A list of the most recent deficiencies for Washington Senior Living. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-01 | 2024-02-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-01 | 2024-02-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-01 | 2024-02-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-02-01 | 2024-02-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-01 | 2024-02-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-01 | 2024-02-05 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-02-01 | 2024-02-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-01 | 2024-02-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-01 | 2024-02-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-01 | 2024-02-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-01 | 2024-02-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-25 | 2024-01-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-25 | 2024-01-29 | 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 | 2024-01-25 | 2024-01-29 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-01-25 | 2024-01-29 | 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 | 2023-12-21 | 2023-12-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-21 | 2023-12-26 | 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 | 2023-11-30 | 2023-12-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-30 | 2023-12-07 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-09 | 2023-08-28 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-09 | 2023-08-28 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-08-09 | 2023-08-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-07-29 | 2023-08-18 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-07-29 | 2023-08-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-29 | 2023-08-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-10 | 2023-07-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-14 | 2023-06-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-06 | 2023-06-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-18 | 2023-05-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-18 | 2023-05-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-18 | 2023-05-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-12 | 2023-05-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-27 | 2023-05-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-27 | 2023-05-12 | Y |
| 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 | 2023-04-27 | 2023-05-12 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-10 | 2023-04-25 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-04 | 2023-04-12 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-03-08 | 2023-03-24 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-08 | 2023-03-24 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-03-08 | 2023-03-24 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-03-08 | 2023-03-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-28 | 2023-03-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-30 | 2023-02-13 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-01-30 | 2023-02-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-30 | 2023-02-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-10 | 2022-12-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-11-10 | 2022-12-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-10 | 2022-12-15 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-11-10 | 2022-12-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-10 | 2022-12-14 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-11-10 | 2022-12-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-10 | 2022-12-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-10 | 2022-12-14 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-11-10 | 2022-12-14 | N |
| Post nurse staffing information every day. | Health | 2022-11-10 | 2022-12-14 | 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 | 2022-11-10 | 2022-12-14 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-11-10 | 2022-12-14 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-11-10 | 2022-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-10 | 2022-12-14 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-11-10 | 2022-12-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-10 | 2022-12-14 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-11-10 | 2022-12-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-10 | 2022-12-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-11-10 | 2022-12-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-11-10 | 2022-12-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-10 | 2022-12-14 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-11-10 | 2022-12-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-11-10 | 2022-12-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-11-10 | 2022-12-07 | N |
| Establish methods for sharing information. | Fire Safety | 2022-11-10 | 2022-12-07 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-11-10 | 2022-12-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-11-10 | 2022-12-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-11-10 | 2022-12-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-10 | 2022-12-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-10 | 2022-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-10 | 2022-12-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-10 | 2022-12-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-10 | 2022-12-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-10 | 2022-12-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-10 | 2022-12-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-10 | 2022-12-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-30 | 2022-09-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-19 | 2022-09-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-19 | 2022-09-02 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-17 | 2022-08-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-17 | 2022-08-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-17 | 2022-08-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-16 | 2022-06-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-10 | 2022-06-28 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-11-02 | 2021-12-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-11-02 | 2021-12-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-11-02 | 2021-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-02 | 2021-12-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-02 | 2021-12-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-02 | 2021-12-13 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-11-02 | 2021-12-13 | N |
| Develop a communication plan. | Fire Safety | 2021-11-02 | 2021-12-13 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-11-02 | 2021-12-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-11-02 | 2021-12-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-02 | 2021-12-13 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-11-02 | 2021-12-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-11-02 | 2021-12-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-02 | 2021-12-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-02 | 2021-12-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-30 | 2021-12-06 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-30 | 2021-12-06 | Y |
| 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. | Health | 2021-11-08 | 2021-11-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-08 | 2021-11-22 | Y |
| 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 | 2021-10-22 | 2021-11-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-22 | 2021-11-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-10-22 | 2021-11-05 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2021-10-22 | 2021-11-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-22 | 2021-11-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-22 | 2021-11-05 | 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 | 2021-10-22 | 2021-11-05 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-10-22 | 2021-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-04 | 2021-10-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-06 | 2021-05-14 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-04-22 | 2021-05-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-30 | 2021-04-20 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-03-30 | 2021-04-20 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-03-30 | 2021-04-20 | Y |
