A list of the most recent deficiencies for Life Care Center of Skagit 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-08 | 2023-12-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-22 | 2023-10-05 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-08-22 | 2023-10-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-22 | 2023-10-05 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-08-22 | 2023-10-05 | 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 | 2023-08-22 | 2023-10-05 | 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 | 2023-08-22 | 2023-10-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-22 | 2023-10-05 | N |
| Respond appropriately to all alleged violations. | Health | 2023-08-22 | 2023-10-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-08-22 | 2023-10-05 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-08-22 | 2023-10-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-08-22 | 2023-10-05 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-08-22 | 2023-10-05 | 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 | 2023-08-22 | 2023-10-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-08-22 | 2023-10-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-22 | 2023-10-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-22 | 2023-10-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-22 | 2023-10-05 | 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 | 2023-08-22 | 2023-10-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-22 | 2023-10-05 | N |
| 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 | 2023-08-22 | 2023-10-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-22 | 2023-10-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-22 | 2023-10-05 | 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 | 2023-08-22 | 2023-10-05 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-22 | 2023-10-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-08-22 | 2023-10-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-22 | 2023-10-05 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-08-22 | 2023-10-05 | 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 | 2023-08-22 | 2023-10-05 | 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 | 2023-08-22 | 2023-10-05 | 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 | 2023-08-22 | 2023-10-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-22 | 2023-10-05 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-08-22 | 2023-10-05 | 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 | 2023-08-22 | 2023-10-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-22 | 2023-10-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-22 | 2023-10-05 | 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 | 2023-08-22 | 2023-10-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-15 | 2023-09-27 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-15 | 2023-09-15 | 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 | 2023-08-15 | 2023-09-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-08-15 | 2023-09-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-31 | 2023-06-22 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-05-04 | 2023-05-31 | Y |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-03-28 | 2023-04-17 | 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 | 2023-03-28 | 2023-04-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-28 | 2023-04-17 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-02-08 | 2023-03-07 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-02-08 | 2023-03-07 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-24 | 2022-05-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-24 | 2022-05-04 | 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 | 2022-03-24 | 2022-05-04 | N |
| Respond appropriately to all alleged violations. | Health | 2022-03-24 | 2022-05-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-24 | 2022-05-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-24 | 2022-05-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-24 | 2022-05-04 | N |
| Post nurse staffing information every day. | Health | 2022-03-24 | 2022-05-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-24 | 2022-05-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-24 | 2022-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-24 | 2022-05-04 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-03-24 | 2022-05-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-21 | 2022-04-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-21 | 2022-04-11 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-07-06 | 2021-07-23 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-22 | 2019-04-23 | 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 | 2019-03-22 | 2019-04-23 | 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 | 2019-03-22 | 2019-04-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-03-22 | 2019-04-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-22 | 2019-04-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-22 | 2019-04-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-03-22 | 2019-04-23 | 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 | 2019-03-22 | 2019-04-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-22 | 2019-04-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-22 | 2019-04-23 | 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 | 2019-03-22 | 2019-04-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-22 | 2019-04-23 | N |
| 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 | 2019-03-22 | 2019-04-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-22 | 2019-04-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-22 | 2019-04-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-22 | 2019-04-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-29 | 2019-04-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-29 | 2019-04-08 | N |
