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Deficiency Records for Northwest Nursing Center
A list of the most recent deficiencies for Northwest Nursing Center. 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 Northwest Nursing Center. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-04 | 2024-04-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-04 | 2024-04-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-13 | 2023-10-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-13 | 2023-10-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-13 | 2023-10-13 | 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 | 2023-09-13 | 2023-10-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-13 | 2023-10-13 | N |
| Keep all essential equipment working safely. | Health | 2023-09-13 | 2023-10-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-13 | 2023-10-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-13 | 2023-10-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-13 | 2023-10-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-13 | 2023-10-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-13 | 2023-05-09 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-05-12 | 2022-07-01 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-05-12 | 2022-07-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-12 | 2022-07-01 | N |
| Respond appropriately to all alleged violations. | Health | 2022-05-12 | 2022-07-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-05-12 | 2022-07-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-12 | 2022-07-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-12 | 2022-07-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-12 | 2022-07-01 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-12 | 2022-07-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-12 | 2022-07-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-05-12 | 2022-07-01 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-05-12 | 2022-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-12 | 2022-07-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-12 | 2022-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-12 | 2022-07-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-12 | 2022-07-01 | 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 | 2022-05-04 | 2022-07-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-04 | 2022-07-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-22 | 2022-05-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-22 | 2022-05-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-22 | 2022-05-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-22 | 2022-05-30 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-04-22 | 2022-05-30 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2020-01-16 | 2020-03-02 | N |
| 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 | 2020-01-16 | 2020-03-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-16 | 2020-03-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-16 | 2020-03-02 | 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 | 2020-01-16 | 2020-03-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-16 | 2020-03-02 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-01-15 | 2020-03-02 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-01-15 | 2020-03-02 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-01-15 | 2020-03-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-15 | 2020-03-02 | N |
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