Deficiency Records for Puyallup Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Puyallup 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-29 | 2023-08-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-29 | 2023-08-11 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-18 | 2023-08-11 | 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 | 2023-07-18 | 2023-08-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-07-18 | 2023-08-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-18 | 2023-08-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-18 | 2023-08-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-18 | 2023-08-11 | 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 | 2023-07-18 | 2023-08-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-18 | 2023-08-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-18 | 2023-08-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-18 | 2023-08-11 | 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 | 2023-07-18 | 2023-08-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-18 | 2023-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-18 | 2023-08-11 | 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 | 2023-07-18 | 2023-08-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-07-18 | 2023-08-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-18 | 2023-08-04 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-07-18 | 2023-08-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-18 | 2023-08-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-18 | 2023-08-04 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-03-27 | 2023-04-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-12 | 2022-09-13 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-08-12 | 2022-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-12 | 2022-09-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-12 | 2022-09-13 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-08-12 | 2022-09-13 | N |
| Post nurse staffing information every day. | Health | 2022-08-12 | 2022-09-13 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-08-12 | 2022-09-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-12 | 2022-09-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2020-02-14 | 2020-03-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-14 | 2020-03-23 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-14 | 2020-03-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-14 | 2020-03-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-14 | 2020-03-23 | 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 | 2020-02-14 | 2020-03-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-14 | 2020-03-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-02-14 | 2020-03-23 | 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 | 2020-02-14 | 2020-03-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-14 | 2020-03-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-14 | 2020-03-23 | 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 | 2020-02-14 | 2020-03-23 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2020-02-14 | 2020-03-23 | 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 | 2020-02-14 | 2020-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-14 | 2020-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-14 | 2020-03-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-10 | 2020-03-10 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-02-10 | 2020-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-10 | 2020-03-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-10 | 2020-03-10 | N |
