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Deficiency Records for Enumclaw Health and Rehab Center
A list of the most recent deficiencies for Enumclaw Health and Rehab 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 Enumclaw Health and Rehab 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-16 | 2024-06-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-16 | 2024-06-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-16 | 2024-06-27 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-05-16 | 2024-06-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-16 | 2024-06-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-16 | 2024-06-27 | 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 | 2024-05-16 | 2024-06-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-16 | 2024-06-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-16 | 2024-06-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-16 | 2024-06-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-05-16 | 2024-06-27 | 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 | 2024-05-16 | 2024-06-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-16 | 2024-06-27 | 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 | 2024-05-16 | 2024-06-27 | 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 | 2024-05-16 | 2024-06-27 | N |
| Provide or obtain dental services for each resident. | Health | 2024-05-16 | 2024-06-27 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-05-16 | 2024-06-27 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-05-16 | 2024-06-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-16 | 2024-06-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-16 | 2024-06-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-16 | 2024-06-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-24 | 2024-06-21 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2024-05-08 | 2024-06-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-08 | 2024-06-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-08 | 2024-06-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-08 | 2024-06-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-08 | 2024-06-01 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-05-08 | 2024-06-01 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-05-08 | 2024-06-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-08 | 2024-06-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-08 | 2024-06-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-05-08 | 2024-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-03 | 2023-12-08 | Y |
| Post nurse staffing information every day. | Health | 2023-11-03 | 2023-12-08 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-11-03 | 2023-12-08 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-11-03 | 2023-12-08 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-11-03 | 2023-12-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-03 | 2023-12-08 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-02-07 | 2023-03-08 | 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 | 2023-02-07 | 2023-03-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-07 | 2023-03-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-07 | 2023-03-08 | 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 | 2023-02-07 | 2023-03-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-07 | 2023-03-08 | 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 | 2023-02-07 | 2023-03-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-07 | 2023-03-08 | 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 | 2023-02-07 | 2023-03-08 | 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 | 2023-02-07 | 2023-03-08 | 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 | 2023-02-07 | 2023-03-08 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-02-07 | 2023-03-08 | 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 | 2023-02-07 | 2023-03-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-07 | 2023-03-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-07 | 2023-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-31 | 2023-02-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-31 | 2023-02-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-31 | 2023-02-21 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-01-31 | 2023-02-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-31 | 2023-02-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-31 | 2023-02-21 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-01-31 | 2022-03-02 | 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 | 2022-01-31 | 2022-03-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-31 | 2022-03-02 | Y |
| Report COVID19 data to residents and families. | Health | 2022-01-31 | 2022-03-02 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-01-31 | 2022-03-02 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-07 | 2022-01-04 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-03-04 | 2020-05-14 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2020-03-04 | 2020-05-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-03-04 | 2020-05-14 | 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 | 2020-03-04 | 2020-05-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-03-04 | 2020-05-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-03-04 | 2020-05-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-04 | 2020-05-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-04 | 2020-05-14 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-03-04 | 2020-05-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-04 | 2020-05-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-04 | 2020-05-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-04 | 2020-05-14 | N |
| Provide appropriate foot care. | Health | 2020-03-04 | 2020-05-14 | 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 | 2020-03-04 | 2020-05-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-04 | 2020-05-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-04 | 2020-05-14 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-03-04 | 2020-05-14 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2020-03-04 | 2020-05-14 | 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 | 2020-03-04 | 2020-05-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-03-04 | 2020-05-14 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-03-04 | 2020-05-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-03-04 | 2020-05-14 | 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 | 2020-03-04 | 2020-05-14 | 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 | 2020-03-04 | 2020-05-14 | N |
| Provide or obtain dental services for each resident. | Health | 2020-03-04 | 2020-05-14 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2020-03-04 | 2020-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-04 | 2020-05-14 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2020-03-04 | 2020-05-14 | N |
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