Deficiency Records for Regency Olympia Rehabilitation and Nursing Center
Updated as of March 01, 2020
This is not the most recent data for Regency Olympia Rehabilitation and Nursing Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 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 ne | 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 |
| 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 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-04 | 2019-11-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-10 | 2019-01-29 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2018-12-10 | 2019-01-29 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-12-10 | 2019-01-29 | 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 | 2018-12-10 | 2019-01-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-12-10 | 2019-01-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-12-10 | 2019-01-29 | 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 | 2018-12-10 | 2019-01-29 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-12-10 | 2019-01-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-10 | 2019-01-29 | 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 | 2018-12-10 | 2019-01-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-10 | 2019-01-29 | N |
| Provide activities to meet all resident's needs. | Health | 2018-12-10 | 2019-01-29 | 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 | 2018-12-10 | 2019-01-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-10 | 2019-01-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-10 | 2019-01-29 | 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 | 2018-12-10 | 2019-01-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-12-10 | 2019-01-29 | 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 ne | Health | 2018-12-10 | 2019-01-29 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-12-10 | 2019-01-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-10 | 2019-01-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-12-10 | 2019-01-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-12-04 | 2019-01-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-12-04 | 2019-01-08 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-12-04 | 2019-01-08 | 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 | 2018-12-04 | 2019-01-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-04 | 2019-01-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-12-04 | 2019-01-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-04 | 2019-01-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-12-04 | 2019-01-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-12-04 | 2019-01-08 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-12-04 | 2019-01-08 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2018-12-04 | 2019-01-02 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2018-04-12 | 2018-05-04 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-04-12 | 2018-05-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-02-15 | 2018-03-14 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-02-15 | 2018-03-14 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-10-19 | 2017-12-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-10-19 | 2017-12-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-10-19 | 2017-12-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-19 | 2017-12-14 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-23 | 2017-11-27 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-23 | 2017-11-27 | 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 | 2017-10-23 | 2017-11-27 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-10-23 | 2017-11-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-23 | 2017-11-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-11 | 2017-08-01 | Y |
