Deficiency Records for Spokane Falls Care
Updated as of August 01, 2020
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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-28 | 2020-04-09 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-02-28 | 2020-04-09 | 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 | 2020-02-28 | 2020-04-09 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-02-28 | 2020-04-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-28 | 2020-04-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-28 | 2020-04-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-02-28 | 2020-04-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-28 | 2020-04-09 | 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 | 2020-02-28 | 2020-04-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-28 | 2020-04-09 | 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 | 2020-02-28 | 2020-04-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-28 | 2020-04-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-28 | 2020-04-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-28 | 2020-04-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-28 | 2020-04-09 | 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 | 2020-02-28 | 2020-04-09 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2020-02-28 | 2020-04-09 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2020-02-28 | 2020-04-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-28 | 2020-04-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-28 | 2020-04-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2020-03-19 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2020-02-27 | 2020-03-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-27 | 2020-03-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-27 | 2020-03-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-27 | 2020-03-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-27 | 2020-03-05 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2020-02-27 | 2020-03-04 | 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 | 2020-01-13 | 2020-01-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-13 | 2020-01-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-12-13 | 2020-01-03 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-12-13 | 2020-01-03 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-11-21 | 2019-12-10 | Y |
| 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 | 2019-11-21 | 2019-12-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-25 | 2019-10-24 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2019-09-25 | 2019-10-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-25 | 2019-10-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-25 | 2019-10-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-25 | 2019-10-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-19 | 2019-08-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-19 | 2019-08-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-07-19 | 2019-08-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-19 | 2019-08-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-07-05 | 2019-08-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-14 | 2019-06-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-05-14 | 2019-06-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-12 | 2019-04-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-07 | 2019-04-21 | 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 | 2019-02-11 | 2019-04-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-11 | 2019-04-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-20 | 2019-04-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-20 | 2019-04-21 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-12-11 | 2019-04-21 | N |
| Honor the resident's right to choose his or her attending physician. | Health | 2018-12-11 | 2019-04-21 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-12-11 | 2019-04-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-11 | 2019-04-21 | 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 | 2019-04-21 | 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 | 2019-04-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-11 | 2019-04-21 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-12-11 | 2019-04-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-12-11 | 2019-04-21 | 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 | 2019-04-21 | 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 | 2019-04-21 | 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 | 2019-04-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-12-11 | 2019-04-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-11 | 2019-04-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-11 | 2019-04-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-12-11 | 2019-04-21 | 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 | 2019-04-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-11 | 2019-04-21 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-12-11 | 2019-04-21 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-12-11 | 2019-04-21 | 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 | 2019-04-21 | 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 | 2018-12-11 | 2019-04-21 | N |
| Provide or obtain dental services for each resident. | Health | 2018-12-11 | 2019-04-21 | 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 | 2019-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-11 | 2019-04-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-12-11 | 2019-04-21 | 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 | 2019-04-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-12-11 | 2019-04-21 | Y |
| 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 |
