Inspection Results » Prestige Post-Acute and Rehab Center - Edmonds

Health Inspection on April 26, 2018 ^[1]

1. Isolated: Immediate jeopardy to the resident health or safety

   • Provide and implement an infection prevention and control program. (Corrected 2018-05-22)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-05-22)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-05-22)

2. Isolated: Actual harm that is not immediate jeopardy

   • Respond appropriately to all alleged violations. (Corrected 2018-05-22)
   • 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 ne (Corrected 2018-05-22)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-05-22)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-05-22)
   • 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. (Corrected 2018-05-22)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-05-22)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-05-22)

3. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • 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. (Corrected 2018-05-22)
   • 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. (Corrected 2018-05-22)
   • Implement a program that monitors antibiotic use. (Corrected 2018-05-22)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-05-22)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-05-22)

4. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • 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. (Corrected 2018-05-22)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-05-22)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-05-22)

5. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • 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. (Corrected 2018-05-22)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-05-22)
   • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentÂ’s advance directives. (Corrected 2018-05-22)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-05-22)
   • Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. (Corrected 2018-05-22)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-05-22)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-05-22)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-05-22)
   • 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. (Corrected 2018-05-22)