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 free from significant medication errors. | Health | 2024-01-03 | 2024-01-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-06 | 2023-12-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-06 | 2023-12-28 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-12-06 | 2023-12-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-11-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-02 | 2023-11-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-15 | 2023-10-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-15 | 2023-10-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-15 | 2023-10-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-03 | 2023-09-13 | 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 | 2023-08-03 | 2023-09-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-08-03 | 2023-09-13 | 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 | 2023-08-03 | 2023-09-13 | 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 | 2023-08-03 | 2023-09-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-08-03 | 2023-09-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-03 | 2023-09-13 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-08-03 | 2023-09-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-03 | 2023-09-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-03 | 2023-09-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-03 | 2023-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-03 | 2023-09-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-03 | 2023-09-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-03 | 2023-09-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-03 | 2023-09-13 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-08-03 | 2023-09-13 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2023-08-03 | 2023-09-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-03 | 2023-09-13 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| Meet other general requirements. | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-07-31 | 2023-09-04 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-07-18 | 2023-08-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-20 | 2023-05-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-20 | 2023-05-26 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-04-20 | 2023-05-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-20 | 2023-05-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-05 | 2023-04-21 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-02-23 | 2023-03-22 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-03 | 2023-01-31 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-08-11 | 2022-09-01 | 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 | 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 |
| 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 |
| 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 |
