Deficiency Records for Prestige Post-Acute and Rehab Ctr - Kittitas Valley
Updated as of April 01, 2024
A list of the most recent deficiencies for Prestige Post-Acute and Rehab Ctr - Kittitas Valley. 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? |
---|---|---|---|---|
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-20 | 2024-03-20 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-20 | 2024-03-20 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-21 | 2024-01-26 | 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 | 2023-12-21 | 2024-01-26 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-21 | 2024-01-26 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-21 | 2024-01-26 | 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 | 2023-12-21 | 2024-01-26 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-21 | 2024-01-26 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-21 | 2024-01-26 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2023-12-21 | 2024-01-26 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-01-26 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-21 | 2024-01-26 | 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 | 2023-12-21 | 2024-01-26 | N |
Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-26 | N |
List the names and contact information of those in the facility. | Fire Safety | 2023-12-20 | 2024-01-12 | N |
Establish staff and initial training requirements. | Fire Safety | 2023-12-20 | 2024-01-12 | 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 | 2023-12-20 | 2024-01-12 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-20 | 2024-01-12 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-20 | 2024-01-12 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-20 | 2024-01-12 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-20 | 2024-01-12 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-20 | 2024-01-12 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-20 | 2024-01-12 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-20 | 2024-01-12 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-12-20 | 2024-01-12 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-22 | 2023-10-20 | Y |
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 | 2023-09-22 | 2023-10-20 | Y |
Respond appropriately to all alleged violations. | Health | 2023-06-30 | 2023-07-14 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-11-23 | 2022-12-19 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-23 | 2022-12-19 | 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 | 2022-11-23 | 2022-12-19 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-23 | 2022-12-19 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-23 | 2022-12-19 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-23 | 2022-12-19 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-23 | 2022-12-19 | 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 and emergencies. | Health | 2022-11-23 | 2022-12-19 | N |
Provide and implement an infection prevention and control program. | Health | 2022-11-23 | 2022-12-19 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-23 | 2022-12-19 | Y |
Respond appropriately to all alleged violations. | Health | 2022-11-23 | 2022-12-19 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
List the names and contact information of those in the facility. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Provide emergency officials' contact information. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Establish emergency prep training and testing. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Establish staff and initial training requirements. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Meet other general requirements. | Fire Safety | 2022-11-22 | 2022-12-16 | 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 | 2022-11-22 | 2022-12-16 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-11-22 | 2022-12-16 | 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 | 2022-11-22 | 2022-12-16 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-11-22 | 2022-12-16 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-10 | 2022-06-03 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-10 | 2022-06-03 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-13 | 2021-10-19 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-09-29 | 2021-10-12 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-27 | 2021-09-15 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-17 | 2020-01-16 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-17 | 2020-01-16 | N |
Post nurse staffing information every day. | Health | 2019-12-17 | 2020-01-16 | N |
Provide and implement an infection prevention and control program. | Health | 2019-12-17 | 2020-01-16 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-12 | 2020-01-07 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-12 | 2019-12-31 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-12 | 2019-12-31 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-12 | 2019-12-31 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-12-12 | 2019-12-31 | N |