Deficiency Records for The Rehabilitation and Nursing Center at Everett
Updated as of April 01, 2023
This is not the most recent data for The Rehabilitation and Nursing Center at Everett. For the most recent information, click here.
A list of the most recent deficiencies for The Rehabilitation and Nursing Center at Everett. 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 | 2022-08-25 | 2022-12-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-25 | 2022-12-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-08-25 | 2022-11-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-25 | 2022-10-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-25 | 2022-10-18 | 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 | 2022-08-11 | 2022-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-11 | 2022-10-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-11 | 2022-09-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-08-11 | 2022-09-16 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2022-08-11 | 2022-09-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-11 | 2022-09-16 | N |
| Provide activities to meet all resident's needs. | Health | 2022-08-11 | 2022-09-16 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-08-11 | 2022-09-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-11 | 2022-09-16 | N |
| Provide appropriate foot care. | Health | 2022-08-11 | 2022-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-11 | 2022-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-11 | 2022-09-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-11 | 2022-09-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-11 | 2022-09-16 | 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 | 2022-08-11 | 2022-09-16 | N |
| Provide or obtain dental services for each resident. | Health | 2022-08-11 | 2022-09-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-11 | 2022-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-11 | 2022-09-16 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-08-11 | 2022-09-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-23 | 2020-03-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-23 | 2020-03-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-23 | 2020-03-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-10-04 | 2019-11-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-10-04 | 2019-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-04 | 2019-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-04 | 2019-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-04 | 2019-11-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-04 | 2019-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-14 | 2019-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-14 | 2019-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-14 | 2019-01-28 | 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 | 2018-12-10 | 2019-01-24 | 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 | 2018-12-10 | 2019-01-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-10 | 2019-01-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-10 | 2019-01-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-12-10 | 2019-01-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-10 | 2019-01-24 | N |
| Provide appropriate foot care. | Health | 2018-12-10 | 2019-01-24 | 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 and maintain the bed rail. | Health | 2018-12-10 | 2019-01-24 | 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 | 2018-12-10 | 2019-01-24 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-12-10 | 2019-01-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-10 | 2019-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-10 | 2019-01-24 | 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 | 2018-12-10 | 2019-01-24 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-12-10 | 2019-01-24 | N |
| Use approved construction type or materials. | Fire Safety | 2018-12-14 | 2019-01-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-12-14 | 2019-01-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-12-14 | 2019-01-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-12-14 | 2019-01-14 | N |
