Deficiency Records for Lynnwood Post Acute Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Lynnwood Post Acute Rehabilitation 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-29 | 2024-02-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-29 | 2024-02-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-15 | 2023-12-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-15 | 2023-12-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-15 | 2023-12-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-04 | 2023-10-27 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-12 | 2023-06-05 | 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 | 2023-04-12 | 2023-06-05 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-04-12 | 2023-06-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-12 | 2023-06-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-12 | 2023-06-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-12 | 2023-06-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-12 | 2023-06-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-12 | 2023-06-05 | N |
| Post nurse staffing information every day. | Health | 2023-04-12 | 2023-06-05 | 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 | 2023-04-12 | 2023-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-12 | 2023-06-05 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-04-12 | 2023-06-05 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-04-12 | 2023-06-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-04-11 | 2023-05-10 | N |
| Meet other general requirements. | Fire Safety | 2023-04-11 | 2023-05-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-11 | 2023-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-11 | 2023-05-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-11 | 2023-05-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-26 | 2022-11-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-26 | 2022-11-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-26 | 2022-11-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-10-26 | 2022-11-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-26 | 2022-11-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-26 | 2022-11-22 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-10-26 | 2022-11-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-14 | 2022-08-12 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-12-10 | 2022-02-01 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-12-10 | 2022-02-01 | 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 | 2021-12-10 | 2022-02-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-12-10 | 2022-02-01 | 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 | 2021-12-10 | 2022-02-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-10 | 2022-02-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-10 | 2022-02-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-10 | 2022-02-01 | 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 | 2021-12-10 | 2022-02-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-10 | 2022-02-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-10 | 2022-02-01 | N |
| Provide activities to meet all resident's needs. | Health | 2021-12-10 | 2022-02-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-10 | 2022-02-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-10 | 2022-02-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-10 | 2022-02-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-10 | 2022-02-01 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-12-10 | 2022-02-01 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-12-10 | 2022-02-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-12-10 | 2022-02-01 | 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 | 2021-12-10 | 2022-02-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-10 | 2022-02-01 | 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 | 2021-12-10 | 2022-02-01 | N |
| Provide or obtain dental services for each resident. | Health | 2021-12-10 | 2022-02-01 | 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 | 2021-12-10 | 2022-02-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-12-10 | 2022-02-01 | N |
| 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 | 2021-12-10 | 2022-02-01 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-12-10 | 2022-02-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-16 | 2021-05-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-20 | 2020-01-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-20 | 2020-01-31 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-12-20 | 2020-01-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-20 | 2020-01-31 | 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 | 2019-12-20 | 2020-01-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-20 | 2020-01-31 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-12-20 | 2020-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-20 | 2020-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-20 | 2020-01-31 | 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 | 2019-12-20 | 2020-01-31 | 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 | 2019-12-20 | 2020-01-31 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-12-20 | 2020-01-31 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-12-20 | 2020-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-20 | 2020-01-31 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-12-20 | 2020-01-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-10 | 2020-01-14 | N |
