Deficiency Records for Spokane Veterans Home
Updated as of November 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? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-07-19 | 2019-08-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-19 | 2019-08-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-20 | 2019-08-07 | Y |
| 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 | 2019-06-20 | 2019-08-07 | 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 |
| Ensure each resident receives an accurate assessment. | 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 ne | 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 |
| 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 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-05 | 2019-05-17 | Y |
| 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 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-05 | 2019-03-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-01-17 | 2019-03-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-17 | 2019-03-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-07 | 2018-12-21 | Y |
| 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 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-09-27 | 2017-11-01 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-09-27 | 2017-11-01 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-09-27 | 2017-11-01 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-09-27 | 2017-11-01 | Y |
| 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 |
