Located in Coeur D Alene, Idaho, Coeur D'alene of Cascadia is one of only two facilities in the area. This nursing home was given an overall grade of C, which is a good rating. Based on our assessment, this facility has some redeeming qualities. This facility didn't excel in every category we looked at, but it did not receive any terrible grades either. Additional information about its category grades can be found below.
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Coeur D'alene of Cascadia
- Nursing Home
Updated Apr 1, 2023 by Nick Lata
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- For profit - Corporation
- Offers Inpatient Rehab
- Personal Care
- Speech Therapy
- Occupational Therapy
- Cardiac Therapy
- Tracheotomy Care
- Physical Therapy
- Respiratory Therapy
- Nutritional Counseling
- Recreational Therapy
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Best Nursing Home in Idaho Awards 2019
Best Nursing Home in Coeur D Alene, Idaho Awards 2019
Registered Staff Hours
Long-term Care Quality
This facility earned an elite long-term care grade. In fact, we gave it a grade of A- in this area, which boosted its overall score. Long-term care scores in this range generally require both 24/7 care from nurses and aids, as well as quality routine healthcare services. One of the criteria we considered after nursing hours was vaccinations. This nursing home provided the pneumonia vaccine to 100 percent of its patients. Vaccination is a great way to minimize unnecessary deaths for the nursing home population. Clearly, this facility is doing something right in this area as it also excelled at keeping its patients out of the hospital. It had only 0.02 hospitalizations per 1,000 long-term resident days, which is a remarkably low number.
Short-term Care Quality
One of this nursing home's better category scores came in the category of short-term care. This ended up being its second most respectable category. In that area, we gave this nursing home a B-. Our short-term care grade is commonly employed to assess a facility's rehabilitation services. In order to provide highly scored rehabilitation services, facilities generally must feature better levels of skilled nursing services. These types of services include registered nurses, physical therapists, occupational therapists and other types of therapists. We were surprised to find that this place was below average in the two key staffing areas we focus on. The facility supplied fewer registered nurse and physical therapist hours per resident than most other facilities. Lastly, we assessed the number of patients who were able to return to the community from this facility. We found that 5.9 percent of this facility's residents returned home. At most facilities, closer to half of their patients are able to return home so this figure is below average.
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This facility earned its third best score in inspections. Inspection ratings are based on a facility's recent government inspection reports. We gave this facility a C in this area. We take several aspects of a facility's inspection report into consideration in determining our inspection grades. One key factor is health deficiencies. You should keep in mind that the severity of deficiencies is arguably more meaningful than the number of deficiencies, as some deficiencies can be relatively insignificant. This facility was hit with 4 deficiencies on its government inspection report, but we were relieved to find that none were in categories G through L. This means CMS did not deem any of the deficiencies to create an imminent risk to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
The next category we rated is nursing, turned out to be this facility's worst area. We gave this facility a D in that category. Our nursing grade is based on the facility's nurse staffing levels. We consider both the levels of training of the nurses and the amount of time spent with patients. This nursing home averaged only 0.4 hours of nursing care per patient each day. This is a very low total compared to most nursing homes. Lastly, we also assessed some nursing quality-based metrics in determining our nursing grades. This nursing home fared well in terms of avoiding major falls and pressure ulcers.
Rating Over Time
Compared to national and state averages across all facilities.
Coeur D'alene of Cascadia Quality Metrics
Minimizes Pressure Ulcers
In Coeur D'alene of Cascadia, 12.26% of Patients had Pressure Ulcers
This indicates the percent of residents that suffered from a pressure ulcer. Pressure ulcers are damage to the skin resulting from staying in one position for an excessive period of time.
Minimizes Serious Falls
In Coeur D'alene of Cascadia, 0.98% of Patients had Serious Falls
This indicates the percentage of residents that have had a major fall. Falls leading to serious injury are routinely linked to poor nursing care. Better nursing care limits the percentage of residents in a nursing home who sustain major falls.
Minimizes Urinary Tract Infections
In Coeur D'alene of Cascadia, 0% of Patients had UTIs
This figure indicates the percent of long-term patients who suffered from a UTI. UTI's could be an indication of worse hygiene protocols. Nevertheless, this statistic can also be misleading for certain nursing homes due to different reporting standards for urinary tract infections.
Appropriately Uses Anti-Psychotic Medication
In Coeur D'alene of Cascadia, 6.52% of Patients use Anti-Psychotic Medication
This indicates the percentage of residents prescribed antipsychotic medications. While antipsychotic medications may be vital to many patients, it is important to ensure these medications are being used only where medically required. In some situations, increased usage of these drugs may suggest that a facility is using these drugs to control patient behavior.
Appropriately Uses Anti-Anxiety Medication
In Coeur D'alene of Cascadia, 21.54% of Patients use Anti-Anxiety Medication
This indicates the percentage of residents given antianxiety drugs. These medications are prescribed to patients experiencing anxiety and depression.
Managing Depression Among Residents
In Coeur D'alene of Cascadia, 10.75% of Patients
This tells you the percent of residents who are exhibiting signs of depression. Increased rates of depression could reveal a lower level of care.
Appropriate Vaccine Usage
In Coeur D'alene of Cascadia, 100% of Patients
This is the percentage of residents that received the flu and pneumonia vaccines. Higher vaccination rates should be the norm at this point.
Residents Maintain Autonomy
In Coeur D'alene of Cascadia, 28.89% of Patients
This tells you the percent of patients that required additional assistance with activities of daily living over time. Higher levels of needing for assistance with ADL's may indicate the erosion of a patient's medical condition.
Ability to Keep Residents Mobile
In Coeur D'alene of Cascadia, 25.14% of Residents
This tells you the percentage of residents that maintained mobility over time. Retaining mobility can be a great sign for residents' health.
In Coeur D'alene of Cascadia, 0.02 Hospitalizations per 1,000 resident days
This tells you the number of times residents are hospitalized per thousand days of care. There is a correlation between having fewer hospitalizations and the overall quality of nursing home care.
Short-term Care: Rehospitalizations
In Coeur D'alene of Cascadia, 25.14% of Residents Rehospitalized
Measures the number of rehospitalizations per 1,000 days of short-term patient care.
Short-term Care: ER Visits
In Coeur D'alene of Cascadia, 9.88% of Patients
This datapoint measures the number of times residents are sent to the emergency room per 1,000 days of short-term care. Staying out of the emergency room is one way to measure the well-being of patients during rehabilitation.
Short-term Care: Facilitates Functional Improvement
In Coeur D'alene of Cascadia, 76.64% of Resident
This metric is a measure of the percent of short-term patients that experienced functional improvements, such as with activities of daily living. Many would argue this is a measure of a facility's rehabilitation performance.
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