Deficiency Records for Olympia Transitional Care and Rehabilitation
Updated as of April 01, 2021
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-11-06 | 2020-11-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-09 | 2019-10-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-09 | 2019-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-09 | 2019-10-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-09 | 2019-10-15 | N |
| Provide activities to meet all resident's needs. | Health | 2019-09-09 | 2019-10-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-09 | 2019-10-15 | 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 | 2019-09-09 | 2019-10-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-09 | 2019-10-15 | N |
| Post nurse staffing information every day. | Health | 2019-09-09 | 2019-10-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-09-09 | 2019-10-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-09-05 | 2019-09-05 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-13 | 2019-04-09 | Y |
| 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 | 2019-03-13 | 2019-04-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-13 | 2019-04-09 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-01-25 | 2019-01-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-09 | 2018-11-16 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-10-09 | 2018-11-16 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-10-09 | 2018-11-16 | 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 | 2018-10-09 | 2018-11-16 | 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 | 2018-10-09 | 2018-11-16 | 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 | 2018-10-09 | 2018-11-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-09 | 2018-11-16 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-10-09 | 2018-11-16 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-09 | 2018-11-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-09 | 2018-11-16 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-10-09 | 2018-11-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-09 | 2018-11-16 | 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 | 2018-10-09 | 2018-11-16 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-10-09 | 2018-11-16 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-10-09 | 2018-11-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-09 | 2018-11-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-09 | 2018-11-16 | 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 | 2018-10-09 | 2018-11-16 | N |
| Provide or obtain dental services for each resident. | Health | 2018-10-09 | 2018-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-09 | 2018-11-16 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2018-10-09 | 2018-11-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-09 | 2018-11-16 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-02 | 2018-10-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-02 | 2018-10-17 | 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 | 2018-08-10 | 2018-09-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-10 | 2018-09-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-10 | 2018-09-11 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2018-08-10 | 2018-09-11 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2018-08-10 | 2018-09-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-01 | 2018-05-22 | Y |
| 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 |
| 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 |
| 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 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | 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 |
| 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 | N |
| 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 | 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 |
| 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 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-12-15 | 2018-01-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 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 |
| Provide safe, appropriate pain management for a resident who requires such services. | 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 necessary and PRN use is limited. | 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 |
| Have a plan that describes the process for conducting QAPI and QAA activities. | 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 |
| 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 | N |
| 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 |
