Deficiency Records for Edmonds Care
Updated as of July 01, 2021
This is not the most recent data for Edmonds Care. For the most recent information, click here.
A list of the most recent deficiencies for Edmonds Care. 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? |
|---|---|---|---|---|
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-04-14 | 2021-05-14 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-01-15 | 2021-02-23 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-01-15 | 2021-02-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-01-15 | 2021-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-15 | 2021-02-23 | Y |
| Implement a program that monitors antibiotic use. | Health | 2021-01-15 | 2021-02-23 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2020-12-23 | 2021-02-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-12-07 | 2021-02-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-12-07 | 2021-02-23 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-11-02 | 2021-02-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-17 | 2020-04-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-03-17 | 2020-04-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-17 | 2020-04-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-17 | 2020-04-29 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-03-17 | 2020-04-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-17 | 2020-04-29 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-02-14 | 2020-04-29 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-02-14 | 2020-04-29 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-14 | 2020-04-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-14 | 2020-04-29 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2020-02-14 | 2020-04-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-24 | 2020-01-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-24 | 2020-01-25 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-28 | 2019-10-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-28 | 2019-10-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-13 | 2019-10-29 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-13 | 2019-10-29 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-09-13 | 2019-10-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-13 | 2019-10-29 | 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 | 2019-09-13 | 2019-10-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-13 | 2019-10-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-13 | 2019-10-29 | 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 | 2019-09-13 | 2019-10-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-13 | 2019-10-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-09-13 | 2019-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-13 | 2019-10-29 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-09-13 | 2019-10-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-13 | 2019-10-29 | N |
| Provide activities to meet all resident's needs. | Health | 2019-09-13 | 2019-10-29 | 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 | 2019-09-13 | 2019-10-29 | 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 | 2019-09-13 | 2019-10-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-13 | 2019-10-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-09-13 | 2019-10-29 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-09-13 | 2019-10-29 | 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 | 2019-09-13 | 2019-10-29 | 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 | 2019-09-13 | 2019-10-29 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-09-13 | 2019-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-13 | 2019-10-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-09-13 | 2019-10-29 | N |
| Respond appropriately to all alleged violations. | Health | 2019-09-13 | 2019-10-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-15 | 2019-10-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-15 | 2019-10-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-15 | 2019-10-29 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-08-15 | 2019-10-29 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-08-15 | 2019-10-29 | Y |
| 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 | 2019-08-15 | 2019-10-29 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-28 | 2019-09-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-28 | 2019-09-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-28 | 2019-09-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-28 | 2019-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-28 | 2019-09-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-02 | 2019-05-18 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-05-02 | 2019-05-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-02 | 2019-05-18 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-05-02 | 2019-05-18 | 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 | 2019-03-20 | 2019-05-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-20 | 2019-05-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-20 | 2019-05-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-20 | 2019-05-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-02-19 | 2019-05-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-11-07 | 2018-12-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-17 | 2018-10-03 | 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 | 2018-07-19 | 2018-10-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-07-17 | 2018-09-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-17 | 2018-09-20 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-07-19 | 2018-08-23 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-07-19 | 2018-08-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-07-19 | 2018-08-23 | 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 | 2018-07-19 | 2018-08-23 | 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 | 2018-07-19 | 2018-08-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-19 | 2018-08-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-19 | 2018-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-19 | 2018-08-23 | 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 | 2018-07-19 | 2018-08-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-07-19 | 2018-08-23 | 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 | 2018-07-19 | 2018-08-23 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-07-19 | 2018-08-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-19 | 2018-08-23 | 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 | 2018-07-19 | 2018-08-23 | N |
| Provide or obtain dental services for each resident. | Health | 2018-07-19 | 2018-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-19 | 2018-08-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-07-19 | 2018-08-23 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-07-19 | 2018-08-23 | Y |
| Post nurse staffing information every day. | Health | 2018-07-19 | 2018-08-23 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-26 | 2017-10-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-07-26 | 2017-09-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-26 | 2017-09-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-02 | 2017-09-12 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-08-02 | 2017-09-12 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-08-02 | 2017-09-12 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-02 | 2017-09-12 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-08-02 | 2017-09-12 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-08-02 | 2017-09-12 | N |
| Provide housekeeping and maintenance services. | Health | 2017-08-02 | 2017-09-12 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-02 | 2017-09-12 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-02 | 2017-09-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-02 | 2017-09-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-02 | 2017-09-12 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-08-02 | 2017-09-12 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-02 | 2017-09-12 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-02 | 2017-09-12 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-08-02 | 2017-09-12 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-02 | 2017-09-12 | N |
| Use approved construction type or materials. | Fire Safety | 2017-07-26 | 2017-08-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-07-26 | 2017-08-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-26 | 2017-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-26 | 2017-08-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-07-26 | 2017-08-30 | N |
