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Deficiency Records for Avamere Rehabilitation of Burien
A list of the most recent deficiencies for Avamere Rehabilitation of Burien. 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 Burien. 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? |
---|---|---|---|---|
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-21 | 2024-05-09 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-21 | 2024-05-09 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-27 | 2024-05-01 | Y |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-03-27 | 2024-05-01 | Y |
Ensure that residents are free from significant medication errors. | Health | 2024-03-27 | 2024-05-01 | Y |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-03-27 | 2024-05-01 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-28 | 2024-04-11 | 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 | 2024-02-28 | 2024-04-11 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-28 | 2024-04-11 | N |
Respond appropriately to all alleged violations. | Health | 2024-02-28 | 2024-04-11 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-28 | 2024-04-11 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-02-28 | 2024-04-11 | N |
Ensure each resident receives an accurate assessment. | Health | 2024-02-28 | 2024-04-11 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-02-28 | 2024-04-11 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-28 | 2024-04-11 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-28 | 2024-04-11 | 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 | 2024-02-28 | 2024-04-11 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-28 | 2024-04-11 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-28 | 2024-04-11 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-28 | 2024-04-11 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-28 | 2024-04-11 | 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 | 2024-02-28 | 2024-04-11 | 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 | 2024-02-28 | 2024-04-11 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-28 | 2024-04-11 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-28 | 2024-04-11 | N |
Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-02-28 | 2024-04-11 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-02-28 | 2024-04-11 | 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 | 2024-02-28 | 2024-04-11 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-02-28 | 2024-04-11 | N |
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-02-28 | 2024-04-11 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-28 | 2024-04-11 | N |
Dispose of garbage and refuse properly. | Health | 2024-02-28 | 2024-04-11 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-28 | 2024-04-11 | N |
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-02-28 | 2024-04-11 | N |
Keep all essential equipment working safely. | Health | 2024-02-28 | 2024-04-11 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-28 | 2024-04-11 | Y |
Provide and implement an infection prevention and control program. | Health | 2024-02-28 | 2024-04-11 | Y |
Establish policies and procedures including evacuation. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Establish policies and procedures for medical documentation. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Develop a communication plan. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
List the names and contact information of those in the facility. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Provide primary/alternate means for communication. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Provide family notifications of emergency plan. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Establish staff and initial training requirements. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Provide properly protected cooking facilities. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-21 | 2024-03-27 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-02-21 | 2024-03-27 | 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 | 2022-11-17 | 2022-12-20 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-17 | 2022-12-20 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-17 | 2022-12-20 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-17 | 2022-12-20 | N |
Provide and implement an infection prevention and control program. | Health | 2022-11-17 | 2022-12-20 | N |
Perform COVID19 testing on residents and staff. | Health | 2022-11-17 | 2022-12-20 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-11-15 | 2022-12-15 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-11-15 | 2022-12-15 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-15 | 2022-12-15 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-15 | 2022-12-15 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-15 | 2022-12-15 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-15 | 2022-12-15 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-11-15 | 2022-12-15 | N |
Provide and implement an infection prevention and control program. | Health | 2022-01-21 | 2022-02-10 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-01 | 2022-01-18 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-01 | 2022-01-18 | 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 | 2019-06-05 | 2019-06-24 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-06-05 | 2019-06-24 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-06-05 | 2019-06-24 | 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 | 2019-06-05 | 2019-06-24 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-05 | 2019-06-24 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-05 | 2019-06-24 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-05 | 2019-06-24 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-05 | 2019-06-24 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-06-05 | 2019-06-24 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-05 | 2019-06-24 | 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 | 2019-06-05 | 2019-06-24 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-05 | 2019-06-24 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-05 | 2019-06-24 | N |
Implement a program that monitors antibiotic use. | Health | 2019-06-05 | 2019-06-24 | N |
Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2019-05-30 | 2019-06-19 | N |
Have exits that are accessible at all times. | Fire Safety | 2019-05-30 | 2019-06-14 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-30 | 2019-06-14 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-30 | 2019-06-14 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-30 | 2019-06-14 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-05-30 | 2019-06-14 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-30 | 2019-06-14 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-30 | 2019-06-03 | N |
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