A list of the most recent deficiencies for Azalea Health Center By Harborview. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-20 | 2023-05-22 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-20 | 2023-05-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-20 | 2023-05-22 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Develop a communication plan. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-18 | 2023-05-22 | N |
| 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 | 2021-08-12 | 2021-10-26 | 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 | 2021-08-12 | 2021-09-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-17 | 2018-12-10 | 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 | 2018-09-20 | 2018-11-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-20 | 2018-11-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-20 | 2018-11-04 | 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 | 2018-09-20 | 2018-11-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-09-17 | 2018-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-17 | 2018-11-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-17 | 2018-11-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-09-17 | 2018-11-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-09-17 | 2018-11-04 | N |
