CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Edmonds Post Acute
View the most recent health deficiencies and inspection results for Edmonds Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Edmonds Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-04 | 2026-04-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-03-04 | 2026-04-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2026-03-04 | 2026-04-23 | 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 | 2026-03-04 | 2026-04-23 | 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 | 2026-03-04 | 2026-04-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2026-03-04 | 2026-04-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2026-03-04 | 2026-04-23 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2026-03-04 | 2026-04-23 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2026-03-04 | 2026-04-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-04 | 2026-04-23 | 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 | 2026-03-04 | 2026-04-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-04 | 2026-04-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-04 | 2026-04-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-03-04 | 2026-04-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-04 | 2026-04-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-03-04 | 2026-04-23 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2026-03-04 | 2026-04-23 | N |
| Post nurse staffing information every day. | Health | 2026-03-04 | 2026-04-23 | 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 | 2026-03-04 | 2026-04-23 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2026-03-04 | 2026-04-23 | N |
| Meet other general requirements. | Fire Safety | 2026-03-04 | 2026-04-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-04 | 2026-04-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-03-04 | 2026-04-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-04 | 2026-04-23 | N |
| Keep all essential equipment working safely. | Health | 2026-03-04 | 2026-04-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2026-03-04 | 2026-04-23 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2026-03-04 | 2026-04-23 | 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 | 2026-03-04 | 2026-04-23 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-03-04 | 2026-04-23 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2026-03-04 | 2026-04-23 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2026-03-04 | 2026-03-31 | 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 | 2026-03-04 | 2026-03-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-03-04 | 2026-03-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2026-03-04 | 2026-03-31 | 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 | 2026-02-06 | 2026-02-27 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2026-02-06 | 2026-02-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-02-06 | 2026-02-27 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2026-02-06 | 2026-02-27 | 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 | 2025-11-17 | 2025-12-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-24 | 2025-12-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-21 | 2025-05-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-21 | 2025-05-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-14 | 2025-04-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-14 | 2025-04-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-10 | 2025-03-06 | Y |
| 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 | 2024-11-26 | 2025-01-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-11-26 | 2025-01-10 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-11-26 | 2025-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-26 | 2025-01-10 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-11-26 | 2025-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-26 | 2025-01-10 | 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 | 2024-11-26 | 2025-01-10 | 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 | 2024-11-26 | 2025-01-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-11-26 | 2025-01-10 | N |
| Post nurse staffing information every day. | Health | 2024-11-26 | 2025-01-10 | 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 | 2024-11-26 | 2025-01-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-26 | 2025-01-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-26 | 2025-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-26 | 2025-01-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-26 | 2025-01-10 | 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 | 2024-11-26 | 2025-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-26 | 2025-01-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-11-26 | 2025-01-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-11-26 | 2025-01-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-26 | 2025-01-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-11-26 | 2025-01-10 | 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 | 2024-11-26 | 2025-01-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-26 | 2025-01-10 | N |
| Respond appropriately to all alleged violations. | Health | 2024-11-26 | 2025-01-10 | 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 | 2024-11-26 | 2025-01-10 | 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 | 2024-11-26 | 2025-01-10 | 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 | 2024-11-26 | 2025-01-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-11-26 | 2025-01-10 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-11-26 | 2025-01-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-26 | 2025-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-26 | 2024-12-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-11-26 | 2024-12-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-26 | 2024-12-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-11-26 | 2024-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-26 | 2024-12-20 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2024-11-26 | 2024-12-20 | N |
| Have an externally vented heating system. | Fire Safety | 2024-11-26 | 2024-12-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-11-26 | 2024-12-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-26 | 2024-12-20 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-11-26 | 2024-12-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-11-26 | 2024-12-20 | N |
| Respond appropriately to all alleged violations. | Health | 2024-09-26 | 2024-10-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-05 | 2024-07-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-28 | 2024-07-03 | 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 | 2024-06-05 | 2024-07-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-08 | 2024-05-22 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-04-08 | 2024-05-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-30 | 2024-01-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-30 | 2023-10-12 | 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 | 2023-08-30 | 2023-10-12 | N |
| Keep all essential equipment working safely. | Health | 2023-08-30 | 2023-10-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-30 | 2023-10-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-21 | 2023-10-12 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-30 | 2023-10-12 | 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 | 2023-08-30 | 2023-10-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-30 | 2023-10-12 | 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 | 2023-08-30 | 2023-10-12 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-08-30 | 2023-10-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-30 | 2023-10-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-30 | 2023-10-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-30 | 2023-10-12 | 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 | 2023-08-30 | 2023-10-12 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-08-30 | 2023-10-12 | 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 | 2023-08-30 | 2023-10-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-30 | 2023-10-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-30 | 2023-10-04 | 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 | 2023-08-30 | 2023-10-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-08-30 | 2023-10-04 | N |