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Deficiency Records for Avamere Rehabilitation of Issaquah
A list of the most recent deficiencies for Avamere Rehabilitation of Issaquah. 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 Avamere Rehabilitation of Issaquah. 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 heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-01 | 2024-04-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-06 | 2024-03-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-06 | 2024-03-20 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-02-06 | 2024-03-20 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-02-06 | 2024-03-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-06 | 2024-03-20 | 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 | 2024-02-06 | 2024-03-20 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-02-06 | 2024-03-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-06 | 2024-03-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-02-06 | 2024-03-20 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-02-06 | 2024-03-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-06 | 2024-03-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-06 | 2024-03-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-02-06 | 2024-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-06 | 2024-03-20 | 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 | 2024-02-06 | 2024-03-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-06 | 2024-03-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-06 | 2024-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-06 | 2024-03-20 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-02-06 | 2024-03-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-06 | 2024-03-20 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-02-06 | 2024-03-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-06 | 2024-03-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-06 | 2024-03-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-02-06 | 2024-03-20 | N |
| 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 | 2024-02-06 | 2024-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-06 | 2024-03-20 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-02-06 | 2024-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-06 | 2024-03-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-06 | 2024-03-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-06 | 2024-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-06 | 2024-03-20 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-01 | 2024-02-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-01 | 2024-02-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-01 | 2024-02-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-01 | 2024-02-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-01 | 2024-02-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-01 | 2024-02-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-01 | 2024-02-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-01 | 2024-02-29 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-02-01 | 2024-02-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-01 | 2024-02-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-01 | 2024-02-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-02-01 | 2024-02-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-01 | 2024-02-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-02-01 | 2024-02-29 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-02-01 | 2024-02-29 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-02-01 | 2024-02-22 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-02-01 | 2024-02-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-01 | 2024-02-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-01 | 2024-02-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-02-01 | 2024-02-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-01 | 2024-02-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-02-01 | 2024-02-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-01 | 2024-02-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-01 | 2024-02-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-09 | 2023-12-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-09 | 2023-12-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-15 | 2023-07-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-15 | 2023-07-05 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-04-27 | 2023-06-07 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-27 | 2023-06-07 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-10-12 | 2022-11-16 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-10-12 | 2022-11-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-12 | 2022-11-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-12 | 2022-11-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-12 | 2022-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-12 | 2022-11-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-12 | 2022-11-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-12 | 2022-11-16 | 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 | 2022-10-12 | 2022-11-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-12 | 2022-11-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-06 | 2022-10-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-02-27 | 2020-04-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-27 | 2020-04-15 | N |
| Post nurse staffing information every day. | Health | 2020-02-27 | 2020-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-20 | 2020-03-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-20 | 2020-03-13 | N |
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