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Deficiency Records for Renton Health and Rehabilitation
A list of the most recent deficiencies for Renton Health and Rehabilitation. 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 Renton Health and Rehabilitation. 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 fully informed and understand their health status, care and treatments. | Health | 2024-09-16 | 2024-11-01 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-09-16 | 2024-11-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-09-16 | 2024-11-01 | 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 | 2024-09-16 | 2024-11-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-16 | 2024-11-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-16 | 2024-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-16 | 2024-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-16 | 2024-11-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-16 | 2024-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-16 | 2024-11-01 | 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 | 2024-09-16 | 2024-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-16 | 2024-11-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-16 | 2024-11-01 | 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 | 2024-09-16 | 2024-11-01 | N |
| Provide or obtain dental services for each resident. | Health | 2024-09-16 | 2024-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-16 | 2024-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-16 | 2024-11-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-09-16 | 2024-11-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Establish methods for sharing information. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-09-11 | 2024-10-23 | 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 | 2024-09-11 | 2024-10-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-09-11 | 2024-10-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-05 | 2024-08-30 | 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 | 2024-06-25 | 2024-07-16 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-06-25 | 2024-07-16 | 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 | 2024-06-25 | 2024-07-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-31 | 2024-02-29 | Y |
| 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 | 2024-01-31 | 2024-02-29 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-01-31 | 2024-02-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-06 | 2023-09-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-06 | 2023-09-29 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-06 | 2023-09-29 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-06 | 2023-09-29 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-05-24 | 2023-06-30 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-05-24 | 2023-06-30 | 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 | 2023-05-24 | 2023-06-30 | 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 | 2023-05-24 | 2023-06-30 | 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 | 2023-05-24 | 2023-06-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-05-24 | 2023-06-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-24 | 2023-06-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-24 | 2023-06-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-24 | 2023-06-30 | 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 | 2023-05-24 | 2023-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-24 | 2023-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-24 | 2023-06-30 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-24 | 2023-06-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-05-24 | 2023-06-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-24 | 2023-06-30 | 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 | 2023-05-24 | 2023-06-30 | 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 | 2023-05-24 | 2023-06-30 | 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 | 2023-05-24 | 2023-06-30 | N |
| Provide or obtain dental services for each resident. | Health | 2023-05-24 | 2023-06-30 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-05-24 | 2023-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-24 | 2023-06-30 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-05-24 | 2023-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-24 | 2023-06-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-05-24 | 2023-06-30 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-05-24 | 2023-06-30 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2023-05-17 | 2023-06-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-05-17 | 2023-06-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-17 | 2023-06-09 | 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 | 2023-05-17 | 2023-06-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-17 | 2023-06-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-17 | 2023-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-17 | 2023-06-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-17 | 2023-06-09 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2023-05-17 | 2023-06-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-17 | 2023-06-09 | 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 | 2022-10-06 | 2022-10-24 | 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 | 2022-07-25 | 2022-08-10 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-07-25 | 2022-08-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-29 | 2022-05-13 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-31 | 2022-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-31 | 2022-04-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-04 | 2022-03-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-10 | 2022-01-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-11-10 | 2022-01-08 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-11-10 | 2022-01-08 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-11-10 | 2022-01-08 | 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 | 2021-11-10 | 2022-01-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-11-10 | 2022-01-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-11-10 | 2022-01-08 | 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 | 2021-11-10 | 2022-01-08 | N |
| Respond appropriately to all alleged violations. | Health | 2021-11-10 | 2022-01-08 | 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 | 2021-11-10 | 2022-01-08 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-11-10 | 2022-01-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-10 | 2022-01-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-11-10 | 2022-01-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-11-10 | 2022-01-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-10 | 2022-01-08 | 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 | 2021-11-10 | 2022-01-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-10 | 2022-01-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-10 | 2022-01-08 | N |
| Provide activities to meet all resident's needs. | Health | 2021-11-10 | 2022-01-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-10 | 2022-01-08 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-11-10 | 2022-01-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-10 | 2022-01-08 | 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 | 2021-11-10 | 2022-01-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-10 | 2022-01-08 | 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 | 2021-11-10 | 2022-01-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-10 | 2022-01-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-10 | 2022-01-08 | 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 | 2021-11-10 | 2022-01-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-11-10 | 2022-01-08 | 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 | 2021-11-10 | 2022-01-08 | 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 | 2021-11-10 | 2022-01-08 | 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 | 2021-11-10 | 2022-01-08 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-11-10 | 2022-01-08 | N |
| Provide or obtain dental services for each resident. | Health | 2021-11-10 | 2022-01-08 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-11-10 | 2022-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-10 | 2022-01-08 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-11-10 | 2022-01-08 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-11-10 | 2022-01-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-02 | 2021-11-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-11-02 | 2021-11-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-02 | 2021-11-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-02 | 2021-11-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-02 | 2021-11-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-11-02 | 2021-11-19 | N |
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