Inspection Results » Renton Nursing and Rehabilitation Center

Health Inspection on January 17, 2018 ^[1]

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

   • Ensure each resident receives an accurate assessment. (Corrected 2018-02-15)
   • 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 2018-02-15)
   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2018-02-15)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-02-15)
   • Provide or obtain dental services for each resident. (Corrected 2018-02-15)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-02-15)
   • Assess the resident when there is a significant change in condition (Corrected 2018-02-15)
   • Respond appropriately to all alleged violations. (Corrected 2018-02-15)
   • 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 2018-02-15)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-02-15)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-02-15)
   • 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 2018-02-15)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-02-15)
   • Provide and implement an infection prevention and control program. (Corrected 2018-02-15)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-02-15)
   • 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 2018-02-15)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-02-15)
   • 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. (Corrected 2018-02-15)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-02-15)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-02-15)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-02-15)

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

   • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-02-15)
   • 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 2018-02-15)
   • Provide activities to meet all resident's needs. (Corrected 2018-02-15)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-02-15)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2018-02-15)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-02-15)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-02-15)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-02-15)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-02-15)
   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2018-02-15)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-02-15)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-02-15)
   • 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. (Corrected 2018-02-15)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2018-02-15)
   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2018-02-15)
   • 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. (Corrected 2018-02-15)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-02-15)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-02-15)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-02-15)
   • 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. (Corrected 2018-02-15)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-02-15)

3. Pattern: No actual harm with potential for minimal harm

   • The resident has the right to receive notices in a format and a language he or she understands. (Corrected 2018-02-15)