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Deficiency Records for Grays Harbor Health and Rehabilitation Center
A list of the most recent deficiencies for Grays Harbor Health and Rehabilitation 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 Grays Harbor Health and Rehabilitation 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-26 | 2024-04-01 | 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 | 2024-02-23 | 2024-03-19 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-02-23 | 2024-03-19 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-02-23 | 2024-03-19 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-02-23 | 2024-03-19 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-08-29 | 2023-09-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-15 | 2023-09-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-03 | 2023-05-25 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-24 | 2023-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-24 | 2023-04-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-09-13 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Establish methods for sharing information. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Meet other general requirements. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-10 | 2022-01-13 | 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 | 2021-11-10 | 2022-01-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Have an externally vented heating system. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Enure that solid fuel-burning fireplaces are not in patient sleeping areas. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-10 | 2022-01-13 | 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 | 2021-11-19 | 2022-01-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-11-19 | 2022-01-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-19 | 2022-01-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-19 | 2022-01-06 | 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 | 2021-11-19 | 2022-01-06 | 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 | 2021-11-19 | 2022-01-06 | N |
| Post nurse staffing information every day. | Health | 2021-11-19 | 2022-01-06 | 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 | 2021-11-19 | 2022-01-06 | 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 | 2021-11-19 | 2022-01-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-19 | 2022-01-06 | N |
| Provide or obtain dental services for each resident. | Health | 2021-11-19 | 2022-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-19 | 2022-01-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-19 | 2022-01-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-11-19 | 2022-01-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-19 | 2022-01-06 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2021-11-19 | 2022-01-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-19 | 2022-01-06 | Y |
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