Deficiency Records for Colville Tribal Convalescent C
Updated as of October 01, 2018
This is not the most recent data for Colville Tribal Convalescent C. For the most recent information, click here.
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 | 2018-06-05 | 2018-06-19 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-11-08 | 2017-12-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-08 | 2017-12-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-11-08 | 2017-12-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-11-08 | 2017-12-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-11-08 | 2017-12-18 | N |
| Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2017-11-08 | 2017-12-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-11-08 | 2017-12-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-11-08 | 2017-12-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-11-08 | 2017-12-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-11-08 | 2017-12-18 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-11-08 | 2017-12-18 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-11-08 | 2017-12-05 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-11-08 | 2017-12-05 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-11-08 | 2017-12-05 | N |
| Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident?s clinical condition. | Health | 2017-11-08 | 2017-12-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-08 | 2017-12-05 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-05-03 | 2017-05-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-03 | 2017-05-19 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-03 | 2017-05-19 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-12-29 | 2017-03-01 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-01-27 | 2017-03-01 | Y |
| 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 | 2017-01-27 | 2017-03-01 | Y |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-01-27 | 2017-03-01 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-01-27 | 2017-03-01 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-01-27 | 2017-03-01 | Y |
| Maintain comfortable and safe temperature levels. | Health | 2017-01-27 | 2017-03-01 | Y |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2017-01-27 | 2017-03-01 | Y |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-01-27 | 2017-03-01 | Y |
| Completely assess the resident at least every twelve months. | Health | 2017-01-27 | 2017-03-01 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-27 | 2017-03-01 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-01-27 | 2017-03-01 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-01-27 | 2017-03-01 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-01-27 | 2017-03-01 | Y |
| 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 | 2017-01-27 | 2017-03-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-27 | 2017-03-01 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-01-27 | 2017-03-01 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2017-01-27 | 2017-03-01 | Y |
| 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 | 2017-01-27 | 2017-03-01 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-01-27 | 2017-03-01 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2017-01-27 | 2017-03-01 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-27 | 2017-03-01 | Y |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2017-01-27 | 2017-03-01 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-27 | 2017-03-01 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-01-27 | 2017-03-01 | Y |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-01-27 | 2017-03-01 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-01-27 | 2017-03-01 | Y |
| 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 | 2016-11-28 | 2016-12-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-28 | 2016-12-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-02 | 2016-05-19 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-04 | 2016-02-25 | Y |
| 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 | 2015-11-24 | 2016-01-04 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-11-24 | 2016-01-04 | 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 | 2015-11-24 | 2016-01-04 | Y |
| Provide housekeeping and maintenance services. | Health | 2015-11-24 | 2016-01-04 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-11-24 | 2016-01-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-11-24 | 2016-01-04 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2015-11-24 | 2016-01-04 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-11-24 | 2016-01-04 | Y |
