Deficiency Records for Everett Center
Updated as of August 01, 2019
This is not the most recent data for Everett Center. For the most recent information, click here.
A list of the most recent deficiencies for Everett 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? |
|---|---|---|---|---|
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-05-08 | 2019-05-31 | Y |
| 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 | 2019-05-08 | 2019-05-31 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-05-08 | 2019-05-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-03-06 | 2019-05-31 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-27 | 2019-05-31 | 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 | 2019-03-27 | 2019-05-31 | 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 | 2019-03-27 | 2019-05-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-27 | 2019-05-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-27 | 2019-05-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-27 | 2019-05-31 | 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 | 2019-03-27 | 2019-05-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-27 | 2019-05-31 | N |
| Provide activities to meet all resident's needs. | Health | 2019-03-27 | 2019-05-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-27 | 2019-05-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-27 | 2019-05-31 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-03-27 | 2019-05-31 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-03-27 | 2019-05-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-27 | 2019-05-31 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-03-27 | 2019-05-31 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-03-27 | 2019-05-31 | 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 | 2019-03-27 | 2019-05-31 | 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 ne | Health | 2019-03-27 | 2019-05-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-27 | 2019-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-27 | 2019-05-31 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-03-27 | 2019-05-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-27 | 2019-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-27 | 2019-05-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-03-27 | 2019-05-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-08 | 2019-05-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-27 | 2019-05-31 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-28 | 2019-05-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-03-28 | 2019-05-11 | N |
| Be properly staffed | Fire Safety | 2019-03-28 | 2019-05-04 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-01-18 | 2019-02-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-18 | 2019-02-19 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-01-18 | 2019-02-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-01-18 | 2019-02-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-01-18 | 2019-02-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-05 | 2018-11-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-10 | 2018-11-19 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-10-10 | 2018-11-19 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-09-18 | 2018-11-19 | Y |
| Provide or obtain dental services for each resident. | Health | 2018-09-18 | 2018-11-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-08 | 2018-06-06 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-12 | 2018-03-01 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-02-12 | 2018-03-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-13 | 2018-03-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2017-12-13 | 2018-03-01 | 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 | 2017-12-13 | 2018-03-01 | 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 | 2017-12-13 | 2018-03-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2017-12-13 | 2018-03-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-13 | 2018-03-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2017-12-13 | 2018-03-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2017-12-13 | 2018-03-01 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2017-12-13 | 2018-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-13 | 2018-03-01 | 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 | 2017-12-13 | 2018-03-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2017-12-13 | 2018-03-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-13 | 2018-03-01 | N |
| Provide activities to meet all resident's needs. | Health | 2017-12-13 | 2018-03-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-13 | 2018-03-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-13 | 2018-03-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2017-12-13 | 2018-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-13 | 2018-03-01 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2017-12-13 | 2018-03-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2017-12-13 | 2018-03-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2017-12-13 | 2018-03-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2017-12-13 | 2018-03-01 | 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 | Health | 2017-12-13 | 2018-03-01 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2017-12-13 | 2018-03-01 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2017-12-13 | 2018-03-01 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-12-13 | 2018-03-01 | 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 | 2017-12-13 | 2018-03-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2017-12-13 | 2018-03-01 | 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 ne | Health | 2017-12-13 | 2018-03-01 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2017-12-13 | 2018-03-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-12-14 | 2018-01-29 | N |
| 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 | 2017-12-14 | 2018-01-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-14 | 2018-01-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-12-14 | 2018-01-29 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2017-12-14 | 2018-01-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2017-12-14 | 2018-01-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-12-14 | 2018-01-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-09-12 | 2017-10-24 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-09-12 | 2017-10-24 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-12 | 2017-10-24 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-09-12 | 2017-10-24 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-01 | 2017-06-30 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-01 | 2017-06-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-02-23 | 2017-03-07 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-23 | 2017-03-07 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-02-03 | 2017-03-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-02-03 | 2017-03-07 | Y |
| 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 | 2017-02-03 | 2017-03-07 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-02-03 | 2017-03-07 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-02-03 | 2017-03-07 | Y |
| Maintain comfortable sound levels. | Health | 2017-02-03 | 2017-03-07 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-02-03 | 2017-03-07 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-03 | 2017-03-07 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-02-03 | 2017-03-07 | 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 | 2017-02-03 | 2017-03-07 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-02-03 | 2017-03-07 | Y |
| Provide or obtain dental services for each resident. | Health | 2017-02-03 | 2017-03-07 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-03 | 2017-03-07 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-03 | 2017-03-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-31 | 2017-03-01 | N |
