A list of the most recent deficiencies for Willapa Harbor Care. 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-08-09 | 2023-09-18 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-08-09 | 2023-09-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-09 | 2023-09-18 | 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 | 2023-08-09 | 2023-09-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-09 | 2023-09-18 | 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 | 2023-08-09 | 2023-09-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-09 | 2023-09-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-09 | 2023-09-18 | 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 | 2023-08-09 | 2023-09-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-09 | 2023-09-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-09 | 2023-09-18 | 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 | 2023-08-09 | 2023-09-18 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-08-07 | 2023-08-29 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-08-07 | 2023-08-29 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-08-07 | 2023-08-29 | N |
| Meet other general requirements. | Fire Safety | 2023-08-07 | 2023-08-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-07 | 2023-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-07 | 2023-08-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-07 | 2023-08-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-07 | 2023-08-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-31 | 2023-08-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-08 | 2022-08-15 | 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 | 2022-07-08 | 2022-08-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-07-08 | 2022-08-15 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-11 | 2022-08-15 | 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 | 2022-07-11 | 2022-08-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-11 | 2022-08-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-03 | 2022-01-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-03 | 2022-01-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-03 | 2022-01-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-04 | 2021-03-31 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-12-10 | 2020-01-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-10 | 2020-01-24 | 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 | 2019-12-10 | 2020-01-24 | 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 | 2019-12-10 | 2020-01-24 | 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 | 2019-12-10 | 2020-01-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-12-10 | 2020-01-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-10 | 2020-01-24 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-12-10 | 2020-01-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-10 | 2020-01-24 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-12-10 | 2020-01-24 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-12-10 | 2020-01-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-12-10 | 2020-01-24 | N |
| Post nurse staffing information every day. | Health | 2019-12-10 | 2020-01-24 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-12-10 | 2020-01-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-10 | 2020-01-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-12-10 | 2020-01-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-04 | 2019-12-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-04 | 2019-12-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-12-04 | 2019-12-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-04 | 2019-12-31 | N |
