A list of the most recent deficiencies for Life Care Center of Federal Way. 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 | 2024-01-10 | 2024-02-23 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-01-10 | 2024-02-23 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-01-10 | 2024-02-23 | 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 | 2024-01-10 | 2024-02-23 | 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 | 2024-01-10 | 2024-02-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-10 | 2024-02-23 | N |
| Respond appropriately to all alleged violations. | Health | 2024-01-10 | 2024-02-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-01-10 | 2024-02-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-10 | 2024-02-23 | 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 | 2024-01-10 | 2024-02-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-10 | 2024-02-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-10 | 2024-02-23 | N |
| Provide activities to meet all resident's needs. | Health | 2024-01-10 | 2024-02-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-10 | 2024-02-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-01-10 | 2024-02-23 | 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 | 2024-01-10 | 2024-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-10 | 2024-02-23 | 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 | 2024-01-10 | 2024-02-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-10 | 2024-02-23 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-01-10 | 2024-02-23 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-01-10 | 2024-02-23 | 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 | 2024-01-10 | 2024-02-23 | 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 | 2024-01-10 | 2024-02-23 | N |
| Provide or obtain dental services for each resident. | Health | 2024-01-10 | 2024-02-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-10 | 2024-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-10 | 2024-02-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-10 | 2024-02-23 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-01-04 | 2024-01-24 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-01-04 | 2024-01-24 | N |
| Develop a communication plan. | Fire Safety | 2024-01-04 | 2024-01-24 | N |
| Establish methods for sharing information. | Fire Safety | 2024-01-04 | 2024-01-24 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-01-04 | 2024-01-24 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-01-04 | 2024-01-24 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-01-04 | 2024-01-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-01-04 | 2024-01-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-04 | 2024-01-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-04 | 2024-01-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-04 | 2024-01-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-04 | 2024-01-24 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2024-01-04 | 2024-01-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-04 | 2024-01-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-01-04 | 2024-01-24 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-01-04 | 2024-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-10 | 2023-06-13 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-15 | 2022-10-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-09-15 | 2022-10-28 | 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 | 2022-09-15 | 2022-10-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-15 | 2022-10-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-15 | 2022-10-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-15 | 2022-10-28 | 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 | 2022-09-15 | 2022-10-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-15 | 2022-10-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-15 | 2022-10-28 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-09-15 | 2022-10-28 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-09-15 | 2022-10-28 | 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 | 2022-09-15 | 2022-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-15 | 2022-10-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-09-15 | 2022-10-28 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-09-15 | 2022-10-28 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-09-15 | 2022-10-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-07 | 2022-09-30 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2022-09-07 | 2022-09-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-11-22 | 2022-02-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-22 | 2022-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-22 | 2021-12-27 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-22 | 2021-12-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-20 | 2021-10-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-20 | 2021-10-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-06 | 2021-08-24 | 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 | 2021-07-09 | 2021-07-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-28 | 2021-07-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-21 | 2021-06-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-18 | 2021-04-20 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-05-23 | 2019-08-06 | N |
| Respond appropriately to all alleged violations. | Health | 2019-05-23 | 2019-08-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-23 | 2019-08-06 | 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 | 2019-05-23 | 2019-08-06 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-05-23 | 2019-08-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-23 | 2019-08-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-05-23 | 2019-08-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-23 | 2019-08-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-23 | 2019-08-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-23 | 2019-08-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-23 | 2019-08-06 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-05-23 | 2019-08-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-23 | 2019-08-06 | 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 | 2019-05-23 | 2019-08-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-23 | 2019-08-06 | 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 | 2019-05-23 | 2019-08-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-23 | 2019-08-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-05-23 | 2019-08-06 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-05-23 | 2019-08-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-23 | 2019-08-06 | 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 | 2019-05-23 | 2019-08-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-23 | 2019-08-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-23 | 2019-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-23 | 2019-08-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-05-23 | 2019-08-06 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-05-23 | 2019-08-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-15 | 2019-06-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-15 | 2019-06-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-15 | 2019-05-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-15 | 2019-05-15 | N |
