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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?
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
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2020-02-25 2020-03-24 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2020-02-25 2020-03-24 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 2020-02-25 2020-03-24 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 2020-02-25 2020-03-24 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2020-02-25 2020-03-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-02-25 2020-03-24 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 2020-02-25 2020-03-24 N
Post nurse staffing information every day. Health 2020-02-25 2020-03-24 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2020-02-25 2020-03-24 N
Ensure medication error rates are not 5 percent or greater. Health 2020-02-25 2020-03-24 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2020-02-25 2020-03-24 N
Provide and implement an infection prevention and control program. Health 2020-02-25 2020-03-24 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2020-02-25 2020-03-24 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2020-02-24 2020-03-02 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-02-24 2020-03-02 N

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