Deficiency Records for Regency Olympia Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Regency Olympia Rehabilitation and Nursing Center. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-01 | 2023-08-15 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-10 | 2023-05-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-04-10 | 2023-05-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-04-06 | 2023-05-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-06 | 2023-05-09 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-04-06 | 2023-05-09 | 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 | 2023-04-06 | 2023-05-09 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-09-28 | 2022-11-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-25 | 2022-03-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-25 | 2022-03-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-25 | 2022-03-02 | 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 | 2022-01-25 | 2022-03-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-25 | 2022-03-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-25 | 2022-03-02 | 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 | 2022-01-25 | 2022-03-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-01-25 | 2022-03-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-01-25 | 2022-03-02 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-01-25 | 2022-03-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-25 | 2022-03-02 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Establish methods for sharing information. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-01-31 | 2022-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-22 | 2021-05-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-04 | 2019-11-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-10-04 | 2019-11-12 | 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 | 2019-10-04 | 2019-11-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-04 | 2019-11-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-04 | 2019-11-12 | 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 | 2019-10-04 | 2019-11-12 | 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 | 2019-10-04 | 2019-11-12 | N |
| Post nurse staffing information every day. | Health | 2019-10-04 | 2019-11-12 | 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 | 2019-10-04 | 2019-11-12 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-10-04 | 2019-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-04 | 2019-11-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-04 | 2019-11-12 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-10-04 | 2019-11-12 | N |
