Deficiency Records for Spokane Falls Care
Updated as of May 01, 2019
This is not the most recent data for Spokane Falls Care. For the most recent information, click here.
A list of the most recent deficiencies for Spokane Falls Care. 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? |
---|---|---|---|---|
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-12-11 | 2019-02-22 | N |
Honor the resident's right to choose his or her attending physician. | Health | 2018-12-11 | 2019-02-22 | N |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-12-11 | 2019-02-22 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-11 | 2019-02-22 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-12-11 | 2019-02-22 | 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 | 2018-12-11 | 2019-02-22 | 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 | 2018-12-11 | 2019-02-22 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-11 | 2019-02-22 | N |
Respond appropriately to all alleged violations. | Health | 2018-12-11 | 2019-02-22 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-12-11 | 2019-02-22 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-12-11 | 2019-02-22 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-12-11 | 2019-02-22 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-11 | 2019-02-22 | 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 | 2018-12-11 | 2019-02-22 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-12-11 | 2019-02-22 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-11 | 2019-02-22 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-11 | 2019-02-22 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2018-12-11 | 2019-02-22 | 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 | 2018-12-11 | 2019-02-22 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-11 | 2019-02-22 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-12-11 | 2019-02-22 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-12-11 | 2019-02-22 | 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 | 2018-12-11 | 2019-02-22 | 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 ne | Health | 2018-12-11 | 2019-02-22 | N |
Provide or obtain dental services for each resident. | Health | 2018-12-11 | 2019-02-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-11 | 2019-02-22 | N |
Provide and implement an infection prevention and control program. | Health | 2018-12-11 | 2019-02-22 | N |
Implement a program that monitors antibiotic use. | Health | 2018-12-11 | 2019-02-22 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-12-05 | 2019-01-03 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2018-12-05 | 2019-01-03 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2018-12-05 | 2019-01-03 | N |
Establish emergency prep training and testing. | Fire Safety | 2018-12-05 | 2019-01-03 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-05 | 2019-01-03 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-12-05 | 2019-01-03 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-05 | 2019-01-03 | N |
Be properly staffed | Fire Safety | 2018-12-05 | 2019-01-03 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-05 | 2019-01-03 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-05 | 2018-10-25 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-05 | 2018-10-25 | Y |
Respond appropriately to all alleged violations. | Health | 2018-08-30 | 2018-09-24 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-30 | 2018-09-24 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-30 | 2018-09-24 | Y |
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 | 2018-04-27 | 2018-06-07 | Y |
Respond appropriately to all alleged violations. | Health | 2018-04-27 | 2018-06-07 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-27 | 2018-06-07 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-27 | 2018-06-07 | Y |
Assist a resident in gaining access to vision and hearing services. | Health | 2018-04-27 | 2018-06-07 | Y |
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 | 2018-04-27 | 2018-06-07 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-27 | 2018-06-07 | 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 | 2018-04-27 | 2018-06-07 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-04-27 | 2018-06-07 | Y |
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 | 2018-04-27 | 2018-06-07 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-30 | 2018-06-07 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-01-29 | 2018-02-27 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-29 | 2018-02-27 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-29 | 2018-02-27 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2017-12-22 | 2018-01-16 | Y |
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 | 2017-12-22 | 2018-01-16 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2017-11-30 | 2018-01-16 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-11 | 2017-11-17 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-10-11 | 2017-11-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-11 | 2017-11-17 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-10-11 | 2017-11-17 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-10-11 | 2017-11-17 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-10-11 | 2017-11-17 | N |
Meet other general requirements that are deficient. | Fire Safety | 2017-10-11 | 2017-11-17 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-10-11 | 2017-11-17 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-11 | 2017-11-17 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-10-11 | 2017-11-17 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-11 | 2017-11-17 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-10-02 | 2017-11-09 | Y |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-10-17 | 2017-11-09 | N |
Give notice to the resident before a room or roommate change. | Health | 2017-10-17 | 2017-11-09 | N |
Provide housekeeping and maintenance services. | Health | 2017-10-17 | 2017-11-09 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-17 | 2017-11-09 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-17 | 2017-11-09 | N |
Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2017-10-17 | 2017-11-09 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-17 | 2017-11-09 | N |
Ensure residents maintain acceptable nutritional status. | Health | 2017-10-17 | 2017-11-09 | N |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-10-17 | 2017-11-09 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-10-17 | 2017-11-09 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-17 | 2017-11-09 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-10-17 | 2017-11-09 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-12 | 2017-08-08 | Y |
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-07-12 | 2017-08-08 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-12 | 2017-08-08 | Y |
Ensure that residents are safe from serious medication errors. | Health | 2017-07-12 | 2017-08-08 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-12 | 2017-08-08 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-07-12 | 2017-08-08 | Y |
Try to resolve each resident's complaints quickly. | Health | 2017-06-20 | 2017-08-08 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-04-11 | 2017-05-08 | Y |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-04-11 | 2017-05-08 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-11 | 2017-05-08 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-13 | 2017-05-08 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-01-26 | 2017-02-28 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-12-07 | 2017-01-11 | Y |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-12-07 | 2017-01-11 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-11-18 | 2017-01-11 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-18 | 2017-01-11 | Y |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-09-21 | 2016-11-05 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2016-09-21 | 2016-11-05 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-09-21 | 2016-11-05 | N |
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-09-21 | 2016-11-05 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-09-21 | 2016-11-05 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-09-21 | 2016-11-05 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-21 | 2016-11-05 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-09-21 | 2016-11-05 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-09-21 | 2016-11-05 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-21 | 2016-11-05 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-09-21 | 2016-11-05 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-09-21 | 2016-11-05 | N |
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-09-21 | 2016-11-05 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-21 | 2016-11-05 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-09-21 | 2016-11-05 | N |
Ensure that residents are safe from serious medication errors. | Health | 2016-09-21 | 2016-11-05 | N |
Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-09-21 | 2016-11-05 | N |
Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2016-09-21 | 2016-11-05 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-21 | 2016-11-05 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-21 | 2016-11-05 | N |
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-09-21 | 2016-11-05 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-09-21 | 2016-11-05 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-09-21 | 2016-11-05 | Y |
Corridor and hallway doors that block smoke. | Fire Safety | 2016-09-23 | 2016-10-18 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-23 | 2016-10-18 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-08 | 2016-07-27 | Y |