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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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