A list of the most recent deficiencies for Bothell Health Care. 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-01-20 | 2024-03-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-20 | 2024-03-05 | N |
| Respond appropriately to all alleged violations. | Health | 2024-01-20 | 2024-03-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-20 | 2024-03-05 | 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 | 2024-01-20 | 2024-03-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-20 | 2024-03-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-20 | 2024-03-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-20 | 2024-03-05 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-01-20 | 2024-03-05 | N |
| Post nurse staffing information every day. | Health | 2024-01-20 | 2024-03-05 | 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 | 2024-01-20 | 2024-03-05 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-01-20 | 2024-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-20 | 2024-03-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-01-20 | 2024-03-05 | N |
| 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 | 2024-01-20 | 2024-03-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-17 | 2024-03-04 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-01-17 | 2024-02-16 | 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 | 2023-10-06 | 2023-11-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-06 | 2023-11-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-06 | 2023-11-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-22 | 2023-07-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-02 | 2023-06-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-05 | 2023-01-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-05 | 2023-01-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-13 | 2022-11-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-10-13 | 2022-11-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-13 | 2022-11-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-13 | 2022-11-14 | 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 | 2022-10-13 | 2022-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-13 | 2022-11-14 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-10-11 | 2022-10-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-11 | 2022-10-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-10-11 | 2022-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-27 | 2022-03-05 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-01-27 | 2022-03-05 | Y |
| 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 | 2020-03-05 | 2020-04-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-03-05 | 2020-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-05 | 2020-04-08 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-03-05 | 2020-04-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-05 | 2020-04-08 | 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 | 2020-03-05 | 2020-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-05 | 2020-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2020-03-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-27 | 2020-03-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-27 | 2020-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-27 | 2020-03-27 | N |
