Deficiency Records for Avamere Bellingham Health Care and Rehab Services
Updated as of April 01, 2017
This is not the most recent data for Avamere Bellingham Health Care and Rehab Services. For the most recent information, click here.
A list of the most recent deficiencies for Avamere Bellingham Health Care and Rehab Services. 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 policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-08-19 | 2016-10-17 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-08-19 | 2016-10-17 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-19 | 2016-10-17 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-08-19 | 2016-10-17 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2016-08-19 | 2016-10-17 | Y |
| Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2016-09-19 | 2016-10-17 | 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 | 2016-09-19 | 2016-10-17 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-09-19 | 2016-10-17 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2016-09-19 | 2016-10-17 | N |
| Provide housekeeping and maintenance services. | Health | 2016-09-19 | 2016-10-17 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-09-19 | 2016-10-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-19 | 2016-10-17 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-09-19 | 2016-10-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-09-19 | 2016-10-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-19 | 2016-10-17 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-09-19 | 2016-10-17 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2016-09-19 | 2016-10-17 | 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 | 2016-09-19 | 2016-10-17 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-09-19 | 2016-10-17 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-09-19 | 2016-10-17 | N |
| Provide or obtain dental services for each resident. | Health | 2016-09-19 | 2016-10-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-19 | 2016-10-17 | N |
| 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 | 2016-06-13 | 2016-06-28 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-02-23 | 2016-03-28 | N |
| Provide housekeeping and maintenance services. | Health | 2016-02-23 | 2016-03-28 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-23 | 2016-03-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-02-23 | 2016-03-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-23 | 2016-03-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-23 | 2016-03-28 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-02-23 | 2016-03-28 | 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 | 2016-02-23 | 2016-03-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-23 | 2016-03-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-23 | 2016-03-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-23 | 2016-03-28 | N |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | Health | 2015-08-06 | 2015-09-19 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-08-06 | 2015-09-19 | N |
| Provide housekeeping and maintenance services. | Health | 2015-08-06 | 2015-09-19 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2015-08-06 | 2015-09-19 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2015-08-06 | 2015-09-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2015-08-06 | 2015-09-19 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-08-06 | 2015-09-19 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-08-06 | 2015-09-19 | 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 | 2015-08-06 | 2015-09-19 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-06 | 2015-09-19 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-08-06 | 2015-09-19 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-06 | 2015-09-19 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-04-28 | 2015-05-12 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-04-28 | 2015-05-12 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-04-28 | 2015-05-12 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-04-28 | 2015-05-12 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-03-10 | 2015-04-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-02-19 | 2015-02-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-02-19 | 2015-02-20 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2015-02-19 | 2015-02-20 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-02-19 | 2015-02-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-04-23 | 2014-05-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-04-17 | 2014-04-30 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2014-04-17 | 2014-04-30 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-04-17 | 2014-04-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-04-17 | 2014-04-30 | Y |
| Make sure that doctors visit residents regularly, as required. | Health | 2014-04-17 | 2014-04-30 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2014-04-17 | 2014-04-30 | Y |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe | Health | 2014-04-17 | 2014-04-30 | Y |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2014-04-17 | 2014-04-30 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2014-04-17 | 2014-04-30 | Y |
