A list of the most recent deficiencies for Washington Care 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-01 | 2023-12-01 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-06-14 | 2023-07-25 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-06-14 | 2023-07-25 | 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 | 2023-06-14 | 2023-07-25 | 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 | 2023-06-14 | 2023-07-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-14 | 2023-07-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-06-14 | 2023-07-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-14 | 2023-07-25 | 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 | 2023-07-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-14 | 2023-07-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-06-14 | 2023-07-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-14 | 2023-07-25 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-14 | 2023-07-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-14 | 2023-07-25 | 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 | 2023-06-14 | 2023-07-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-14 | 2023-07-25 | 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 | 2023-07-25 | 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 | 2023-06-14 | 2023-07-25 | 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 | 2023-06-14 | 2023-07-25 | N |
| Provide or obtain dental services for each resident. | Health | 2023-06-14 | 2023-07-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-14 | 2023-07-25 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-06-14 | 2023-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-14 | 2023-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-14 | 2023-07-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-06-14 | 2023-07-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-14 | 2023-07-25 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-06-14 | 2023-07-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-09 | 2023-07-19 | 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 | 2023-06-09 | 2023-07-19 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-06-09 | 2023-07-19 | 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 | 2023-06-09 | 2023-07-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Enure that solid fuel-burning fireplaces are not in patient sleeping areas. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-06-09 | 2023-07-19 | N |
| Keep all essential equipment working safely. | Health | 2023-05-03 | 2023-05-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-03 | 2023-05-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-04 | 2023-04-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-27 | 2022-12-28 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-10 | 2022-09-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-10 | 2022-09-25 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-02 | 2022-04-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-02 | 2022-04-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-02 | 2022-04-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-02 | 2022-04-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-02 | 2022-04-04 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-03-08 | 2022-03-31 | 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 | 2022-03-08 | 2022-03-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-08 | 2022-03-31 | 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 | 2022-03-08 | 2022-03-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-08 | 2022-03-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-08 | 2022-03-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-08 | 2022-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-08 | 2022-03-31 | 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 | 2022-03-08 | 2022-03-31 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-03-08 | 2022-03-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-08 | 2022-03-31 | 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 | 2022-03-08 | 2022-03-31 | 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 | 2022-03-08 | 2022-03-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-08 | 2022-03-31 | 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 | 2022-03-08 | 2022-03-31 | 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 | 2022-03-08 | 2022-03-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-08 | 2022-03-31 | N |
| Provide or obtain dental services for each resident. | Health | 2022-03-08 | 2022-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-08 | 2022-03-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-27 | 2021-10-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-27 | 2021-06-10 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-29 | 2020-09-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-29 | 2020-07-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-10 | 2020-05-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-02-10 | 2020-05-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-02-10 | 2020-05-14 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2020-02-10 | 2020-05-14 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-02-10 | 2020-05-14 | 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 | 2020-02-10 | 2020-05-14 | 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 | 2020-02-10 | 2020-05-14 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-10 | 2020-05-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-10 | 2020-05-14 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-10 | 2020-05-14 | 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 | 2020-02-10 | 2020-05-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-10 | 2020-05-14 | 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 | 2020-02-10 | 2020-05-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-10 | 2020-05-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-10 | 2020-05-14 | 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 | 2020-02-10 | 2020-05-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-10 | 2020-05-14 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-02-10 | 2020-05-14 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-02-10 | 2020-05-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-10 | 2020-05-14 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-10 | 2020-05-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-10 | 2020-05-14 | 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 | 2020-02-10 | 2020-05-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-10 | 2020-05-14 | 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 | 2020-02-10 | 2020-05-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-10 | 2020-05-14 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-02-10 | 2020-05-14 | 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 | 2020-02-10 | 2020-05-14 | N |
| Provide or obtain dental services for each resident. | Health | 2020-02-10 | 2020-05-14 | 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 | 2020-02-10 | 2020-05-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-10 | 2020-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-10 | 2020-05-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-02-10 | 2020-05-14 | N |
| Keep all essential equipment working safely. | Health | 2020-02-10 | 2020-05-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-02-10 | 2020-05-14 | 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 | 2020-02-10 | 2020-05-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-29 | 2020-05-11 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Develop a communication plan. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Establish methods for sharing information. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-29 | 2020-03-02 | N |
