Deficiency Records for Mt Baker Care Center
Updated as of February 01, 2021
This is not the most recent data for Mt Baker Care Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-16 | 2020-01-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-12-16 | 2020-01-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-16 | 2020-01-24 | Y |
| 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 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 |
| 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 |
| Provide and implement an infection prevention and control program. | 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 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-31 | 2018-12-14 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-31 | 2018-12-14 | Y |
| 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 | Y |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-09-20 | 2017-11-03 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-09-20 | 2017-11-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-09-20 | 2017-11-03 | N |
| Provide housekeeping and maintenance services. | Health | 2017-09-20 | 2017-11-03 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-20 | 2017-11-03 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-09-20 | 2017-11-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-09-20 | 2017-11-03 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-09-20 | 2017-11-03 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-09-20 | 2017-11-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-20 | 2017-11-03 | N |
| Keep all essential equipment working safely. | Health | 2017-09-20 | 2017-11-03 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-20 | 2017-11-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-09-26 | 2017-10-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-09-26 | 2017-10-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-26 | 2017-10-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-09-26 | 2017-10-06 | N |
