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Deficiency Records for Accura Healthcare of Pierce
View the most recent health deficiencies and inspection results for Accura Healthcare of Pierce. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Accura Healthcare of Pierce. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2025-02-10 | 2025-03-06 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-02-10 | 2025-03-06 | Y |
| 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 | 2025-02-10 | 2025-03-06 | 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 | 2025-02-10 | 2025-03-06 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-02-10 | 2025-03-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-10 | 2025-03-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-02-10 | 2025-03-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-10 | 2025-03-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-10 | 2025-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-10 | 2025-03-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-02-10 | 2025-03-06 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-02-26 | 2024-04-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-26 | 2024-04-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-26 | 2024-04-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-26 | 2024-04-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-26 | 2024-04-01 | N |
| Post nurse staffing information every day. | Health | 2024-02-26 | 2024-04-01 | 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 | 2024-02-26 | 2024-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-26 | 2024-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-26 | 2024-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-26 | 2024-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-12 | 2023-02-03 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-01-12 | 2023-02-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-02-03 | 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 | 2023-01-12 | 2023-02-03 | 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 | 2023-01-12 | 2023-02-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-12 | 2023-02-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-12 | 2023-02-03 | 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 | 2023-01-12 | 2023-02-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-12 | 2023-02-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-01-12 | 2023-02-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-12 | 2023-02-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-12 | 2023-02-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-12 | 2023-02-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-01-12 | 2023-02-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-01-12 | 2023-02-03 | 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 | 2023-01-12 | 2023-02-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-12 | 2023-02-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-12 | 2023-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-12 | 2023-02-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-12 | 2023-02-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-12 | 2023-02-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-12 | 2023-02-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-12 | 2023-02-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-12 | 2023-02-03 | N |