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Deficiency Records for Four Seasons of Washington Nursing and Rehab
A list of the most recent deficiencies for Four Seasons of Washington Nursing and Rehab. 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 Four Seasons of Washington Nursing and Rehab. 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? |
|---|---|---|---|---|
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-06-08 | 2023-07-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-07-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-08 | 2023-07-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-05 | 2023-07-21 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-06-05 | 2023-07-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-05 | 2023-07-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-05 | 2023-07-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-05 | 2023-07-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-05 | 2023-07-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-05 | 2023-07-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-05 | 2023-07-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-05 | 2023-07-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-24 | 2022-07-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-24 | 2022-07-18 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-05-03 | 2021-07-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-03 | 2021-07-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-03 | 2021-07-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-04-29 | 2021-07-13 | N |
| Provide activities to meet all resident's needs. | Health | 2021-04-29 | 2021-07-13 | 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 | 2021-04-29 | 2021-07-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-29 | 2021-07-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-29 | 2021-07-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-03 | 2021-07-13 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-04-29 | 2021-05-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-13 | 2019-03-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-02-13 | 2019-03-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-13 | 2019-03-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-02-13 | 2019-03-29 | N |
| Provide activities to meet all resident's needs. | Health | 2019-02-13 | 2019-03-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-13 | 2019-03-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-13 | 2019-03-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-13 | 2019-03-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-13 | 2019-03-29 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-02-13 | 2019-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-13 | 2019-03-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-02-15 | 2019-03-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-15 | 2019-03-29 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-02-15 | 2019-03-29 | 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 | 2019-02-15 | 2019-03-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-15 | 2019-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-15 | 2019-03-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-15 | 2019-03-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-15 | 2019-03-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-15 | 2019-03-29 | N |
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