Deficiency Records for Avamere Olympic Rehabilitation of Sequim
Updated as of March 01, 2024
A list of the most recent deficiencies for Avamere Olympic Rehabilitation of Sequim. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2023-09-07 | 2023-09-29 | Y |
| 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 | 2023-08-11 | 2023-09-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-08-11 | 2023-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-11 | 2023-09-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-11 | 2023-09-08 | 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 | 2023-08-11 | 2023-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-11 | 2023-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-11 | 2023-09-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-15 | 2023-09-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-15 | 2023-09-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-15 | 2023-09-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-15 | 2023-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-15 | 2023-09-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-15 | 2023-09-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-15 | 2023-09-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-15 | 2023-09-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-15 | 2023-09-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-15 | 2023-09-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-15 | 2023-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-07 | 2023-07-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-25 | 2023-05-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-03 | 2023-03-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-21 | 2023-01-06 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-10-17 | 2022-11-14 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-09-02 | 2022-10-10 | Y |
| 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 | 2022-09-02 | 2022-10-10 | Y |
| 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 | 2022-09-02 | 2022-10-10 | Y |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Establish methods for sharing information. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-29 | 2022-08-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-27 | 2022-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-27 | 2022-07-22 | 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 | 2022-06-27 | 2022-07-22 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-05-18 | 2022-06-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-26 | 2021-08-20 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-04-19 | 2021-05-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-15 | 2021-05-14 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-11-14 | 2019-12-20 | 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 | 2019-11-14 | 2019-12-20 | 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 | 2019-11-14 | 2019-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-14 | 2019-12-20 | 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 | 2019-11-14 | 2019-12-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-14 | 2019-12-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-14 | 2019-12-20 | 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 | 2019-11-14 | 2019-12-20 | 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 | 2019-11-14 | 2019-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-14 | 2019-12-20 | 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 | 2019-11-14 | 2019-12-20 | N |
| Post nurse staffing information every day. | Health | 2019-11-14 | 2019-12-20 | 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 | 2019-11-14 | 2019-12-20 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-11-14 | 2019-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-14 | 2019-12-20 | 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 | 2019-11-06 | 2019-12-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-11-06 | 2019-12-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-06 | 2019-12-10 | N |
