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Deficiency Records for Lacamas Creek Post Acute
A list of the most recent deficiencies for Lacamas Creek Post Acute. 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 Lacamas Creek Post Acute. 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 that residents are free from significant medication errors. | Health | 2024-04-29 | 2024-05-16 | Y |
| 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 | 2023-10-31 | 2023-12-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-31 | 2023-12-05 | 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 | 2023-10-31 | 2023-12-05 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-10-31 | 2023-12-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-31 | 2023-12-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-31 | 2023-12-05 | 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 | 2023-10-31 | 2023-12-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-31 | 2023-12-05 | N |
| Provide activities to meet all resident's needs. | Health | 2023-10-31 | 2023-12-05 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-10-31 | 2023-12-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-31 | 2023-12-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-31 | 2023-12-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-31 | 2023-12-05 | 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 | 2023-10-31 | 2023-12-05 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-10-31 | 2023-12-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-31 | 2023-12-05 | 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 | 2023-10-31 | 2023-12-05 | 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 | 2023-10-31 | 2023-12-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-31 | 2023-12-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-31 | 2023-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-31 | 2023-12-05 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-26 | 2023-11-30 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-10-26 | 2023-11-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-26 | 2023-11-20 | 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 | 2023-10-26 | 2023-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-26 | 2023-11-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-26 | 2023-11-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-26 | 2023-11-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-26 | 2023-10-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-14 | 2023-10-20 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-12-16 | 2023-01-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-12-16 | 2023-01-31 | 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 | 2022-12-16 | 2023-01-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-16 | 2023-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-16 | 2023-01-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-16 | 2023-01-31 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-12-16 | 2023-01-31 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-12-16 | 2023-01-31 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-12-15 | 2023-01-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-15 | 2023-01-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-15 | 2023-01-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-15 | 2023-01-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-15 | 2023-01-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-15 | 2023-01-19 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-12-15 | 2023-01-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-15 | 2023-01-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-12-15 | 2023-01-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-15 | 2023-01-19 | 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 | 2020-02-07 | 2020-03-12 | 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 | 2020-02-07 | 2020-03-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-07 | 2020-03-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-07 | 2020-03-12 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2020-02-07 | 2020-03-12 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-02-07 | 2020-03-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-07 | 2020-03-12 | N |
| Post nurse staffing information every day. | Health | 2020-02-07 | 2020-03-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-07 | 2020-03-12 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2020-02-07 | 2020-03-12 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2020-02-07 | 2020-03-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-03 | 2020-03-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-03 | 2020-03-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-03 | 2020-03-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-03 | 2020-03-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-03 | 2020-03-09 | N |
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