Inspection Results » Avamere Transitional Care of Puget Sound

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)