Deficiency Records for Enumclaw Health and Rehab Center
Updated as of July 01, 2020
This is not the most recent data for Enumclaw Health and Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for Enumclaw Health and Rehab 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-26 | 2020-03-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-26 | 2020-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-26 | 2020-03-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-26 | 2020-03-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-12-03 | 2019-12-17 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-02-07 | 2019-03-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-07 | 2019-03-19 | 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 | 2019-02-07 | 2019-03-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-07 | 2019-03-19 | 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 | 2019-02-07 | 2019-03-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-02-07 | 2019-03-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-07 | 2019-03-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-07 | 2019-03-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-03-19 | 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 | 2019-02-07 | 2019-03-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-07 | 2019-03-19 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-02-07 | 2019-03-19 | 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 | 2019-02-07 | 2019-03-19 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-02-07 | 2019-03-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-07 | 2019-03-19 | 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 | 2019-02-07 | 2019-03-19 | N |
| Provide or obtain dental services for each resident. | Health | 2019-02-07 | 2019-03-19 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-02-07 | 2019-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-03-19 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-01-31 | 2019-02-22 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2019-01-31 | 2019-02-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-31 | 2019-02-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-31 | 2019-02-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-05 | 2018-12-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-05-07 | 2018-05-16 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2017-12-14 | 2018-01-25 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2017-12-14 | 2018-01-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2017-12-14 | 2018-01-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2017-12-14 | 2018-01-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2017-12-14 | 2018-01-25 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-12-14 | 2018-01-25 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2017-12-14 | 2018-01-25 | 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 | 2017-12-14 | 2018-01-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-12-14 | 2018-01-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2017-12-14 | 2018-01-25 | 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 | 2017-12-14 | 2018-01-25 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2017-12-14 | 2018-01-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2017-12-14 | 2018-01-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-14 | 2018-01-25 | N |
| Respond appropriately to all alleged violations. | Health | 2017-12-14 | 2018-01-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2017-12-14 | 2018-01-25 | 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 | 2017-12-14 | 2018-01-25 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2017-12-14 | 2018-01-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2017-12-14 | 2018-01-25 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2017-12-14 | 2018-01-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2017-12-14 | 2018-01-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-14 | 2018-01-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-12-14 | 2018-01-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2017-12-14 | 2018-01-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-14 | 2018-01-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-14 | 2018-01-25 | 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 | 2017-12-14 | 2018-01-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-14 | 2018-01-25 | 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 | 2017-12-14 | 2018-01-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2017-12-14 | 2018-01-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2017-12-14 | 2018-01-25 | 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 | 2017-12-14 | 2018-01-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2017-12-14 | 2018-01-25 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2017-12-14 | 2018-01-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2017-12-14 | 2018-01-25 | 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 | 2017-12-14 | 2018-01-25 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2017-12-14 | 2018-01-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-14 | 2018-01-25 | 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 | 2017-12-14 | 2018-01-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-14 | 2018-01-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2017-12-14 | 2018-01-25 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2017-12-14 | 2018-01-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2017-12-14 | 2018-01-25 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-06 | 2017-10-24 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-10-06 | 2017-10-24 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-08-24 | 2016-09-30 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-08-24 | 2016-09-30 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-08-24 | 2016-09-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-24 | 2016-09-30 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-08-24 | 2016-09-30 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-08-24 | 2016-09-30 | 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 | 2016-08-24 | 2016-09-30 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-08-24 | 2016-09-30 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-08-24 | 2016-09-30 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-08-24 | 2016-09-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-24 | 2016-09-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-24 | 2016-09-30 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-08-24 | 2016-09-30 | N |
