Frontier remains on state's 'worst nursing home' list
Wednesday, February 13, 2008 5:46 AM PST
By Barbara LaBoe
blaboe@tdn.com
A Longview nursing home remains on the federal government's latest "worst nursing homes" list released Tuesday, but local officials are disputing those findings.
Evergreen Frontier Rehab & Extended Care Center, 1500 Third Ave., was on the initial list of 56 homes released in November. Tuesday, the federal Centers for Medicare and Medicaid Services released an expanded list of 131 homes.
"This is the latest in a series of steps we will be taking to improve quality and oversight in nursing homes," Kerry Weems, CMS acting administrator, said in a press release.
Making the list doesn't change a nursing home's status or ability to operate, but regulators hope it will prod the facilities to improve. Nursing homes with life-threatening violations still can be closed to new residents or shut down completely in extreme cases.
Evergreen officials Tuesday released a statement defending their 140-bed facility, adding that the list itself is part of a flawed federal process.
Frontier "strongly disagrees" with its inclusion on the list, according to the press release from Yvoan Luyt, executive director of the Longview facility. "Frontier's last survey indicates that the facility continues to make significant progress in correcting any outstanding deficiencies."
Saying it has committed "significant resources" to stabilize staffing and management, the management team "believes that it will be found in substantial compliance with all Medicare and Medicaid participation requirements prior to any (subsequent) revisit."
In addition, Frontier officials say the entire process of how the list is created is unfair and possibly illegal.
"The exact mechanisms for how a facility makes it on the list are still unknown," the press release states. And, once on the list, "nursing facilities have been subject to an intensified and mandatory penalty scheme that is not found in any statute within the Medicare and Medicaid Acts."
According to the federal government, nursing homes make the Special Focus Facility (SFF) list after showing a consistent lack of improvement during inspections. Nursing homes receiving federal funds are required to be inspected annually; homes on the SFF list are visited more often.
Evergreen Frontier has been on the SFF list for 37 months, according to the Centers for Medicare and Medicaid Services. Its most recent inspection was in January, but those results are not yet posted on the agency's nursing home compare Web site, http://www.medicare.gov/NHCompare.
Previous inspections showed concerns about inadequate prevention of bedsores, failing to meet residents' nutritional needs and neglecting to make sure residents receive help eating, drinking and grooming if they can't do so themselves.
The new list breaks the nursing homes into categories such as newly added, facilities that have not improved and facilities that have shown improvement. The Frontier Evergreen facility is listed under "facilities that have not improved."
Two other Washington nursing homes are on the list. One, in Auburn, was recently added. The other, the Evergreen Centralia Health & Rehabilitation home, is no longer participating in Medicare or Medicaid programs, according to the CMS list. Telephone calls to the troubled Centralia center were not answered Tuesday.
Following the release of the November list, Frontier officials released a letter from the resident council president of the Longview facility, which was also signed by the rest of the resident council.
"We are being well taken care of," Frontier resident Ernie Turner wrote in the Dec. 10 letter. "To me we have the cream of the crop (staff)."
Frontier officials also stressed that they feel they're providing quality care to all of their residents.
"Frontier believes strongly in the quality of care it provides its community and is committed to providing that care regardless of how large a shadow CMS has unjustly tried to cast upon it," the press release states.
shame wrote on Feb 13, 2008 7:24 AM:
Keep up the good work wrote on Feb 13, 2008 7:55 AM:
Reality Check wrote on Feb 13, 2008 9:56 AM:
Anonymous wrote on Feb 13, 2008 10:42 AM:
Reap what they sew... wrote on Feb 13, 2008 11:12 AM:
Family First wrote on Feb 13, 2008 11:15 AM:
Longviewteen wrote on Feb 13, 2008 11:15 AM:
Wow, how bad is that when the nursing home is making all this progress and STILL is one of the worst nursing homes in the nation. Pathetic "
re reality check wrote on Feb 13, 2008 12:23 PM:
If you want first hand information , work in a nursing home , I have in more than one .
The problem is staffing , short handed and nurses that refuse to help other than push pills and paper, yes you know who you are! When the staffing on the floor is short.
Many times on the mid night to seven shift the staff is minimal.
You try to keep your people dry and turned, but the work load can be overwhelming if lots of people need bed changes, then the rest get neglected, and so it goes. This work pattern is the same or worse in many nuring homes , they under staff to make a buck, and when some one does not show it just gets worse. "
To Longviewteen and other nay sayers wrote on Feb 13, 2008 12:38 PM:
Also, does anyone know how much it costs to care for these medicare/medicade patients? It is quite significant and the amount that the state pays often doesn't cover the bill. Who picks up the rest of the costs? Does the family? Not typically.
It is typical Longview who expect that they DESERVE something for FREE. I have an idea--why not take the money from the welfare recipients (god forbid they get a job) and put it towards our elders. They should be honored and cared for, not the people who aren't willing to take care of themselves and their families by getting a job, even if it is at a fast food restaurant.
"
dman wrote on Feb 13, 2008 1:42 PM:
big shock wrote on Feb 13, 2008 9:06 PM:
"
took care of mine wrote on Feb 13, 2008 10:48 PM:
pangborn wrote on Feb 14, 2008 4:40 AM:
I spoke the truth in my last attempt to comment on this subject.
I have, at least, a little knowledge of resthomes and the lack of care.
For a reason unknown, TDN did not print it.
"
Misinformed wrote on Feb 14, 2008 5:30 AM:
Resident wrote on Feb 14, 2008 5:39 AM:
yourself visible at odd hours of the day
and evening and get to know the staff who cares for your loved one and they
will always receive better care. I know
i have had that experience. "
interesting wrote on Feb 14, 2008 9:23 AM:
caregiver wrote on Feb 14, 2008 12:06 PM:
Frontier and Evergreen wrote on Feb 14, 2008 7:23 PM:






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