Deficiency Records for Spokane Veterans Home
Updated as of March 01, 2019
This is not the most recent data for Spokane Veterans Home. For the most recent information, click here.
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? |
---|---|---|---|---|
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-09 | 2018-08-31 | Y |
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 |
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 ne | 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 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 |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-06-15 | 2017-07-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-15 | 2017-07-31 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-06-15 | 2017-07-31 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-15 | 2017-07-31 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-15 | 2017-07-31 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-15 | 2017-07-31 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-06-15 | 2017-07-31 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-13 | 2017-07-07 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2017-06-13 | 2017-07-07 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-06-13 | 2017-07-07 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-13 | 2017-07-07 | N |
Ensure residents maintain acceptable nutritional status. | Health | 2017-06-13 | 2017-07-07 | 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 | 2017-06-13 | 2017-07-07 | N |
Ensure that residents are safe from serious medication errors. | Health | 2017-06-13 | 2017-07-07 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-06-13 | 2017-07-07 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-04-03 | 2017-04-26 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-03 | 2017-04-26 | Y |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-11-10 | 2016-12-05 | Y |
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-11-10 | 2016-12-05 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-10-14 | 2016-12-05 | Y |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-10-14 | 2016-12-05 | Y |
Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-10-14 | 2016-12-05 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-10-14 | 2016-12-05 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-14 | 2016-12-05 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-10-14 | 2016-12-05 | Y |
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 | 2016-09-15 | 2016-12-05 | 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 | 2016-09-15 | 2016-12-05 | Y |
Exits that are accessible at all times. | Fire Safety | 2016-05-18 | 2016-06-20 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-05-18 | 2016-06-20 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2016-05-18 | 2016-06-20 | N |
Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2016-05-18 | 2016-06-20 | N |
Keep residents' personal and medical records private and confidential. | Health | 2016-05-12 | 2016-06-20 | N |
Try to resolve each resident's complaints quickly. | Health | 2016-05-12 | 2016-06-20 | Y |
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 | 2016-05-12 | 2016-06-20 | Y |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-05-12 | 2016-06-20 | Y |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-05-12 | 2016-06-20 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-05-12 | 2016-06-20 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-12 | 2016-06-20 | Y |
Post nurse staffing information/data on a daily basis. | Health | 2016-05-12 | 2016-06-20 | Y |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-05-12 | 2016-06-20 | Y |