Deficiency Records for Olympia Transitional Care and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Olympia Transitional Care and Rehabilitation. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-26 | 2024-02-28 | 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 | 2024-01-26 | 2024-02-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-26 | 2024-02-28 | 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 | 2024-01-26 | 2024-02-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-01-26 | 2024-02-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-26 | 2024-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-26 | 2024-02-28 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-01-26 | 2024-02-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-26 | 2024-02-28 | 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 | 2024-01-26 | 2024-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-26 | 2024-02-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-26 | 2024-02-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-01-23 | 2024-02-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-23 | 2024-02-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-01-23 | 2024-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-23 | 2024-02-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-23 | 2024-02-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-23 | 2024-02-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-23 | 2024-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-23 | 2024-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-22 | 2023-03-31 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-02-24 | 2023-03-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-24 | 2023-03-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-22 | 2023-03-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-02-22 | 2023-03-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-22 | 2023-03-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-22 | 2023-03-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-22 | 2023-03-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-22 | 2023-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-09 | 2021-11-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-09 | 2021-11-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-09 | 2021-11-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-09-09 | 2021-11-02 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-09-09 | 2021-11-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-15 | 2021-10-15 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-09-15 | 2021-10-15 | 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 | 2021-09-15 | 2021-10-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-09-15 | 2021-10-15 | 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 | 2021-09-15 | 2021-10-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-09-15 | 2021-10-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-15 | 2021-10-15 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-15 | 2021-10-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-09-15 | 2021-10-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-09-15 | 2021-10-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-09-15 | 2021-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-15 | 2021-10-15 | 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 | 2021-09-15 | 2021-10-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-09-15 | 2021-10-15 | N |
| Provide appropriate foot care. | Health | 2021-09-15 | 2021-10-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-15 | 2021-10-15 | N |
| Post nurse staffing information every day. | Health | 2021-09-15 | 2021-10-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-09-15 | 2021-10-15 | 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 | 2021-09-15 | 2021-10-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-09-15 | 2021-10-15 | N |
| Provide or obtain dental services for each resident. | Health | 2021-09-15 | 2021-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-15 | 2021-10-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-15 | 2021-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-15 | 2021-10-15 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-09-09 | 2021-10-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-09-09 | 2021-10-14 | 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 | 2021-09-09 | 2021-10-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-09 | 2021-10-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-09 | 2021-10-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-09 | 2021-10-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-09 | 2021-10-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-09 | 2021-10-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-09 | 2021-10-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-09 | 2021-10-14 | N |
