A list of the most recent deficiencies for Life Care Center of Port Townsend. 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 a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-04 | 2023-11-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-04 | 2023-11-02 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-03-08 | 2023-04-13 | 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 | 2023-03-08 | 2023-04-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-08 | 2023-04-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-08 | 2023-04-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-08 | 2023-04-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-08 | 2023-04-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-08 | 2023-04-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-08 | 2023-04-13 | N |
| Post nurse staffing information every day. | Health | 2023-03-08 | 2023-04-13 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-03-08 | 2023-04-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-08 | 2023-04-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-08 | 2023-04-13 | 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 | 2023-03-08 | 2023-04-13 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2023-03-08 | 2023-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-08 | 2023-04-13 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-03-08 | 2023-04-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-07 | 2023-03-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-07 | 2023-03-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-07 | 2023-03-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-15 | 2021-08-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-21 | 2021-08-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-07-21 | 2021-08-24 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-07-21 | 2021-08-24 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-07-21 | 2021-08-24 | 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 | 2021-07-21 | 2021-08-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-07-21 | 2021-08-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-21 | 2021-08-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-21 | 2021-08-24 | 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 | 2021-07-21 | 2021-08-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-21 | 2021-08-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-07-21 | 2021-08-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-21 | 2021-08-24 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-07-21 | 2021-08-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-21 | 2021-08-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-21 | 2021-08-24 | 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 | 2021-07-21 | 2021-08-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-21 | 2021-08-24 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-07-21 | 2021-08-24 | N |
| Post nurse staffing information every day. | Health | 2021-07-21 | 2021-08-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-21 | 2021-08-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-21 | 2021-08-24 | 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 | 2021-07-21 | 2021-08-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-21 | 2021-08-24 | 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 | 2021-07-21 | 2021-08-24 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-07-21 | 2021-08-24 | 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 | 2021-07-21 | 2021-08-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-21 | 2021-08-24 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-07-21 | 2021-08-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-21 | 2021-08-24 | 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 | 2021-07-15 | 2021-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-23 | 2019-06-04 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-04-23 | 2019-06-04 | 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 | 2019-04-23 | 2019-06-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-23 | 2019-06-04 | 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 | 2019-04-23 | 2019-06-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-23 | 2019-06-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-04-23 | 2019-06-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-23 | 2019-06-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-23 | 2019-06-04 | 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 | 2019-04-23 | 2019-06-04 | 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 | 2019-04-23 | 2019-06-04 | 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 | 2019-04-23 | 2019-06-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-04-23 | 2019-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-23 | 2019-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-23 | 2019-06-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-23 | 2019-06-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-04-23 | 2019-06-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-17 | 2019-05-06 | N |
| Meet other general requirements. | Fire Safety | 2019-04-17 | 2019-05-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-17 | 2019-05-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-17 | 2019-05-06 | N |
