CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Puget Sound Transitional Care
View the most recent health deficiencies and inspection results for Puget Sound Transitional Care. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Puget Sound Transitional Care. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-03-05 | 2026-03-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-03-05 | 2026-03-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-27 | 2025-10-09 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-08-27 | 2025-10-09 | 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 | 2025-08-27 | 2025-10-09 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-27 | 2025-10-09 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-08-27 | 2025-10-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-27 | 2025-10-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-08-27 | 2025-10-09 | 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 | 2025-08-27 | 2025-10-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-27 | 2025-10-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-08-27 | 2025-10-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-09-26 | 2025-10-09 | Y |
| Provide activities to meet all resident's needs. | Health | 2025-08-27 | 2025-10-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-27 | 2025-10-09 | 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 | 2025-08-27 | 2025-10-09 | 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 | 2025-08-27 | 2025-10-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-08-27 | 2025-10-09 | 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 | 2025-08-27 | 2025-10-09 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-08-27 | 2025-10-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-27 | 2025-10-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-08-27 | 2025-10-09 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-08-27 | 2025-10-09 | N |
| Keep all essential equipment working safely. | Health | 2025-08-27 | 2025-10-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-09-26 | 2025-10-09 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-27 | 2025-09-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-08-27 | 2025-09-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-08-27 | 2025-09-19 | 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 | 2025-07-01 | 2025-07-31 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-07-01 | 2025-07-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-07-01 | 2025-07-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-01 | 2025-07-31 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-12 | 2024-07-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-12 | 2024-07-17 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-06-12 | 2024-07-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-12 | 2024-07-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-12 | 2024-07-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-12 | 2024-07-17 | 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 | 2024-06-12 | 2024-07-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-06-12 | 2024-07-17 | 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 | 2024-06-12 | 2024-07-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-12 | 2024-07-17 | N |
| Provide activities to meet all resident's needs. | Health | 2024-06-12 | 2024-07-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-12 | 2024-07-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-12 | 2024-07-17 | 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 | 2024-06-12 | 2024-07-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-12 | 2024-07-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-06-12 | 2024-07-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-12 | 2024-07-17 | 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 | 2024-06-12 | 2024-07-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-12 | 2024-07-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-06-12 | 2024-07-08 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-06-12 | 2024-07-08 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-06-12 | 2024-07-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-06-12 | 2024-07-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-06-12 | 2024-07-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-12 | 2024-07-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-12 | 2024-07-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-12 | 2024-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-12 | 2024-07-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-12 | 2024-07-08 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-05-19 | 2023-07-14 | Y |
| Implement a program that monitors antibiotic use. | Health | 2023-05-19 | 2023-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-19 | 2023-07-14 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-05-19 | 2023-07-14 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-05-19 | 2023-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-19 | 2023-07-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-19 | 2023-07-14 | 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 | 2023-05-19 | 2023-07-14 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-05-19 | 2023-07-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-19 | 2023-07-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-19 | 2023-07-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-19 | 2023-07-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-19 | 2023-07-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-19 | 2023-07-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-19 | 2023-07-14 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-05-19 | 2023-07-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-19 | 2023-07-14 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-19 | 2023-05-31 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-05-19 | 2023-05-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-19 | 2023-05-29 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-05-19 | 2023-05-25 | N |
| Meet other general requirements. | Fire Safety | 2023-05-19 | 2023-05-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-19 | 2023-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-19 | 2023-05-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-05-19 | 2023-05-25 | N |