Inspection Results » Manor Care of Tacoma Wa, LLC

Health Inspection on March 15, 2019 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Ensure that residents are free from significant medication errors. (Corrected 2019-04-24)

2. Pattern: 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 2019-04-24)
   • 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 2019-04-24)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-04-24)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-04-24)

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

   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2019-04-24)
   • 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 2019-04-24)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-04-24)
   • 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 2019-04-24)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-04-24)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-04-24)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2019-04-24)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2019-04-24)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-04-24)
   • Provide and implement an infection prevention and control program. (Corrected 2019-04-24)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-04-24)