A list of the most recent deficiencies for Life Care Center of Puyallup. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-09 | 2024-02-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-01-09 | 2024-02-10 | 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 | 2024-01-09 | 2024-02-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-09 | 2024-02-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-09 | 2024-02-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-09 | 2024-02-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-09 | 2024-02-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-08 | 2024-02-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-08 | 2024-02-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-08 | 2024-02-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-08 | 2024-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-08 | 2024-02-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-08 | 2024-02-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-08 | 2024-02-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-08 | 2024-02-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-29 | 2023-12-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-23 | 2023-06-08 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-02-28 | 2023-03-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-18 | 2023-02-17 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-10-10 | 2022-11-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-10 | 2022-11-23 | 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 | 2022-10-10 | 2022-11-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-10-10 | 2022-11-23 | 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 | 2022-10-10 | 2022-11-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-10-10 | 2022-11-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-10 | 2022-11-23 | 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 | 2022-10-10 | 2022-11-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-10 | 2022-11-23 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2022-10-10 | 2022-11-23 | 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 | 2022-10-10 | 2022-11-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-10 | 2022-11-23 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-10-10 | 2022-11-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-10 | 2022-11-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-10-10 | 2022-11-23 | 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 | 2022-10-10 | 2022-11-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-10 | 2022-11-23 | 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 | 2022-10-10 | 2022-11-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-10 | 2022-11-23 | 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 | 2022-10-10 | 2022-11-23 | 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 | 2022-10-10 | 2022-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-10 | 2022-11-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-10-10 | 2022-11-23 | N |
| Respond appropriately to all alleged violations. | Health | 2022-10-10 | 2022-11-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-10 | 2022-11-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-10 | 2022-11-23 | 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 | 2022-10-10 | 2022-11-23 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Establish methods for sharing information. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-06 | 2022-11-07 | 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 | 2022-10-06 | 2022-11-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-06 | 2022-11-07 | 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 | 2022-10-06 | 2022-11-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-10-06 | 2022-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-02 | 2022-08-22 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-08-02 | 2022-08-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-14 | 2022-08-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-14 | 2022-08-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-14 | 2022-08-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-14 | 2022-08-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-10 | 2022-03-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-29 | 2021-11-23 | Y |
| 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 | 2019-08-27 | 2019-10-08 | 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 | 2019-08-27 | 2019-10-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-27 | 2019-10-08 | 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 | 2019-08-27 | 2019-10-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-27 | 2019-10-08 | 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 | 2019-08-27 | 2019-10-08 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-27 | 2019-10-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-27 | 2019-10-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-27 | 2019-10-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-27 | 2019-10-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-27 | 2019-10-08 | N |
| Request a waiver if it can't meet the nurse staffing requirements. | Health | 2019-08-27 | 2019-10-08 | N |
| Post nurse staffing information every day. | Health | 2019-08-27 | 2019-10-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-27 | 2019-10-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-27 | 2019-10-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-19 | 2019-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-19 | 2019-09-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-19 | 2019-09-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-08-19 | 2019-09-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-19 | 2019-09-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-19 | 2019-09-18 | N |
