A list of the most recent deficiencies for Spokane Health 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-20 | 2024-01-19 | 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 | 2023-12-20 | 2024-01-19 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-09-11 | 2023-09-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-20 | 2023-08-25 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-14 | 2023-07-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-14 | 2023-07-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-01 | 2023-05-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-01 | 2023-05-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-01 | 2023-05-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-26 | 2023-03-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-26 | 2023-03-09 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-01-26 | 2023-03-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-21 | 2022-12-19 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-09-23 | 2022-11-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-09-23 | 2022-11-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-23 | 2022-11-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-23 | 2022-11-04 | 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 | 2022-09-23 | 2022-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-23 | 2022-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-23 | 2022-11-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-09-23 | 2022-11-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-23 | 2022-11-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-23 | 2022-10-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-23 | 2022-10-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-23 | 2022-10-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-23 | 2022-10-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-23 | 2022-10-24 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-26 | 2022-09-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-26 | 2022-05-18 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-06 | 2022-04-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-06 | 2021-12-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-29 | 2021-07-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-29 | 2021-07-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-28 | 2021-07-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-02 | 2021-07-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-02 | 2021-07-21 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-04-02 | 2021-07-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-05 | 2019-09-05 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-08-05 | 2019-09-05 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-08-05 | 2019-09-05 | 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 | 2019-08-05 | 2019-09-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-08-05 | 2019-09-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-05 | 2019-09-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-05 | 2019-09-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-05 | 2019-09-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-05 | 2019-09-05 | 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 | 2019-08-05 | 2019-09-05 | 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 | 2019-08-05 | 2019-09-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-05 | 2019-09-05 | 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 | 2019-08-05 | 2019-09-05 | 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 | 2019-08-05 | 2019-09-05 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2019-08-05 | 2019-09-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-08-05 | 2019-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-05 | 2019-09-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-05 | 2019-09-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-05 | 2019-09-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-08-05 | 2019-09-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-05 | 2019-09-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-01 | 2019-08-30 | 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 | 2019-08-01 | 2019-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-01 | 2019-08-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-01 | 2019-08-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-01 | 2019-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-01 | 2019-08-01 | 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 | 2018-06-11 | 2018-07-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-06-11 | 2018-07-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-06-11 | 2018-07-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-11 | 2018-07-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-11 | 2018-07-24 | N |
| Provide activities to meet all resident's needs. | Health | 2018-06-11 | 2018-07-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-11 | 2018-07-24 | 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 | 2018-06-11 | 2018-07-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-06-11 | 2018-07-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-11 | 2018-07-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-06-11 | 2018-07-24 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-06-11 | 2018-07-24 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-06-11 | 2018-07-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-11 | 2018-07-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-06-11 | 2018-07-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-06-05 | 2018-07-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-06-05 | 2018-07-10 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-06-05 | 2018-07-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-06-05 | 2018-07-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-06-05 | 2018-07-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-06-05 | 2018-07-10 | 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 | 2018-06-05 | 2018-07-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-06-05 | 2018-07-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-05 | 2018-07-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-05 | 2018-07-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-06-05 | 2018-07-10 | N |
