With an address in Dayton, Washington, Booker Rest Home Annex is the lone nursing home located in the city. Featuring an overall score of A+, this nursing home is ranked among the highest-graded nursing homes we found. In fact, we ranked this facility in the top five percentile of all facilities in the United States. Headlining this facility's remarkable report card is its nursing score, which we will address in the next section.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 34 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

Government - Hospital district

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Nurse Quality

A+
Oct 18: ANov 18: ADec 18: AJan 19: A-Feb 19: A-May 19: AJun 19: AJul 19: CAug 19: CSep 19: CJan 20: BMar 20: BApr 20: A+May 20: A+Jun 20: A+Jul 20: A+Aug 20: A+
Historical

We also want to point out that this facility excelled in our nursing grade. We gave them an A+ in this category. In calculating our nursing grades, we weigh both nursing hours and the skill levels of those nurses. This place provides an incredible 8.5 hours of nursing care per resident daily. Out of this total, many of those hours were provided by registered nurses, which is one of the more highly trained levels of nurses. On top of offering high levels of care, this nursing home was also above average in several of the major quality measures we looked at in this category. By way of illustration, it performed well in the area of avoiding major falls and pressure ulcers. These are generally reliable indicators of the quality of nursing care a nursing home offers.

Long-term Care Quality

A+
Oct 18: ANov 18: ADec 18: AJan 19: B+Feb 19: B+May 19: B+Jun 19: B+Jul 19: BAug 19: BSep 19: BJan 20: B+Mar 20: B+Apr 20: A+May 20: A+Jun 20: A+Jul 20: A+Aug 20: A+
Historical

This top notch facility also performed well in the category of long-term care, where it received a score of A+. Few facilities fared better in this area. Long-term care scores in this range generally require both around the clock care from nurses and aids, as well as quality routine healthcare services. In addition to offering very impressive levels of nurse staffing, this facility gave the pneumonia vaccine to 100 percent of its residents. This statistic is also much better than the average nursing home. Lastly, this facility was able to limit hospitalizations. Indeed, it had only 0 hospitalizations per 1,000 long-term resident days, which is an impressively low number.

Facility Inspections

A+
Oct 18: ANov 18: ADec 18: AJan 19: AFeb 19: AMay 19: A+Jun 19: A+Jul 19: A+Aug 19: A+Sep 19: A+Jan 20: A+Mar 20: A+Apr 20: A+May 20: A+Jun 20: A+Jul 20: A+Aug 20: A+
Historical

This facility also received a nearly flawless inspection report. As a result, it received one of our highest grades in that category with a score of A+. Perhaps the most significant factor we consider in computing our inspection scores is deficiencies. Deficiencies are found on a nursing home's recent inspection reports. Facilities with better grades in this area most likely avoided the most severe deficiencies involving things like patient abuse. While this nursing home had a few deficiencies on its inspection report, none of them were severe based on CMS' scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Short-term Care Quality

A-
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: A-Feb 19: A-May 19: A-Jun 19: A-Jul 19: BAug 19: BSep 19: BJan 20: BMar 20: BApr 20: A-May 20: A-Jun 20: A-Jul 20: A-Aug 20: A-
Historical

The final category we rated is short-term care, where this nursing home was awarded an A-. This finished off a very impressive profile. Only a select few facilities received an A- or higher in all four categories. Short-term care grades are typically used to grade a facility's performance with rehabilitation. To provide highly scored rehabilitation services, facilities generally must feature better levels of highly skilled nursing. These types of services include registered nurses, physical therapists, speech therapists and other types of therapists. One of this facility's strengths is it provides more than an hour of care per day from registered nurses to each patient. This is really the gold standard in this metric, as it's roughly 50% higher than the typical place's level of registered nurse staffing. The last datapoint we looked at in this category is the number of patients who were able to leave the nursing home and return to the community. We found that 0 percent of this facility's residents were able to return home.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
A+
State:
B-
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Booker Rest Home Annex Quality Metrics

Minimizes Pressure Ulcers

This statistic is an indication of the percent of long-term stay patients which suffer from new or worsened pressure ulcers. We have found that pressure ulcers are a reliable measure of the quality of nursing care a nursing home provides.

Provider
B+
5.88%
State
B+
6.51%
National
B
7.34%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This tells you the percent of residents who suffered from a fall which resulted in severe injury.

Provider
A-
1.92%
State
B+
3.03%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This indicates the percent of long-term care residents who have experienced urinary tract infections. Although more infections could reflect poorly on a nursing home's hygiene protocols, it can be difficult to compare different facilities due to facilities having inconsistent reporting standards.

Provider
C
3.85%
State
B
2.47%
National
B
2.66%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This metric is a measure of the percent of long-term patients taking antipsychotic drugs. While antipsychotic medications serve an important medical purpose, it is important to confirm these medications are being used appropriately. In limited situations, excessive reliance on these medications may suggest that a facility is using these drugs to subdue residents.

Provider
F
40%
State
B
14.62%
National
B
14.15%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This is the percent of patients who were given antianxiety drugs. These medications are generally prescribed to patients suffering from anxiety or depression.

Provider
B
19.23%
State
A-
12.27%
National
B
19.69%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This metric is a measure of the percent of long-term care residents demonstrating symptoms of depression.

Provider
A+
0%
State
B-
10.42%
National
B+
5.11%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This tells you the percent of patients who received the pneumonia and flu vaccines. High vaccination rates should be the norm at this point.

Provider
B-
96.67%
State
B
92.43%
National
B
92.01%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This indicates the percentage of patients that needed additional assistance with activities of daily living over time.

Provider
A
9.62%
State
B+
13.68%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This datapoint measures the percentage of long-term stay residents that remained mobile levels.

Provider
A-
22.41%
State
B
18.05%
National
B
17.10%

Percentage of Residents
Higher is Better

Short-term Care: Rehospitalizations

This is the number of rehospitalizations per 1,000 days of short-term patient care.

Provider
C
22.41
State
B
18.05
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better