Deficiency Records for Tacoma Nursing and Rehabilitation Center
Updated as of September 01, 2018
This is not the most recent data for Tacoma Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Tacoma Nursing and Rehabilitation Center. 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 | 2018-06-28 | 2018-08-13 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-06-28 | 2018-08-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-28 | 2018-08-13 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-06-28 | 2018-08-13 | N |
| Provide appropriate foot care. | Health | 2018-06-28 | 2018-08-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-06-28 | 2018-08-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-06-28 | 2018-08-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-06-28 | 2018-08-13 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-06-28 | 2018-08-13 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-06-28 | 2018-08-13 | 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 | 2018-06-28 | 2018-08-13 | 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 | 2018-06-28 | 2018-08-13 | N |
| Provide or obtain dental services for each resident. | Health | 2018-06-28 | 2018-08-13 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-06-28 | 2018-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-28 | 2018-08-13 | N |
| 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 | 2018-06-28 | 2018-08-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-06-28 | 2018-08-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-06-28 | 2018-08-13 | 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 | 2018-06-28 | 2018-08-13 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-06-26 | 2018-07-31 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-06-26 | 2018-07-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-06-26 | 2018-07-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-06-26 | 2018-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-26 | 2018-07-31 | N |
| Be properly staffed | Fire Safety | 2018-06-26 | 2018-07-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-08-01 | 2017-09-11 | 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 | 2017-08-01 | 2017-09-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-01 | 2017-09-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-01 | 2017-09-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-08-01 | 2017-09-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-08-01 | 2017-09-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-01 | 2017-09-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-08-01 | 2017-09-11 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-08-01 | 2017-09-11 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-08-04 | 2017-09-05 | 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 | 2017-08-04 | 2017-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-04 | 2017-09-05 | 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 | 2017-08-04 | 2017-09-05 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-08-04 | 2017-09-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-04 | 2017-09-05 | N |
| Provide or obtain dental services for each resident. | Health | 2017-08-04 | 2017-09-05 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-10-25 | 2016-11-16 | 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 | 2016-06-17 | 2016-07-18 | Y |
| Provide housekeeping and maintenance services. | Health | 2016-06-28 | 2016-07-18 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-28 | 2016-07-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-28 | 2016-07-18 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-06-28 | 2016-07-18 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-18 | 2016-05-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-09-25 | 2015-10-16 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-09-25 | 2015-10-16 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2016-03-31 | Not Fixed | Y |
