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 |