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Deficiency Records for Washington Veteran Home-Retsil
A list of the most recent deficiencies for Washington Veteran Home-Retsil. 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 Veteran Home-Retsil. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-12 | 2024-08-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-22 | 2024-06-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-22 | 2024-06-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-04-22 | 2024-06-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-22 | 2024-06-05 | 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 | 2024-04-22 | 2024-06-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-22 | 2024-06-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-04-22 | 2024-06-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-22 | 2024-06-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-22 | 2024-06-05 | 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 | 2024-04-22 | 2024-06-05 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-04-22 | 2024-06-05 | 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 | 2024-04-22 | 2024-06-05 | 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 | 2024-04-22 | 2024-06-05 | 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 | 2024-04-22 | 2024-06-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-22 | 2024-06-05 | 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 | 2024-04-22 | 2024-06-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-04-23 | 2024-05-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-23 | 2024-05-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-23 | 2024-05-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-23 | 2024-05-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-23 | 2024-05-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-08 | 2024-04-15 | 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 | 2023-11-09 | 2023-12-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-09 | 2023-12-11 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-09-14 | 2023-10-31 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-06-26 | 2023-07-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-23 | 2023-07-19 | 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 | 2023-06-23 | 2023-07-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-23 | 2023-07-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-23 | 2023-07-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-23 | 2023-07-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-06-23 | 2023-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-23 | 2023-07-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-01 | 2023-07-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-30 | 2023-02-28 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-01-30 | 2023-02-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-05 | 2023-02-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-05 | 2023-02-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-10 | 2022-11-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-03 | 2022-11-01 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-07-27 | 2022-09-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-02 | 2022-06-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-12 | 2022-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-12 | 2022-06-30 | Y |
| Meet other general requirements. | Fire Safety | 2022-03-23 | 2022-05-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-23 | 2022-05-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-03-23 | 2022-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-23 | 2022-05-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-23 | 2022-05-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-23 | 2022-05-11 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-03-23 | 2022-05-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-23 | 2022-05-11 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2022-03-23 | 2022-05-11 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-03-25 | 2022-05-03 | 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 | 2022-03-25 | 2022-05-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-25 | 2022-05-03 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-03-25 | 2022-05-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-25 | 2022-05-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-25 | 2022-05-03 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-03-25 | 2022-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-25 | 2022-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-25 | 2022-05-03 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-03-25 | 2022-05-03 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-03-25 | 2022-05-03 | N |
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