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Deficiency Records for Bremerton Trails Post Acute
View the most recent health deficiencies and inspection results for Bremerton Trails Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bremerton Trails Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2026-03-31 | 2026-05-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-31 | 2026-05-01 | 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 | 2026-03-31 | 2026-05-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-03-31 | 2026-05-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-04-15 | 2026-05-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-03-04 | 2026-04-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-04 | 2026-04-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-04 | 2026-04-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-11-18 | 2026-02-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-11-18 | 2026-02-06 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-11-18 | 2026-01-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-11-18 | 2026-01-07 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2025-11-18 | 2026-01-07 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2025-11-18 | 2026-01-07 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2025-11-18 | 2026-01-07 | 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 | 2025-11-18 | 2026-01-07 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-11-18 | 2026-01-07 | N |
| Respond appropriately to all alleged violations. | Health | 2025-11-18 | 2026-01-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-11-18 | 2026-01-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-11-18 | 2026-01-07 | 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 | 2025-11-18 | 2026-01-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-11-18 | 2026-01-07 | N |
| Provide activities to meet all resident's needs. | Health | 2025-11-18 | 2026-01-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-18 | 2026-01-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-11-18 | 2026-01-07 | 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 | 2025-11-18 | 2026-01-07 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2025-11-18 | 2026-01-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-11-18 | 2026-01-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-11-18 | 2026-01-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-11-18 | 2026-01-07 | N |
| Keep all essential equipment working safely. | Health | 2025-11-18 | 2026-01-07 | 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 | 2025-11-18 | 2026-01-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-11-18 | 2026-01-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-18 | 2026-01-07 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-11-18 | 2026-01-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-18 | 2026-01-07 | Y |
| Implement a program that monitors antibiotic use. | Health | 2025-11-18 | 2026-01-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-11-18 | 2025-12-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-11-18 | 2025-12-15 | N |
| Meet other general requirements. | Fire Safety | 2025-11-18 | 2025-12-15 | 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 | 2025-11-18 | 2025-12-15 | 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 | 2025-11-18 | 2025-12-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-11-18 | 2025-12-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-11-18 | 2025-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-18 | 2025-12-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-11-18 | 2025-12-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-11-18 | 2025-12-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-11-18 | 2025-12-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-11-18 | 2025-12-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-11-18 | 2025-12-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-11-18 | 2025-12-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-11-18 | 2025-12-15 | 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 | 2025-09-05 | 2025-10-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-01 | 2025-05-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-01 | 2025-05-27 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-03-07 | 2025-04-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-20 | 2025-03-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-19 | 2024-12-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-19 | 2024-12-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-01 | 2024-10-16 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-09-06 | 2024-09-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-06 | 2024-09-23 | 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 | 2024-08-20 | 2024-09-11 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-13 | 2024-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-01 | 2024-08-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-13 | 2024-08-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-13 | 2024-08-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-13 | 2024-08-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-13 | 2024-08-15 | N |
| Provide appropriate foot care. | Health | 2024-07-13 | 2024-08-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-13 | 2024-08-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-13 | 2024-08-15 | 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 | 2024-07-13 | 2024-08-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-07-13 | 2024-08-15 | 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 | 2024-07-13 | 2024-08-15 | 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 | 2024-07-13 | 2024-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-13 | 2024-08-15 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-07-13 | 2024-08-15 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-07-13 | 2024-08-15 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-07-13 | 2024-08-15 | 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 | 2024-07-13 | 2024-08-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-07-13 | 2024-08-15 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-07-13 | 2024-08-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-01 | 2024-08-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-01 | 2024-08-15 | 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 | 2024-07-17 | 2024-08-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-13 | 2024-08-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-13 | 2024-08-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-07-13 | 2024-08-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-13 | 2024-08-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-13 | 2024-08-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-13 | 2024-08-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-13 | 2024-08-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-07 | 2024-05-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-07 | 2024-05-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-07 | 2024-03-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-07 | 2024-03-26 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2024-03-07 | 2024-03-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-25 | 2024-02-28 | Y |
| 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 | 2024-01-04 | 2024-01-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-14 | 2024-01-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-06 | 2024-01-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-06 | 2024-01-02 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-06 | 2024-01-02 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-17 | 2023-12-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-17 | 2023-12-11 | 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 | 2023-11-17 | 2023-12-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-08 | 2023-10-11 | 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 | 2023-09-08 | 2023-10-11 | 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 | 2023-09-08 | 2023-10-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-08 | 2023-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-08 | 2023-10-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-08 | 2023-10-11 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-09-08 | 2023-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-08 | 2023-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-08 | 2023-10-11 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-09-08 | 2023-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-08 | 2023-10-11 | 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 | 2023-09-08 | 2023-10-11 | 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 | 2023-09-08 | 2023-10-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-08 | 2023-10-11 | 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 | 2023-09-08 | 2023-10-11 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-09-08 | 2023-10-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-27 | 2023-10-11 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-08 | 2023-09-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-08 | 2023-09-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-08 | 2023-09-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-08 | 2023-09-21 | N |