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Deficiency Records for Avalon Healthcare - Tacoma
View the most recent health deficiencies and inspection results for Avalon Healthcare - Tacoma. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avalon Healthcare - Tacoma. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-06 | 2026-04-07 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-07-30 | 2025-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-30 | 2025-09-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-07-30 | 2025-09-19 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-07-30 | 2025-09-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-07-30 | 2025-09-10 | 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 | 2025-07-30 | 2025-09-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-07-30 | 2025-09-10 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-07-30 | 2025-09-10 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-07-30 | 2025-09-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-07-30 | 2025-09-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-07-30 | 2025-09-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-07-30 | 2025-09-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-30 | 2025-09-10 | 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 | 2025-07-30 | 2025-09-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-30 | 2025-09-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-07-30 | 2025-09-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-07-30 | 2025-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-30 | 2025-09-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-07-30 | 2025-09-10 | N |
| Provide or obtain dental services for each resident. | Health | 2025-07-30 | 2025-09-10 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2025-07-30 | 2025-09-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-07-30 | 2025-09-10 | 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 | 2025-07-30 | 2025-09-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-07-30 | 2025-09-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-30 | 2025-09-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-07-30 | 2025-09-10 | N |
| Provide activities to meet all resident's needs. | Health | 2025-07-30 | 2025-09-10 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-30 | 2025-08-28 | 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 | 2025-07-30 | 2025-08-28 | 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 | 2025-07-30 | 2025-08-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Establish methods for sharing information. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-30 | 2025-08-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-07 | 2025-06-10 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2025-03-11 | 2025-04-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-11 | 2025-04-15 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-03-11 | 2025-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-30 | 2025-01-14 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-10-09 | 2024-12-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-10-09 | 2024-12-06 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-10-09 | 2024-12-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-10-09 | 2024-12-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-10-09 | 2024-12-06 | 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 | 2024-10-09 | 2024-12-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-09 | 2024-12-03 | 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 | 2024-10-09 | 2024-11-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-10-09 | 2024-11-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-10-09 | 2024-11-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-09 | 2024-11-22 | 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 | 2024-10-09 | 2024-11-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-09 | 2024-11-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-10-09 | 2024-11-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-09 | 2024-11-22 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-10-09 | 2024-11-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-10-09 | 2024-11-22 | N |
| Provide or obtain dental services for each resident. | Health | 2024-10-09 | 2024-11-22 | 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 | 2024-10-09 | 2024-11-22 | 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 | 2024-10-09 | 2024-11-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-09 | 2024-11-22 | 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 | 2024-10-09 | 2024-11-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-09 | 2024-11-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-09 | 2024-11-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-09 | 2024-11-22 | 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 | 2024-10-09 | 2024-11-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-09 | 2024-11-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-09 | 2024-11-22 | N |
| Provide activities to meet all resident's needs. | Health | 2024-10-09 | 2024-11-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-09 | 2024-11-22 | 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 | 2024-10-09 | 2024-11-22 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-10-09 | 2024-11-22 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-10-09 | 2024-11-22 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-10-09 | 2024-11-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-10-09 | 2024-11-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-09 | 2024-11-22 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-10-09 | 2024-11-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-10-09 | 2024-11-22 | 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 | 2024-10-09 | 2024-11-22 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-10-09 | 2024-11-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-09 | 2024-11-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-10-09 | 2024-11-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-09 | 2024-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-09 | 2024-11-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-09 | 2024-11-04 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-10-09 | 2024-11-04 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-10-09 | 2024-11-04 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-10-09 | 2024-11-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-10-09 | 2024-11-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-26 | 2024-02-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-09 | 2023-12-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-09 | 2023-12-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-09 | 2023-12-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-09 | 2023-12-21 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-11-09 | 2023-12-21 | 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 | 2023-11-09 | 2023-12-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-09 | 2023-12-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-09 | 2023-12-21 | N |
| Post nurse staffing information every day. | Health | 2023-11-09 | 2023-12-21 | 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 | 2023-11-09 | 2023-12-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-09 | 2023-12-21 | 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 | 2023-11-09 | 2023-12-21 | 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 | 2023-11-09 | 2023-12-21 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-11-09 | 2023-12-21 | 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 | 2023-11-09 | 2023-12-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-11-09 | 2023-12-21 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-11-09 | 2023-12-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-09 | 2023-12-06 | 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 | 2023-11-09 | 2023-12-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-09 | 2023-12-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-09 | 2023-12-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-09 | 2023-12-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-11-09 | 2023-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-09 | 2023-12-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-11-09 | 2023-12-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-09 | 2023-12-06 | 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 | 2023-11-03 | 2023-12-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-01 | 2023-09-20 | Y |