Deficiency Records for Spokane Falls Care
Updated as of October 01, 2022
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? |
---|---|---|---|---|
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 | 2022-04-28 | 2022-05-09 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-28 | 2022-03-07 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-28 | 2022-03-07 | Y |
Respond appropriately to all alleged violations. | Health | 2021-08-02 | 2021-09-15 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-02 | 2021-09-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-02 | 2021-09-15 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-08-02 | 2021-09-15 | Y |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-01-11 | 2021-02-10 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-01-11 | 2021-02-10 | Y |
Perform COVID19 testing on residents and staff. | Health | 2021-01-11 | 2021-02-10 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-08-07 | 2020-09-02 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-08-07 | 2020-09-02 | Y |
Establish policies and procedures for volunteers. | Fire Safety | 2020-08-07 | 2020-09-02 | Y |
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 |
Create arrangements with other facilities to receive patients. | Fire Safety | 2020-02-27 | 2020-03-25 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2020-03-19 | 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 |
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 |
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 | 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 |
Respond appropriately to all alleged violations. | 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 |
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 |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
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 |
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 |