A list of the most recent deficiencies for Avista Nursing and Rehab. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-29 | 2023-05-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-29 | 2023-05-02 | 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 | 2023-03-29 | 2023-05-02 | 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 | 2023-03-29 | 2023-05-02 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-29 | 2023-05-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-29 | 2023-05-02 | 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 | 2023-03-29 | 2023-05-02 | Y |
| Post nurse staffing information every day. | Health | 2023-03-29 | 2023-05-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-29 | 2023-05-02 | 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 | 2023-03-29 | 2023-05-02 | 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 | 2023-03-29 | 2023-05-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-29 | 2023-05-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-29 | 2023-05-02 | Y |
| 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 | 2023-03-23 | 2023-05-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-23 | 2023-05-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-23 | 2023-05-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-23 | 2023-05-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-03-23 | 2023-05-02 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-03-23 | 2023-05-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-31 | 2022-07-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-31 | 2022-07-09 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2021-12-10 | 2022-02-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-10 | 2022-02-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-12-10 | 2022-02-02 | 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 | 2022-02-02 | 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 | 2022-02-02 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2021-12-10 | 2022-02-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-10 | 2022-02-02 | 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 | 2022-02-02 | N |
| Dispose of garbage and refuse properly. | Health | 2021-12-10 | 2022-02-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-10 | 2022-02-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-10 | 2022-02-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-10 | 2022-02-02 | 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 | 2021-12-10 | 2022-02-02 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-10 | 2022-02-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-10 | 2022-02-02 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2021-12-02 | 2022-02-02 | N |
| Add automatic sprinklers after major renovation. | Fire Safety | 2021-12-02 | 2022-02-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-02 | 2022-02-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-02 | 2022-02-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-02 | 2022-02-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-02 | 2022-02-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-21 | 2021-06-08 | 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 | 2019-12-05 | 2020-01-08 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-12-05 | 2020-01-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-05 | 2020-01-08 | 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 | 2019-12-05 | 2020-01-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-05 | 2020-01-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-05 | 2020-01-08 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-12-05 | 2020-01-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-05 | 2020-01-08 | N |
| Post nurse staffing information every day. | Health | 2019-12-05 | 2020-01-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-05 | 2020-01-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-12-05 | 2020-01-08 | 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 | 2019-12-05 | 2020-01-08 | 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 | 2019-12-05 | 2020-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-05 | 2020-01-08 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-12-05 | 2020-01-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2020-01-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-03 | 2020-01-08 | N |
