Inspection Results » Avamere Heritage Rehabilitation of Tacoma

Health Inspection on August 31, 2018 ^[1]

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

   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-10-16)
   • 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 2018-10-16)
   • Ensure meals and snacks are served at times in accordance with residentÂ’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedu (Corrected 2018-10-16)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-10-16)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-10-16)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-10-16)
   • 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 2018-10-16)
   • 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 2018-10-16)

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

   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-10-16)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-10-16)
   • 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 2018-10-16)
   • Provide routine and 24-hour emergency dental care for each resident. (Corrected 2018-10-16)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-10-16)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-10-16)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-10-16)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-10-16)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-10-16)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-10-16)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-10-16)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-16)
   • 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 2018-10-16)
   • 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 2018-10-16)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-10-16)
   • Provide activities to meet all resident's needs. (Corrected 2018-10-16)