Shuksan Healthcare Center in Bellingham, WA is owned by a for-profit corporation, in Bellingham, WA, in zipcode 98225, is in the Western states, Medicaid certified, Medicare certified, a special-focus facility or candidate, got worse on scores over the last two years (3 in total), had a deficiency in how to conduct testing and exercise requirements, had a deficiency in how to develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, had a deficiency in how to develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals, had a deficiency in how to ensure that residents is free from significant medication errors, had a deficiency in how to have generator or other power source capable of supplying service within 10 seconds, had a deficiency in how to 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 is only used when the medication is necessary and PRN use is limited, had a deficiency in how to procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, had a deficiency in how to provide and implement an infection prevention and control program, had a deficiency in how to provide appropriate treatment and care according to orders, resident's preferences and goals, had a deficiency in how to provide enough food/fluids to maintain a resident's health, had a deficiency in how to respond appropriately to all alleged violations, had a severe deficiency in how to ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents, had a severe deficiency in how to provide appropriate pressure ulcer care and prevent new ulcers from developing, has a Resident Council, has automatic sprinklers in all required areas, doesn't have fines or payment denials, had a deficiency in both health and fire safety, has a 1-star rating in health inspection, has a 5-star rating in both staffing and registered-nurse staffing, has a 1- or 2-star rating in both overall and health inspection, has a 4- or 5-star rating in each of quality measures, long-stay quality measures, short-stay quality measures, staffing, and registered-nurse staffing (5 total), is worse than the nationwide mental-health averages in both short-stay residents who newly received an antipsychotic medication and long-stay residents who received an antipsychotic medication, is better than the nationwide mental-health averages in long-stay residents who have depressive symptoms, is worse than the nationwide hospital-related averages in short-stay residents who were rehospitalized after a nursing home admission, is better than the nationwide hospital-related averages in short-stay residents who had an outpatient emergency department visit, is worse than the nationwide averages in short-stay residents who made improvements in function, newly received an antipsychotic medication, were assessed and appropriately given the seasonal influenza vaccine, and were rehospitalized after a nursing home admission (4 total), is better than the nationwide averages in short-stay residents who were assessed and appropriately given the pneumococcal vaccine and had an outpatient emergency department visit, is worse than the nationwide physical-health averages in long-stay residents who experienced one or more falls with major injury, had a catheter inserted and left in their bladder, were low-risk and lost control of their bowels or bladder, and lose too much weight (4 total), and is better than the nationwide physical-health averages in long-stay residents who became less able to move independently, were high-risk and had pressure ulcers, were physically restrained, has a urinary tract infection, and needed increased help with daily activities (5 total).

Numeric values:
- incentive bonus payments per $1M in claims ($345)
- total fines ($0)
- total fines per resident ($0.00, but changed to n/a because the number of residents in certified beds must be at least 40.)
- change in total fines over two years (-$1,300)
- long-stay residents assessed and appropriately given the seasonal influenza vaccine (90.6%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- short-stay residents assessed and appropriately given the pneumococcal vaccine (87.8%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- long-stay residents assessed and appropriately given the pneumococcal vaccine (86.6%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (75.6%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- short-stay residents who made improvements in function (65.6%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- low-risk long-stay residents who lose control of their bowels or bladder (64.3%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- certified-bed occupancy rate (55.8%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- short-stay residents who were rehospitalized or had an outpatient emergency department visit (32.0%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- long-stay residents who received an antianxiety or hypnotic medication (25.3%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- short-stay residents who were rehospitalized after a nursing home admission (23.1%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- long-stay residents who received an antipsychotic medication (17.7%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- long-stay residents whose ability to move independently worsened (15.5%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- short-stay residents who had an outpatient emergency department visit (8.9%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- long-stay residents whose need for help with daily activities has increased (8.8%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- long-stay residents with a catheter inserted and left in their bladder (8.5%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- long-stay residents experiencing one or more falls with major injury (8.2%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- long-stay residents who lose too much weight (6.8%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- high-risk long-stay residents with pressure ulcers (6.0%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- long-stay residents who have depressive symptoms (3.2%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- short-stay residents who newly received an antipsychotic medication (2.3%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- long-stay residents with a urinary tract infection (1.1%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- long-stay residents who were physically restrained (0.0%, but changed to n/a because the number of residents in certified beds must be at least 40.)
- change in health-inspection rating over two years (0 stars)
- change in overall rating over two years (0 stars)
- change in quality-measures rating over two years (-1 star)
- change in residents in certified beds over two years (-12)
- change in staffing rating over two years (+1 star)
- health-inspection rating (1 star)
- long-stay quality-measures rating (4 stars)
- overall rating (2 stars)
- quality-measures rating (4 stars)
- registered-nurse staffing rating (5 stars)
- RN staffing hours per resident per day (1.39)
- short-stay quality-measures rating (4 stars)
- staffing rating (5 stars)
- total nurse staffing hours per resident per day (5.38)
- change in facility-reported incidents or substantiated complaints over two years (+21)
- change in last-inspection-cycle health-deficiency score over two years (+307)
- change in last-inspection-cycle total health-inspection score over two years (+307)
- change in total last-inspection-cycle fire-safety deficiencies over two years (+8)
- change in total last-inspection-cycle health deficiencies over two years (+1)
- change in total weighted health survey score over two years (+167.4)
- count of administration deficiencies (0)
- count of automatic sprinkler systems deficiencies (0)
- count of construction deficiencies (0)
- count of corridor walls and doors deficiencies (0)
- count of electrical deficiencies (0)
- count of emergency plans and fire drills deficiencies (0)
- count of emergency preparedness deficiencies (24)
- count of environmental deficiencies (3)
- count of exit deficiencies (0)
- count of fire alarm systems deficiencies (0)
- count of freedom from abuse, neglect, and exploitation deficiencies (1)
- count of gas, vacuum, and electrical systems deficiencies (1)
- count of hazardous area deficiencies (0)
- count of illumination and emergency power deficiencies (0)
- count of interior deficiencies (0)
- count of laboratories deficiencies (0)
- count of medical gases and anesthetizing areas deficiencies (0)
- count of miscellaneous deficiencies (0)
- count of nursing and physician services deficiencies (2)
- count of nutrition and dietary deficiencies (1)
- count of pharmacy service deficiencies (3)
- count of quality of life and care deficiencies (8)
- count of resident assessment and care planning deficiencies (6)
- count of resident rights deficiencies (5)
- count of services deficiencies (0)
- count of smoke deficiencies (0)
- count of smoking regulations deficiencies (0)
- facility-reported incidents (5)
- facility-reported incidents or substantiated complaints (24)
- facility-reported incidents or substantiated complaints per 100 residents in a certified bed (82.8, but changed to n/a because the number of residents in certified beds must be at least 40.)
- fines (0)
- health deficiencies during the last inspection cycle (51)
- health deficiencies from complaint surveys during the last inspection cycle (22)
- health deficiencies from the standard survey during the last inspection cycle (29)
- health-deficiency score during the last inspection cycle (596)
- payment denials (0)
- substantiated complaints (19)
- total health-inspection score during the last inspection cycle (596)
- total number of fire-safety deficiencies (25)
- total number of health deficiencies (29)
- total penalties (0)
- total weighted health survey score during the last 3 inspection cycles (404.8)
- certified beds (52)
- change in RN staffing hours per resident per day (+0.3)
- change in total nurse staffing hours per resident per day (+1.74)
- LPN staffing hours per resident per day (0.88)
- Nurse Aide staffing hours per resident per day (3.05)
- residents in certified beds (29)
- years certified for Medicare/Medicaid (53.9)