A list of the most recent deficiencies for Premier Estates of Pierce, LLC. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-04-19 | 2023-05-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-19 | 2023-05-02 | Y |
| 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 |
| Ensure each resident receives an accurate assessment. | 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 |
| Provide enough food/fluids to maintain a resident's health. | 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 |
| 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 |
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2023-01-12 | 2023-02-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-12 | 2023-02-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-12 | 2023-02-03 | Y |
| 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 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-12 | 2023-02-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-01-11 | 2023-02-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-01-11 | 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 | 2023-01-11 | 2023-02-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-11 | 2023-02-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-11 | 2023-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-11 | 2023-02-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-11 | 2023-02-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-11 | 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 | 2023-01-11 | 2023-02-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-11 | 2023-02-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-11 | 2023-02-03 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-01-11 | 2023-02-03 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-01 | 2022-03-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-01 | 2022-03-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-01 | 2022-03-21 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-09-13 | 2021-11-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-13 | 2021-11-11 | 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 | 2021-09-13 | 2021-11-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-09-13 | 2021-11-11 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-09-13 | 2021-11-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-13 | 2021-11-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-13 | 2021-11-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-09-16 | 2021-10-06 | 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 | 2021-09-16 | 2021-10-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-14 | 2021-05-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-19 | 2020-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-19 | 2020-05-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-19 | 2020-05-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-13 | 2020-03-06 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-02-13 | 2020-03-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-13 | 2020-03-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-13 | 2020-03-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-13 | 2020-03-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-13 | 2020-03-06 | N |
