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Deficiency Records for Puget Sound Care
A list of the most recent deficiencies for Puget Sound Care. 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 Puget Sound Care. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-07 | 2024-12-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-07 | 2024-12-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-07 | 2024-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-07 | 2024-12-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-06 | 2024-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-06 | 2024-12-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-11-06 | 2024-12-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-11-06 | 2024-12-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-28 | 2024-03-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-13 | 2023-11-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-13 | 2023-11-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-13 | 2023-11-10 | 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 | 2023-10-13 | 2023-11-10 | 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 | 2023-10-13 | 2023-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-13 | 2023-11-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-12 | 2023-10-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-12 | 2023-10-27 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-14 | 2023-03-17 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-07 | 2023-02-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-07 | 2023-01-26 | 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 | 2022-12-07 | 2023-01-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-08 | 2022-12-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-08 | 2022-12-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-08 | 2022-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-08 | 2022-12-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-08 | 2022-12-30 | N |
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