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Deficiency Records for Washington State Walla Walla Veterans Home
A list of the most recent deficiencies for Washington State Walla Walla Veterans 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 State Walla Walla Veterans 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? |
|---|---|---|---|---|
| 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 | 2024-09-16 | 2024-10-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-07 | 2024-04-05 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-30 | 2024-01-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-30 | 2024-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-30 | 2023-12-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-30 | 2023-12-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-30 | 2023-12-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-17 | 2023-12-22 | Y |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-11-30 | 2023-11-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-01 | 2023-05-26 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-14 | 2023-03-08 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-12-07 | 2022-12-30 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-10-26 | 2022-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-27 | 2022-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-27 | 2022-12-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-10-27 | 2022-12-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-27 | 2022-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-27 | 2022-12-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-27 | 2022-12-07 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-10-26 | 2022-12-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-10-26 | 2022-12-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-10-26 | 2022-12-07 | N |
| Meet other general requirements. | Fire Safety | 2022-10-26 | 2022-12-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-10-26 | 2022-12-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-26 | 2022-12-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-10-26 | 2022-12-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-10-26 | 2022-12-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-26 | 2022-12-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-26 | 2022-12-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-26 | 2022-12-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-26 | 2022-12-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-26 | 2022-12-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-26 | 2022-12-07 | 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 | 2022-06-08 | 2022-07-08 | Y |
| 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 | 2019-08-09 | 2019-09-20 | 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 | 2019-08-09 | 2019-09-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-09 | 2019-09-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-09 | 2019-09-20 | 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 | 2019-08-09 | 2019-09-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-09 | 2019-09-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-09 | 2019-09-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-09 | 2019-09-20 | 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 | 2019-08-09 | 2019-09-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-09 | 2019-09-20 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-08-09 | 2019-09-20 | 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 | 2019-08-09 | 2019-09-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-08-09 | 2019-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-09 | 2019-09-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-09 | 2019-09-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-08-19 | 2019-09-20 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-08-19 | 2019-09-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-08-19 | 2019-09-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-08-19 | 2019-09-20 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-08-19 | 2019-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-19 | 2019-09-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-19 | 2019-09-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-08-19 | 2019-09-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-08-19 | 2019-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-19 | 2019-09-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-08-19 | 2019-09-20 | N |
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