Inspection Results » Avamere Transitional Care of Puget Sound

  1. Health Inspection on April 13, 2018 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide and implement an infection prevention and control program. (Corrected 2018-05-15)
    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 2018-05-15)
      • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-05-15)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-05-15)
      • 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 2018-05-15)
      • 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 2018-05-15)
      • 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 2018-05-15)
      • Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (Corrected 2018-05-15)
      • 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 2018-05-15)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-05-15)
      • Ensure that residents are free from significant medication errors. (Corrected 2018-05-15)
      • Keep residents' personal and medical records private and confidential. (Corrected 2018-05-15)
      • Respond appropriately to all alleged violations. (Corrected 2018-05-15)
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-05-15)
      • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-05-15)
      • Provide activities to meet all resident's needs. (Corrected 2018-05-15)
      • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-05-15)
      • 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 2018-05-15)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-05-15)
      • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-05-15)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-05-15)
      • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2018-05-15)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-05-15)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-05-15)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-05-15)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-05-15)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-05-15)
      • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-05-15)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-05-15)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html