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Deficiency Records for Olympia Convalescent Hospital
A list of the most recent deficiencies for Olympia Convalescent Hospital. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Olympia Convalescent Hospital. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-17 | 2024-07-28 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-06 | 2024-06-05 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-05-06 | 2024-06-05 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-05-06 | 2024-06-05 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-05-06 | 2024-06-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-06 | 2024-06-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-06 | 2024-06-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-06 | 2024-06-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-06 | 2024-06-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-06 | 2024-06-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-06 | 2024-06-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-06 | 2024-06-05 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-05-02 | 2024-06-01 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-05-02 | 2024-06-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-02 | 2024-06-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-02 | 2024-06-01 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-05-02 | 2024-06-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-05-02 | 2024-06-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-05-02 | 2024-06-01 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-05-02 | 2024-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-02 | 2024-06-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-02 | 2024-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-02 | 2024-06-01 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-05-02 | 2024-06-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-05-02 | 2024-06-01 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-01-22 | 2024-02-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-22 | 2024-02-23 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-10-24 | 2023-11-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-08 | 2022-09-02 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-08-10 | 2022-08-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-02 | 2022-06-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-20 | 2022-05-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-23 | 2022-03-09 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-02-23 | 2022-03-09 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-10 | 2022-01-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-12-10 | 2022-01-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-10 | 2022-01-05 | N |
| 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 are only used when the medication is necessary and PRN use is limited. | Health | 2021-12-10 | 2022-01-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-10 | 2022-01-05 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-12-10 | 2022-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-10 | 2022-01-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-10 | 2022-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-10 | 2022-01-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-12-10 | 2022-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-10 | 2022-01-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-30 | 2021-12-14 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-09-06 | 2019-10-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-09-06 | 2019-10-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-06 | 2019-10-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-06 | 2019-10-07 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-09-06 | 2019-10-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-06 | 2019-10-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-06 | 2019-10-07 | N |
| 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 are only used when the medication is necessary and PRN use is limited. | Health | 2019-09-06 | 2019-10-07 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-09-06 | 2019-10-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-06 | 2019-10-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-09-06 | 2019-10-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-09-06 | 2019-10-04 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
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