Deficiency Records for Avamere Olympic Rehabilitation of Sequim
Updated as of October 01, 2020
This is not the most recent data for Avamere Olympic Rehabilitation of Sequim. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-25 | 2019-12-20 | 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 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 |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-04-15 | 2019-05-27 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-04-15 | 2019-05-27 | Y |
| Provide appropriate foot care. | Health | 2019-02-15 | 2019-03-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-24 | 2019-01-09 | 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 | 2018-10-16 | 2018-12-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-16 | 2018-12-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-16 | 2018-12-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-24 | 2018-12-07 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-10-24 | 2018-12-07 | 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 | 2018-10-24 | 2018-12-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-24 | 2018-12-07 | 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 | 2018-10-24 | 2018-12-07 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-10-24 | 2018-12-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-24 | 2018-12-07 | 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 | 2018-10-24 | 2018-12-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-24 | 2018-12-07 | 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 | 2018-10-24 | 2018-12-07 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-24 | 2018-12-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-24 | 2018-12-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-24 | 2018-12-07 | 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 | 2018-10-24 | 2018-12-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-24 | 2018-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-24 | 2018-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-24 | 2018-12-07 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Develop a communication plan. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Provide emergency officials' contact information. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Establish methods for sharing information. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Establish emergency prep training and testing. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2017-12-12 | 2018-01-22 | N |
| Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. | Health | 2017-11-08 | 2018-01-22 | Y |
| Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | Health | 2017-11-08 | 2018-01-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-12 | 2018-01-22 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-12-12 | 2018-01-22 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2017-12-12 | 2018-01-22 | 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 | 2017-12-12 | 2018-01-22 | N |
| Respond appropriately to all alleged violations. | Health | 2017-12-12 | 2018-01-22 | 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 | 2017-12-12 | 2018-01-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-12 | 2018-01-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-12 | 2018-01-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-12 | 2018-01-22 | 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 | 2017-12-12 | 2018-01-22 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2017-12-12 | 2018-01-22 | 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 | 2017-12-12 | 2018-01-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2017-12-12 | 2018-01-22 | 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 | 2017-12-12 | 2018-01-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-12 | 2018-01-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2017-12-12 | 2018-01-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2017-12-01 | 2017-12-18 | 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 | 2017-12-01 | 2017-12-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-12-01 | 2017-12-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-12-01 | 2017-12-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-12-01 | 2017-12-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-12-01 | 2017-12-18 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-07 | 2017-07-14 | Y |
