Inspection Results » Tacoma Nursing and Rehabilitation Center

Health Inspection on June 28, 2018 ^[1]

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

   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-08-13)
   • 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 2018-08-13)

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-08-13)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-08-13)
   • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (Corrected 2018-08-13)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-08-13)

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

   • Provide appropriate foot care. (Corrected 2018-08-13)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-08-13)
   • 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 2018-08-13)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-08-13)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-08-13)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-08-13)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-08-13)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-08-13)
   • Provide or obtain dental services for each resident. (Corrected 2018-08-13)
   • 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 2018-08-13)
   • Assess the resident when there is a significant change in condition (Corrected 2018-08-13)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-08-13)