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Deficiency Records for Avalon Care Center Federal Way, L.L.C.
View the most recent health deficiencies and inspection results for Avalon Care Center Federal Way, L.L.C.. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avalon Care Center Federal Way, L.L.C.. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-11-21 | 2026-01-04 | 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 | 2025-11-21 | 2026-01-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-11-21 | 2026-01-04 | 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 | 2025-11-21 | 2026-01-04 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-11-21 | 2026-01-04 | 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 | 2025-11-21 | 2026-01-04 | N |
| Provide activities to meet all resident's needs. | Health | 2025-11-21 | 2026-01-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-11-21 | 2026-01-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-11-21 | 2026-01-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-21 | 2026-01-04 | 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 | 2025-11-21 | 2026-01-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-11-21 | 2026-01-04 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-11-21 | 2025-12-24 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-11-21 | 2025-12-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-11-21 | 2025-12-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-11-21 | 2025-12-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-11-21 | 2025-12-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-11-21 | 2025-12-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-11-21 | 2025-12-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-21 | 2025-12-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-11-21 | 2025-12-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-11-21 | 2025-12-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-11-21 | 2025-12-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-11-21 | 2025-12-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-11-21 | 2025-12-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-11-21 | 2025-12-24 | 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 | 2024-11-05 | 2024-12-06 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-07-24 | 2024-09-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-24 | 2024-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-24 | 2024-09-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-24 | 2024-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-24 | 2024-08-29 | 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 | 2024-07-24 | 2024-08-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-24 | 2024-08-29 | 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 | 2024-07-24 | 2024-08-29 | 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 | 2024-07-24 | 2024-08-29 | 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 | 2024-07-24 | 2024-08-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-24 | 2024-08-29 | 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 | 2024-07-24 | 2024-08-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-24 | 2024-08-29 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-07-24 | 2024-08-29 | N |
| 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 | 2024-07-24 | 2024-08-29 | 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 | 2024-07-24 | 2024-08-29 | N |
| 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 | 2024-07-24 | 2024-08-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-24 | 2024-08-29 | N |
| 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 | 2024-07-24 | 2024-08-29 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-07-24 | 2024-08-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-07-24 | 2024-08-29 | 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 | 2024-07-24 | 2024-08-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-24 | 2024-08-29 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-07-24 | 2024-08-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-24 | 2024-08-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-07-24 | 2024-08-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-07-24 | 2024-08-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-07-24 | 2024-08-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-24 | 2024-07-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-24 | 2024-07-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-24 | 2024-07-17 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-04-28 | 2023-06-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-28 | 2023-06-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-28 | 2023-06-20 | 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 | 2023-04-28 | 2023-06-20 | N |
| 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 | 2023-04-28 | 2023-06-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-28 | 2023-06-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-28 | 2023-06-07 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-04-28 | 2023-06-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-28 | 2023-06-07 | 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 | 2023-04-28 | 2023-06-07 | N |
| Keep all essential equipment working safely. | Health | 2023-04-28 | 2023-06-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-28 | 2023-05-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-28 | 2023-05-03 | N |