Deficiency Records for Washington Odd Fellows Home
Updated as of October 01, 2019
This is not the most recent data for Washington Odd Fellows Home. For the most recent information, click here.
A list of the most recent deficiencies for Washington Odd Fellows Home. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-02-19 | 2019-04-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-02-19 | 2019-04-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-19 | 2019-04-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-19 | 2019-04-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-05 | 2018-12-14 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-11-05 | 2018-12-14 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-08-31 | 2018-10-15 | 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 | 2018-08-31 | 2018-10-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-08-31 | 2018-10-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-31 | 2018-10-15 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-08-31 | 2018-10-15 | 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 | 2018-08-31 | 2018-10-15 | 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 ne | Health | 2018-08-31 | 2018-10-15 | 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 | 2018-08-31 | 2018-10-15 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-08-31 | 2018-10-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-22 | 2018-08-31 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-08-22 | 2018-08-31 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-08-22 | 2018-08-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-08-22 | 2018-08-31 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-08-22 | 2018-08-31 | N |
| Establish methods for sharing information. | Fire Safety | 2018-08-22 | 2018-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-22 | 2018-08-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-22 | 2018-08-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-08-22 | 2018-08-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-08-22 | 2018-08-31 | N |
| Respond appropriately to all alleged violations. | Health | 2018-02-13 | 2018-02-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-13 | 2018-02-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-13 | 2017-09-22 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-07-24 | 2017-08-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-07-24 | 2017-08-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-07-24 | 2017-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-24 | 2017-08-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-24 | 2017-08-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-07-24 | 2017-08-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-24 | 2017-08-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-07-21 | 2017-08-21 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-21 | 2017-08-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-21 | 2017-08-21 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-21 | 2017-08-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-07-21 | 2017-08-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-21 | 2017-08-21 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-21 | 2017-08-21 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-07-21 | 2017-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-21 | 2017-08-21 | 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 | 2017-07-21 | 2017-08-21 | N |
| Provide or obtain dental services for each resident. | Health | 2017-07-21 | 2017-08-21 | N |
| 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 | 2016-09-16 | 2016-10-31 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-09-16 | 2016-10-31 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-09-16 | 2016-10-31 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-16 | 2016-10-31 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-09-16 | 2016-10-31 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-16 | 2016-10-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-16 | 2016-10-31 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-09-12 | 2016-09-15 | N |
| Approved construction type or materials. | Fire Safety | 2016-09-12 | 2016-09-12 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-09-12 | 2016-09-12 | N |
