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Deficiency Records for Mt Baker Care Center
A list of the most recent deficiencies for Mt Baker Care Center. 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 Mt Baker Care Center. 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? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2024-04-12 | 2024-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-12 | 2024-05-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-12 | 2024-05-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-12 | 2024-05-10 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-04-12 | 2024-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-12 | 2024-05-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-04-09 | 2024-05-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-09 | 2024-05-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-09 | 2024-05-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-09 | 2024-05-08 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-04-09 | 2024-05-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-09 | 2024-05-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-03 | 2024-05-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-04 | 2024-04-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-07 | 2023-02-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-07 | 2023-02-15 | N |
| Provide or obtain dental services for each resident. | Health | 2023-01-07 | 2023-02-15 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-01-07 | 2023-02-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-07 | 2023-02-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-04 | 2023-02-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-04 | 2023-02-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-04 | 2023-02-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-04 | 2023-02-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-04 | 2023-02-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-01-04 | 2023-02-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-04 | 2023-02-01 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-01-04 | 2023-02-01 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-01-04 | 2023-02-01 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-01-04 | 2023-02-01 | N |
| Develop a communication plan. | Fire Safety | 2023-01-04 | 2023-02-01 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-01-04 | 2023-02-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-16 | 2020-01-24 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-12-16 | 2020-01-24 | 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 | 2019-12-16 | 2020-01-24 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-12-16 | 2020-01-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-16 | 2020-01-24 | N |
| Respond appropriately to all alleged violations. | Health | 2019-12-16 | 2020-01-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-16 | 2020-01-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-16 | 2020-01-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-16 | 2020-01-24 | 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 | 2019-12-16 | 2020-01-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-16 | 2020-01-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-16 | 2020-01-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-16 | 2020-01-24 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-12-16 | 2020-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-16 | 2020-01-24 | N |
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