Deficiency Records for Olympia Transitional Care and Rehabilitation
Updated as of March 01, 2018
This is not the most recent data for Olympia Transitional Care and Rehabilitation. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Develop a communication plan. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Provide emergency officials' contact information. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Establish methods for sharing information. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2017-12-15 | 2018-01-29 | N |
| Respond appropriately to all alleged violations. | Health | 2017-12-15 | 2018-01-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-15 | 2018-01-29 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-12-15 | 2018-01-29 | 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 | 2017-12-15 | 2018-01-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-12-15 | 2018-01-29 | 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 | 2017-12-15 | 2018-01-29 | 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 | 2017-12-15 | 2018-01-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-15 | 2018-01-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2017-12-15 | 2018-01-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-15 | 2018-01-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-12-15 | 2018-01-29 | N |
| Provide activities to meet all resident's needs. | Health | 2017-12-15 | 2018-01-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-15 | 2018-01-29 | 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 | 2017-12-15 | 2018-01-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-15 | 2018-01-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2017-12-15 | 2018-01-29 | 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 ne | Health | 2017-12-15 | 2018-01-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2017-12-15 | 2018-01-29 | 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 | 2017-12-15 | 2018-01-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-15 | 2018-01-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-15 | 2018-01-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2017-12-15 | 2018-01-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2017-12-15 | 2018-01-29 | Y |
| 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 | 2017-12-15 | 2018-01-29 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2017-12-15 | 2018-01-29 | 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 | 2017-12-15 | 2018-01-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-15 | 2018-01-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2017-12-15 | 2018-01-29 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2017-12-15 | 2018-01-29 | Y |
| Keep all essential equipment working safely. | Health | 2017-12-15 | 2018-01-29 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2017-12-15 | 2018-01-29 | Y |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2017-11-30 | 2018-01-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-11-30 | 2018-01-04 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-11-30 | 2018-01-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-30 | 2018-01-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-11-30 | 2018-01-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-11-30 | 2018-01-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-11-30 | 2018-01-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-11-30 | 2018-01-04 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-25 | 2017-10-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-25 | 2017-06-08 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-25 | 2017-06-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-25 | 2017-06-08 | Y |
| Keep all essential equipment working safely. | Health | 2017-05-25 | 2017-06-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-05-25 | 2017-06-08 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-04-28 | 2017-06-08 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-04-28 | 2017-06-08 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-04-28 | 2017-06-08 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-28 | 2017-06-08 | Y |
| Keep all essential equipment working safely. | Health | 2017-04-28 | 2017-06-08 | Y |
| Install proper backup exit lighting. | Fire Safety | 2017-01-25 | 2017-03-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-01-25 | 2017-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-25 | 2017-03-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-01-25 | 2017-03-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-02-22 | 2017-03-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-22 | 2017-03-09 | Y |
| Keep all essential equipment working safely. | Health | 2017-02-22 | 2017-03-09 | 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 | 2017-01-31 | 2017-03-06 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-01-31 | 2017-03-06 | N |
| Provide housekeeping and maintenance services. | Health | 2017-01-31 | 2017-03-06 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-01-31 | 2017-03-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-01-31 | 2017-03-06 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-01-31 | 2017-03-06 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-31 | 2017-03-06 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-01-31 | 2017-03-06 | Y |
| Provide or obtain dental services for each resident. | Health | 2017-01-31 | 2017-03-06 | Y |
| 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 | 2016-08-25 | 2016-10-03 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-08-25 | 2016-10-03 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-06-16 | 2016-07-18 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-16 | 2016-07-18 | Y |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-06-16 | 2016-07-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-16 | 2016-07-18 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-16 | 2016-07-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-03-30 | 2016-04-04 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-03-30 | 2016-04-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-30 | 2016-04-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-30 | 2016-04-04 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-03-30 | 2016-04-04 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-03-30 | 2016-04-04 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-03-30 | 2016-04-04 | Y |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-02-12 | 2016-04-04 | N |
| Maintain comfortable and safe temperature levels. | Health | 2016-02-12 | 2016-04-04 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-02-12 | 2016-04-04 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2016-02-12 | 2016-04-04 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-12 | 2016-04-04 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-02-12 | 2016-04-04 | 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 | 2016-02-12 | 2016-04-04 | N |
| Provide or obtain dental services for each resident. | Health | 2016-02-12 | 2016-04-04 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-12 | 2016-04-04 | N |
| Keep clinical record information safe. | Health | 2016-02-12 | 2016-04-04 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-02-09 | 2016-03-15 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-02-09 | 2016-03-15 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-02-09 | 2016-03-15 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-02-09 | 2016-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-22 | 2016-01-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-29 | 2015-05-07 | Y |
