Deficiency Records for George Washington Health and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for George Washington Health and Rehabilitation. 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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-01 | 2023-12-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-01 | 2023-12-04 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-11-01 | 2023-12-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-01 | 2023-12-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-01 | 2023-10-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-01 | 2023-10-09 | 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 | 2023-06-14 | 2023-07-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-14 | 2023-07-18 | 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 | 2023-06-14 | 2023-07-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-14 | 2023-07-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-14 | 2023-07-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-14 | 2023-07-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-06-14 | 2023-07-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-14 | 2023-07-18 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2023-06-14 | 2023-07-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-14 | 2023-07-18 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-06-14 | 2023-07-18 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-14 | 2023-07-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-27 | 2022-03-09 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-01-27 | 2022-03-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-01-27 | 2022-03-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-20 | 2022-02-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-01-20 | 2022-02-24 | 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 | 2022-01-20 | 2022-02-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-20 | 2022-02-24 | 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 | 2022-01-20 | 2022-02-24 | 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 | 2022-01-20 | 2022-02-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-20 | 2022-02-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-01-20 | 2022-02-24 | 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 | 2022-01-20 | 2022-02-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-01-20 | 2022-02-24 | 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 | 2022-01-20 | 2022-02-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-05 | 2020-04-15 | 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 | 2020-02-05 | 2020-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-05 | 2020-04-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-02-05 | 2020-04-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-05 | 2020-04-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-05 | 2020-04-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-10 | 2019-11-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-10 | 2019-11-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-10 | 2019-11-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-10 | 2019-11-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-10 | 2019-11-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-10 | 2019-11-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-10-10 | 2019-11-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-10 | 2019-11-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-10 | 2019-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-11-24 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-10-10 | 2019-11-24 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-10-10 | 2019-11-24 | N |
| Develop a communication plan. | Fire Safety | 2019-10-10 | 2019-11-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-10 | 2019-11-24 | N |
