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Deficiency Records for Washington Soldiers Home
A list of the most recent deficiencies for Washington Soldiers Home. 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 Washington Soldiers Home. 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-07-18 | 2024-08-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-18 | 2024-08-28 | N |
| Respond appropriately to all alleged violations. | Health | 2024-07-18 | 2024-08-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-07-18 | 2024-08-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-18 | 2024-08-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-07-18 | 2024-08-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-18 | 2024-08-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-18 | 2024-08-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-18 | 2024-08-28 | 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 | 2024-07-18 | 2024-08-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-07-18 | 2024-08-28 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-07-18 | 2024-08-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-05 | 2023-07-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-05 | 2023-07-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-05 | 2023-07-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-07 | 2023-07-12 | 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 | 2023-06-07 | 2023-07-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-07 | 2023-07-12 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-06-05 | 2023-07-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-05 | 2023-07-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-05 | 2023-07-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-05 | 2023-07-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-06-05 | 2023-07-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-06-05 | 2023-07-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-06-05 | 2023-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-05 | 2022-06-13 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-02-01 | 2022-03-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-01 | 2022-03-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-01 | 2022-03-07 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-02-01 | 2022-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-01 | 2022-03-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-01 | 2022-03-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-01 | 2022-03-07 | 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 | 2022-02-01 | 2022-03-07 | N |
| Provide or obtain dental services for each resident. | Health | 2022-02-01 | 2022-03-07 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-01-26 | 2022-02-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-01-26 | 2022-02-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-26 | 2022-02-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-26 | 2022-02-25 | N |
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