Included In Any Other Categories - Full Time: 15.93

Physical Therapists - Under Contract: 0.97

Registered Nurses - Full Time: 9.67

Rn Director Of Nursing - Full Time: 0.80

Social Workers - Full Time: 3.93

Activities Professionals - Full Time: 1.14

Dentists - Under Contract: 0.06

Occupational Therapists - Under Contract: 2.00

Pharmacists - Under Contract: 0.23

Food Service Personnel - Under Contract: 3.43

Podiatrists - Under Contract: 0.04

Speech Pathologists - Under Contract: 0.49

Persons Not Included In Any Other Categories - Part Time: 0.43

Registered Nurses - Part Time: 2.19

Occupational Therapy Assistants - Under Contract: 0.83

Social Workers - Part Time: 1.04

Housekeeping Personnel - Part Time: 1.74

Physical Therapy Aide - Under Contract: 0.57

Occupational Therapy Aides - Under Contract: 0.57

Number Of Beds

Total: 189

Total Certified: 189

For Residents With Alzeheimers: 26

Provided Services

Activities Services Are Provided Onsite To Nonresidents

Activities Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Offsite To Residents

Clinical Laboratory Services Are Provided Onsite To Residents

Dental Services Are Provided Offsite To Residents

Dental Services Are Provided Onsite To Residents

Diagnostic Xray Services Are Provided Offsite To Residents

Diagnostic Xray Services Are Provided Onsite To Residents

Dietary Services Are Provided Onsite To Non Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Onsite To Non Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Offsite To Residents

Mental Health Services Are Provided Onsite To Residents

Nursing Services Are Provided Offsite To Residents

Nursing Services Are Provided Onsite To Non Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Onsite To Non Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Onsite To Non Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Services Are Provided Offsite To Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Offsite To Residents

Podiatry Services Are Provided Onsite To Residents

Social Work Services Are Provided Onsite To Non Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Non Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	6.5%
State:	13.3%

Percent of long-stay residents who self-report moderate to severe pain

Here:	17.3%
State:	14.6%

Percent of long-stay high-risk residents with pressure ulcers

This Nursing Home:	4.4%
State:	6.0%

Percent of long-stay residents who lose too much weight

Here:	10.1%
Washington:	7.5%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	69.1%
Washington:	52.9%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	5.5%
State:	4.7%

Percent of long-stay residents with a urinary tract infection

Here:	5.0%
State:	8.3%

Percent of long-stay residents who have depressive symptoms

Here:	46.2%
State:	13.2%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	2.5%
State:	3.0%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	98.3%
Washington:	95.1%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	100.0%
Washington:	95.7%

Percent of short-stay residents who self-report moderate to severe pain

Here:	28.9%
Washington:	27.2%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	0.3%
Washington:	1.5%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	72.3%
Washington:	89.4%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	74.9%
State:	87.7%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	1.1%
State:	2.1%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	19.0%
Washington:	22.9%

Complaint Deficiency

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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Potential for minimal harm
- Scope: Some
Emergency lighting that can last at least 1 1/2 hours
- Harm: Potential for minimal harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Some
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Determine if it is safe for the resident to self-administer drugs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.760
Washington:	1.030

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	1.040
Washington:	0.679

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.790
State:	1.696

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.120
Washington:	0.132

Number Therapy Hours Per Resident Per Day

Here:	0.120
State:	0.134

TACOMA LUTHERAN HOME - TACOMA, WA

Quality Measures

Complaint Deficiency

Staff Information

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