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Deficiency Records for Everett Transitional Care Services

A list of the most recent deficiencies for Everett Transitional Care Services. 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 Everett Transitional Care Services. 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?
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 2024-04-01 2024-04-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-04-01 2024-04-26 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 2024-04-01 2024-04-26 N
Provide and implement an infection prevention and control program. Health 2024-04-01 2024-04-26 N
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 2024-04-01 2024-04-26 N
Address patient/client population and determine types of services needed. Fire Safety 2024-03-27 2024-04-26 N
Establish policies and procedures for sheltering. Fire Safety 2024-03-27 2024-04-26 N
Establish policies and procedures for medical documentation. Fire Safety 2024-03-27 2024-04-26 N
List the names and contact information of those in the facility. Fire Safety 2024-03-27 2024-04-26 N
Provide emergency officials' contact information. Fire Safety 2024-03-27 2024-04-26 N
Establish staff and initial training requirements. Fire Safety 2024-03-27 2024-04-26 N
Conduct testing and exercise requirements. Fire Safety 2024-03-27 2024-04-26 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-03-27 2024-04-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-03-27 2024-04-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-03-27 2024-04-26 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-03-27 2024-04-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-07-26 2023-08-29 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-02-08 2023-03-20 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 2023-02-08 2023-03-20 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-02-08 2023-03-20 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-02-08 2023-03-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-08 2023-03-20 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-02-08 2023-03-20 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2023-02-08 2023-03-20 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-02-08 2023-03-20 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 2023-02-08 2023-03-20 N
Ensure medication error rates are not 5 percent or greater. Health 2023-02-08 2023-03-20 N
Ensure that residents are free from significant medication errors. Health 2023-02-08 2023-03-20 N
Provide or obtain dental services for each resident. Health 2023-02-08 2023-03-20 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-02-08 2023-03-20 N
Provide and implement an infection prevention and control program. Health 2023-02-08 2023-03-20 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-02-08 2023-03-20 Y
Respond appropriately to all alleged violations. Health 2023-02-08 2023-03-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-08 2023-03-20 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2023-02-08 2023-03-20 Y
Include a process for Emergency Preparedness collaboration. Fire Safety 2023-02-01 2023-03-02 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2023-02-01 2023-03-02 N
Establish policies and procedures for volunteers. Fire Safety 2023-02-01 2023-03-02 N
Develop a communication plan. Fire Safety 2023-02-01 2023-03-02 N
List the names and contact information of those in the facility. Fire Safety 2023-02-01 2023-03-02 N
Provide emergency officials' contact information. Fire Safety 2023-02-01 2023-03-02 N
Provide primary/alternate means for communication. Fire Safety 2023-02-01 2023-03-02 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2023-02-01 2023-03-02 N
Conduct testing and exercise requirements. Fire Safety 2023-02-01 2023-03-02 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-02-01 2023-03-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-02-01 2023-03-02 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-02-01 2023-03-02 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-02-01 2023-03-02 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-02-01 2023-03-02 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-02-01 2023-03-02 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2023-02-01 2023-03-02 N
Have restrictions on the use of portable space heaters. Fire Safety 2023-02-01 2023-03-02 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-02-01 2023-03-02 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-02-01 2023-03-02 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-09-29 2022-11-04 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-07-12 2022-08-05 Y
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 2022-07-12 2022-08-05 Y
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2022-07-12 2022-08-05 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2020-05-19 2020-06-05 N
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 2020-05-19 2020-06-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-05-19 2020-06-05 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 2020-05-19 2020-06-05 N
Provide and implement an infection prevention and control program. Health 2020-05-19 2020-06-05 N

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