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Deficiency Records for Regency Olympia Rehabilitation and Nursing Center
A list of the most recent deficiencies for Regency Olympia Rehabilitation and Nursing 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 Regency Olympia Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-04 | 2024-04-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-04 | 2024-04-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-03-04 | 2024-04-08 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-03-04 | 2024-04-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-04 | 2024-04-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-04 | 2024-04-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-04 | 2024-04-08 | 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 | 2024-03-08 | 2024-04-03 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-03-08 | 2024-04-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-01 | 2023-08-15 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-10 | 2023-05-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-04-06 | 2023-05-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-06 | 2023-05-09 | 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 | 2023-04-06 | 2023-05-09 | 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 | 2023-04-06 | 2023-05-09 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-09-28 | 2022-11-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-25 | 2022-03-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-25 | 2022-03-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-25 | 2022-03-02 | 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 | 2022-01-25 | 2022-03-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-25 | 2022-03-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-25 | 2022-03-02 | 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 | 2022-01-25 | 2022-03-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-01-25 | 2022-03-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-01-25 | 2022-03-02 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-01-25 | 2022-03-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-25 | 2022-03-02 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Establish methods for sharing information. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
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