A list of the most recent deficiencies for Olympia Convalescent Hospital. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-10-24 | 2023-11-10 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-08 | 2022-09-02 | Y |
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. | Health | 2022-08-10 | 2022-08-22 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-02 | 2022-06-15 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-04-20 | 2022-05-04 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-02-23 | 2022-03-09 | Y |
Implement a program that monitors antibiotic use. | Health | 2022-02-23 | 2022-03-09 | Y |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-10 | 2022-01-10 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-12-10 | 2022-01-05 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-10 | 2022-01-05 | N |
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 necessary and PRN use is limited. | Health | 2021-12-10 | 2022-01-05 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-10 | 2022-01-05 | N |
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. | Health | 2021-12-10 | 2022-01-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-10 | 2022-01-05 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-10 | 2022-01-05 | N |
Provide and implement an infection prevention and control program. | Health | 2021-12-10 | 2022-01-05 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-12-10 | 2022-01-05 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-10 | 2022-01-05 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-11-30 | 2021-12-14 | Y |
Respond appropriately to all alleged violations. | Health | 2021-09-25 | 2021-10-05 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-24 | 2021-10-04 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-29 | 2021-08-16 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-07-29 | 2021-08-16 | Y |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-07-29 | 2021-08-16 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-12 | 2021-07-20 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-28 | 2021-07-09 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-28 | 2021-07-09 | Y |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-09-06 | 2019-10-07 | N |
Keep residents' personal and medical records private and confidential. | Health | 2019-09-06 | 2019-10-07 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-09-06 | 2019-10-07 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-06 | 2019-10-07 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-09-06 | 2019-10-07 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-06 | 2019-10-07 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-06 | 2019-10-07 | N |
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 necessary and PRN use is limited. | Health | 2019-09-06 | 2019-10-07 | N |
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. | Health | 2019-09-06 | 2019-10-07 | N |
Provide and implement an infection prevention and control program. | Health | 2019-09-06 | 2019-10-07 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-09-06 | 2019-10-07 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-09-06 | 2019-10-04 | N |
List the names and contact information of those in the facility. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
Provide emergency officials' contact information. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
Implement emergency and standby power systems. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-06 | 2019-10-04 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-09-07 | 2018-09-28 | N |
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. | Health | 2018-09-07 | 2018-09-28 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-09-07 | 2018-09-28 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-07 | 2018-09-28 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-09-07 | 2018-09-28 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-07 | 2018-09-28 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-07 | 2018-09-28 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-09-07 | 2018-09-28 | N |
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 necessary and PRN use is limited. | Health | 2018-09-07 | 2018-09-28 | N |
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. | Health | 2018-09-07 | 2018-09-28 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-07 | 2018-09-28 | N |
Provide and implement an infection prevention and control program. | Health | 2018-09-07 | 2018-09-28 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-09-10 | 2018-09-28 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-10 | 2018-09-28 | N |
Construct fire resistant interior walls. | Fire Safety | 2018-09-10 | 2018-09-28 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-09-10 | 2018-09-28 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-09-10 | 2018-09-28 | N |
Install properly constructed windows in hallway walls or doors. | Fire Safety | 2018-09-10 | 2018-09-28 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-10 | 2018-09-28 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-09-10 | 2018-09-28 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-10 | 2018-09-28 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-10 | 2018-09-28 | N |