A list of the most recent deficiencies for Mt Baker Care Center. 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 each resident receives an accurate assessment. | Health | 2023-01-07 | 2023-02-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-07 | 2023-02-15 | N |
| Provide or obtain dental services for each resident. | Health | 2023-01-07 | 2023-02-15 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-01-07 | 2023-02-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-07 | 2023-02-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-04 | 2023-02-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-04 | 2023-02-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-04 | 2023-02-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-04 | 2023-02-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-04 | 2023-02-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-01-04 | 2023-02-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-04 | 2023-02-01 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-01-04 | 2023-02-01 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-01-04 | 2023-02-01 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-01-04 | 2023-02-01 | N |
| Develop a communication plan. | Fire Safety | 2023-01-04 | 2023-02-01 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-01-04 | 2023-02-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-16 | 2020-01-24 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-12-16 | 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 | 2019-12-16 | 2020-01-24 | 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 | 2019-12-16 | 2020-01-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-16 | 2020-01-24 | N |
| Respond appropriately to all alleged violations. | Health | 2019-12-16 | 2020-01-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-16 | 2020-01-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-16 | 2020-01-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-16 | 2020-01-24 | 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 | 2019-12-16 | 2020-01-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-16 | 2020-01-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-16 | 2020-01-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-16 | 2020-01-24 | 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 | 2019-12-16 | 2020-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-16 | 2020-01-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-31 | 2018-12-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-31 | 2018-12-14 | 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 | 2018-10-31 | 2018-12-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-10-31 | 2018-12-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-31 | 2018-12-14 | 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 | 2018-10-31 | 2018-12-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-31 | 2018-12-14 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-31 | 2018-12-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-31 | 2018-12-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-31 | 2018-12-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-31 | 2018-12-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-31 | 2018-12-14 | 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 | 2018-10-31 | 2018-12-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-31 | 2018-12-14 | 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 | 2018-10-31 | 2018-12-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-31 | 2018-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-31 | 2018-12-14 | N |
