Deficiency Records for Tacoma Nursing and Rehabilitation Center
Updated as of May 01, 2024
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Deficiency Records for Tacoma Nursing and Rehabilitation Center
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.
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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-28 | 2024-05-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-28 | 2024-05-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-28 | 2024-05-10 | 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 | 2024-03-28 | 2024-05-10 | 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 | 2024-03-28 | 2024-05-10 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-03-28 | 2024-05-10 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-03-28 | 2024-05-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-28 | 2024-05-10 | 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 | 2024-03-26 | 2024-04-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-26 | 2024-04-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-26 | 2024-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-26 | 2024-04-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-26 | 2024-04-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-26 | 2024-04-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-26 | 2024-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-26 | 2024-04-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-26 | 2024-04-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-06 | 2024-04-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-06 | 2024-04-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-06 | 2024-04-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-03 | 2023-04-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-03 | 2023-04-20 | 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 | 2023-03-03 | 2023-04-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-03 | 2023-04-20 | 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 | 2023-03-03 | 2023-04-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-03 | 2023-04-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-03 | 2023-04-20 | N |
| 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 | 2023-03-03 | 2023-04-20 | N |
| Post nurse staffing information every day. | Health | 2023-03-03 | 2023-04-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-03 | 2023-04-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-03 | 2023-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-03 | 2023-04-20 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-03 | 2023-04-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-03 | 2023-04-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-03 | 2023-04-20 | Y |
| 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 | 2023-02-28 | 2023-04-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-28 | 2023-04-04 | 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 | 2023-02-28 | 2023-04-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-01 | 2022-07-06 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-03-17 | 2022-04-20 | Y |
| 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 | 2021-10-27 | 2021-12-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-27 | 2021-12-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-27 | 2021-12-08 | 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 | 2021-10-27 | 2021-12-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-27 | 2021-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-27 | 2021-12-08 | 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 | 2021-10-27 | 2021-12-08 | 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 | 2021-10-27 | 2021-12-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-27 | 2021-12-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-27 | 2021-12-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-27 | 2021-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-27 | 2021-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-27 | 2021-12-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-14 | 2021-11-18 | 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 | 2021-10-14 | 2021-11-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-10-14 | 2021-11-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-14 | 2021-11-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-14 | 2021-11-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-14 | 2021-11-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-10-14 | 2021-11-18 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-10-14 | 2021-11-18 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-08-11 | 2021-09-16 | Y |
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