Deficiency Records for Washington Senior Living
Updated as of April 01, 2020
This is not the most recent data for Washington Senior Living. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Develop a communication plan. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Establish methods for sharing information. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-12 | 2020-01-15 | 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 | 2019-11-12 | 2020-01-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2019-11-12 | 2020-01-15 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-11-07 | 2019-11-29 | 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 | 2019-11-07 | 2019-11-29 | 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 | 2019-11-07 | 2019-11-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-07 | 2019-11-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-07 | 2019-11-29 | N |
| 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 | 2019-11-07 | 2019-11-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-07 | 2019-11-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-07 | 2019-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-07 | 2019-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-07 | 2019-11-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-07 | 2019-11-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-09-18 | 2019-10-01 | Y |
| Be properly staffed | Fire Safety | 2019-01-10 | 2019-02-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-10 | 2019-02-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-10 | 2019-02-01 | 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 | 2019-01-10 | 2019-02-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-01-10 | 2019-02-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-10 | 2019-02-01 | N |
| 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 | 2019-01-10 | 2019-02-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-10 | 2019-02-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-10 | 2019-02-01 | 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 | 2019-01-10 | 2019-02-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-10 | 2019-02-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-10 | 2019-02-01 | 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 | 2019-01-10 | 2019-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-10 | 2019-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-10 | 2019-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-10 | 2019-01-31 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2019-01-10 | 2019-01-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-10 | 2019-01-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-01-10 | 2019-01-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-01-10 | 2019-01-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-01-10 | 2019-01-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-10 | 2019-01-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-01-10 | 2019-01-25 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2019-01-10 | 2019-01-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-10 | 2019-01-25 | 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 | 2019-01-10 | 2019-01-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-16 | 2018-12-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-24 | 2018-11-07 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2017-12-05 | 2018-01-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2017-12-07 | 2018-01-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2017-12-07 | 2018-01-15 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2017-12-07 | 2018-01-15 | 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 ne | Health | 2017-12-07 | 2018-01-15 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2017-12-07 | 2018-01-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-12-05 | 2018-01-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-12-05 | 2018-01-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-12-05 | 2018-01-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-12-05 | 2018-01-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-05 | 2018-01-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-12-05 | 2018-01-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-12-05 | 2018-01-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-12-05 | 2018-01-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-05 | 2018-01-12 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-12-05 | 2018-01-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-12-05 | 2018-01-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-12-05 | 2018-01-12 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-12-05 | 2018-01-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-07 | 2018-01-05 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-12-07 | 2018-01-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2017-12-07 | 2018-01-02 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-04 | 2017-09-06 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-04 | 2017-08-11 | Y |
