Inspection Results » Tacoma Lutheran Retirement Community

Health Inspection on May 22, 2018 ^[1]

1. Pattern: 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 2018-06-29)

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

   • Provide routine and 24-hour emergency dental care for each resident. (Corrected 2018-06-29)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2018-06-29)
   • 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 2018-06-29)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-06-29)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-06-29)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-06-29)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-06-29)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-06-29)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-06-29)
   • Protect each resident from the wrongful use of the resident's belongings or money. (Corrected 2018-06-29)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-06-29)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-06-29)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-06-29)
   • 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 2018-06-29)