A list of the most recent deficiencies for Spokane Veterans 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? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-01-23 | 2024-03-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-23 | 2024-03-01 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-09-12 | 2023-10-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-10 | 2023-08-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-18 | 2023-08-15 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-06-23 | 2023-08-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-23 | 2023-08-04 | 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 | 2022-12-08 | 2023-01-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-08 | 2023-01-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-01-16 | 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 | 2022-12-08 | 2023-01-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-08 | 2023-01-16 | 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 | 2022-12-08 | 2023-01-16 | 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 | 2022-12-08 | 2023-01-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-12-08 | 2023-01-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-12-08 | 2023-01-16 | 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 | 2022-12-08 | 2023-01-16 | 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 | 2022-12-08 | 2023-01-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-08 | 2023-01-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-08 | 2023-01-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-08 | 2023-01-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-08 | 2023-01-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-08 | 2023-01-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-10-11 | 2023-01-16 | Y |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-11-29 | 2023-01-03 | 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 | 2022-11-29 | 2023-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-29 | 2023-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-29 | 2023-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-29 | 2023-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-26 | 2022-08-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-09 | 2022-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-21 | 2022-05-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-02 | 2021-10-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-21 | 2021-10-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-21 | 2021-10-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-21 | 2021-10-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-21 | 2021-10-08 | 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 | 2021-06-21 | 2021-10-08 | Y |
| 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 | 2019-04-05 | 2019-05-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-04-05 | 2019-05-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-05 | 2019-05-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-05 | 2019-05-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-05 | 2019-05-17 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-04-05 | 2019-05-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-05 | 2019-05-17 | 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 | 2019-04-05 | 2019-05-17 | 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 | 2019-04-05 | 2019-05-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-04-05 | 2019-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-05 | 2019-05-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-05 | 2019-05-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-08 | 2019-04-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-08 | 2019-04-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-08 | 2019-04-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-08 | 2019-04-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-07 | 2018-06-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-07 | 2018-06-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-05-07 | 2018-06-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-07 | 2018-06-21 | N |
| Provide activities to meet all resident's needs. | Health | 2018-05-07 | 2018-06-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-07 | 2018-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-07 | 2018-06-21 | 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 | 2018-05-07 | 2018-06-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-07 | 2018-06-21 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-05-07 | 2018-06-21 | 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 | 2018-05-07 | 2018-06-21 | 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 | 2018-05-07 | 2018-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-07 | 2018-06-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-05-07 | 2018-06-21 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-05-07 | 2018-06-21 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-05-07 | 2018-06-21 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-05-07 | 2018-06-21 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-05-07 | 2018-06-21 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-05-07 | 2018-06-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-05-07 | 2018-06-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-05-07 | 2018-06-21 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-05-07 | 2018-06-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-05-07 | 2018-06-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-05-07 | 2018-06-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-05-07 | 2018-06-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-27 | 2018-06-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-04-27 | 2018-05-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-27 | 2018-05-31 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-04-27 | 2018-05-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-04-27 | 2018-05-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-27 | 2018-04-27 | N |
