A list of the most recent deficiencies for Colville Tribal Convalescent C. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-29 | 2023-08-10 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-03-03 | 2023-04-12 | 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 | 2023-03-03 | 2023-04-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-03 | 2023-04-12 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2023-03-03 | 2023-04-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-03 | 2023-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-03 | 2023-04-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Meet other general requirements. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-28 | 2023-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-30 | 2022-09-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-03-11 | Y |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-06-16 | 2021-07-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-24 | 2021-06-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-08-16 | 2019-09-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-16 | 2019-09-26 | 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 | 2019-08-16 | 2019-09-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-16 | 2019-09-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-16 | 2019-09-26 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-08-16 | 2019-09-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-16 | 2019-09-26 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-16 | 2019-09-26 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-08-16 | 2019-09-26 | N |
| Provide or obtain dental services for each resident. | Health | 2019-08-16 | 2019-09-26 | 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 | 2019-08-16 | 2019-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-16 | 2019-09-26 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-08-16 | 2019-09-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-16 | 2019-09-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-16 | 2019-09-26 | 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 | 2019-08-16 | 2019-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-16 | 2019-09-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-08-15 | 2019-09-19 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-08-15 | 2019-09-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-08-15 | 2019-09-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-08-15 | 2019-09-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-15 | 2019-09-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-15 | 2019-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-15 | 2019-09-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-15 | 2019-09-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-15 | 2019-09-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-15 | 2019-09-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-15 | 2019-09-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-15 | 2019-09-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-15 | 2019-09-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-10 | 2019-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-11 | 2018-12-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-11 | 2018-12-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-10-11 | 2018-12-18 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-10-11 | 2018-12-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-11 | 2018-11-26 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-10 | 2018-11-15 | 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 | 2018-10-10 | 2018-11-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-10 | 2018-11-15 | N |
| Respond appropriately to all alleged violations. | Health | 2018-10-10 | 2018-11-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-10 | 2018-11-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-10 | 2018-11-15 | 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 | 2018-10-10 | 2018-11-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-10 | 2018-11-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-10 | 2018-11-15 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2018-10-10 | 2018-11-15 | 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 | 2018-10-10 | 2018-11-15 | 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 | 2018-10-10 | 2018-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-10 | 2018-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-10 | 2018-11-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-10 | 2018-11-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-11 | 2018-11-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-11 | 2018-11-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-10-11 | 2018-11-01 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-10-11 | 2018-10-24 | N |
