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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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