Deficiency Records for Grays Harbor Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Grays Harbor Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-08-29 | 2023-09-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-15 | 2023-09-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-03 | 2023-05-25 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-22 | 2023-04-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-24 | 2023-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-24 | 2023-04-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-09-13 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Establish methods for sharing information. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Meet other general requirements. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-10 | 2022-01-13 | 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 | 2021-11-10 | 2022-01-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Have an externally vented heating system. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Enure that solid fuel-burning fireplaces are not in patient sleeping areas. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-10 | 2022-01-13 | N |
| 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 | 2021-11-19 | 2022-01-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-11-19 | 2022-01-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-19 | 2022-01-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-19 | 2022-01-06 | 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 | 2021-11-19 | 2022-01-06 | 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 | 2021-11-19 | 2022-01-06 | N |
| Post nurse staffing information every day. | Health | 2021-11-19 | 2022-01-06 | 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 | 2021-11-19 | 2022-01-06 | 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 | 2021-11-19 | 2022-01-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-19 | 2022-01-06 | N |
| Provide or obtain dental services for each resident. | Health | 2021-11-19 | 2022-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-19 | 2022-01-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-19 | 2022-01-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-11-19 | 2022-01-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-19 | 2022-01-06 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2021-11-19 | 2022-01-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-19 | 2022-01-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-15 | 2019-09-04 | 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 | 2019-07-15 | 2019-09-04 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-07-15 | 2019-09-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-15 | 2019-09-04 | 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 | 2019-07-15 | 2019-09-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-15 | 2019-09-04 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-07-15 | 2019-09-04 | 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 | 2019-07-15 | 2019-09-04 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-07-15 | 2019-09-04 | 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 | 2019-07-15 | 2019-09-04 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-07-15 | 2019-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-15 | 2019-09-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-07-15 | 2019-09-04 | 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 | 2019-07-11 | 2019-08-13 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-07-11 | 2019-08-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-11 | 2019-08-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-11 | 2019-08-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-11 | 2019-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-11 | 2019-08-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-07-11 | 2019-08-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-11 | 2019-08-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-11 | 2019-08-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-11 | 2019-08-13 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-07-11 | 2019-08-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-11 | 2019-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-11 | 2019-08-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-11 | 2019-08-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-07-11 | 2019-08-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-11 | 2019-08-13 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-07-11 | 2019-08-13 | N |
| Meet other general requirements. | Fire Safety | 2019-07-11 | 2019-08-08 | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-11 | 2019-08-08 | N |
