Deficiency Records for St Francis of Bellingham
Updated as of October 01, 2018
This is not the most recent data for St Francis of Bellingham. For the most recent information, click here.
A list of the most recent deficiencies for St Francis of Bellingham. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-24 | 2018-01-25 | 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 | 2017-11-01 | 2017-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-01 | 2017-11-16 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2017-09-06 | 2017-10-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-09-06 | 2017-10-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-06 | 2017-10-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-06 | 2017-10-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-06 | 2017-10-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-09-06 | 2017-10-03 | Y |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-09-06 | 2017-10-03 | 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 | 2017-09-06 | 2017-10-03 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-06 | 2017-10-03 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-09-06 | 2017-10-03 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-09-06 | 2017-10-03 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-09-06 | 2017-10-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-06 | 2017-10-03 | Y |
| 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 | 2017-09-06 | 2017-10-03 | Y |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-09-06 | 2017-10-03 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-09-06 | 2017-10-03 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-06 | 2017-10-03 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-09-06 | 2017-10-03 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-06 | 2017-10-03 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-06 | 2017-10-03 | 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 | 2017-07-13 | 2017-07-31 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-10-03 | 2016-10-24 | 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 | 2016-10-03 | 2016-10-24 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-06-11 | 2016-10-24 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-06-11 | 2016-10-24 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-06-11 | 2016-10-24 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-06-11 | 2016-10-24 | N |
| 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 | 2016-06-11 | 2016-10-24 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-06-11 | 2016-10-24 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2016-06-11 | 2016-10-24 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-06-11 | 2016-10-24 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-06-11 | 2016-10-24 | N |
| Provide housekeeping and maintenance services. | Health | 2016-06-11 | 2016-10-24 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-06-11 | 2016-10-24 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-06-11 | 2016-10-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-11 | 2016-10-24 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-06-11 | 2016-10-24 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-06-11 | 2016-10-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-11 | 2016-10-24 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-06-11 | 2016-10-24 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-06-11 | 2016-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-11 | 2016-10-24 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2016-06-11 | 2016-10-24 | 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 | 2016-06-11 | 2016-10-24 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-06-11 | 2016-10-24 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-06-11 | 2016-10-24 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-06-11 | 2016-10-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-11 | 2016-10-24 | N |
| Keep all essential equipment working safely. | Health | 2016-06-11 | 2016-10-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-06-11 | 2016-10-24 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-06-11 | 2016-10-24 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-06-11 | 2016-10-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-03 | 2016-10-24 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-06-07 | 2016-06-08 | N |
| 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 | 2016-01-08 | 2016-02-15 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-01-08 | 2016-02-15 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-03-17 | 2015-05-04 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-03-17 | 2015-05-04 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-03-13 | 2015-04-10 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-03-13 | 2015-04-10 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2015-03-13 | 2015-04-10 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-03-13 | 2015-04-10 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-03-13 | 2015-04-10 | N |
