Inspection Results » Vashon Community Care Center

Health Inspection on June 14, 2018 ^[1]

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

   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-08-24)
   • Provide and implement an infection prevention and control program. (Corrected 2018-08-24)

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

   • Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. (Corrected 2018-08-24)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-08-24)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-08-24)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-08-24)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-08-24)
   • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. (Corrected 2018-08-24)
   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2018-08-24)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-08-24)

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

   • 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 2018-08-24)
   • Implement a program that monitors antibiotic use. (Corrected 2018-08-24)
   • 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 2018-08-24)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-08-24)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-08-24)
   • Assess the resident when there is a significant change in condition (Corrected 2018-08-24)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-08-24)
   • Respond appropriately to all alleged violations. (Corrected 2018-08-24)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-08-24)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-08-24)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-08-24)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-08-24)
   • 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 2018-08-24)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-08-24)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-08-24)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-08-24)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-08-24)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-08-24)