Deficiency Records for Washington Veteran Home-Retsil
Updated as of August 01, 2020
This is not the most recent data for Washington Veteran Home-Retsil. For the most recent information, click here.
A list of the most recent deficiencies for Washington Veteran Home-Retsil. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2020-01-16 | 2020-02-03 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-01-07 | 2020-02-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-07 | 2020-02-03 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-06-10 | 2019-07-23 | 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 | 2019-06-10 | 2019-07-23 | N |
| Respond appropriately to all alleged violations. | Health | 2019-06-10 | 2019-07-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-10 | 2019-07-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-10 | 2019-07-23 | 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 | 2019-06-10 | 2019-07-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-10 | 2019-07-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-10 | 2019-07-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-10 | 2019-07-23 | 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 | 2019-06-10 | 2019-07-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-10 | 2019-07-23 | N |
| Post nurse staffing information every day. | Health | 2019-06-10 | 2019-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-10 | 2019-07-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-10 | 2019-07-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-06-10 | 2019-07-23 | 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 | 2019-06-10 | 2019-07-23 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-06-10 | 2019-07-23 | Y |
| 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 | 2019-05-30 | 2019-06-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-05-30 | 2019-06-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-03-21 | 2019-04-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-21 | 2019-04-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-03-21 | 2019-04-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-21 | 2019-04-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-21 | 2019-04-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-21 | 2019-04-24 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-03-21 | 2019-04-24 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-04-11 | 2018-05-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-11 | 2018-05-24 | 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 | 2018-04-11 | 2018-05-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-11 | 2018-05-24 | N |
| Respond appropriately to all alleged violations. | Health | 2018-04-11 | 2018-05-24 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-04-11 | 2018-05-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-04-11 | 2018-05-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-11 | 2018-05-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-04-11 | 2018-05-24 | 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 | 2018-04-11 | 2018-05-24 | 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 | 2018-04-11 | 2018-05-24 | 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 | 2018-04-11 | 2018-05-24 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-04-11 | 2018-05-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-11 | 2018-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-11 | 2018-05-24 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-04-11 | 2018-05-16 | N |
| Use approved construction type or materials. | Fire Safety | 2018-04-11 | 2018-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-11 | 2018-05-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-04-11 | 2018-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-11 | 2018-05-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-11 | 2018-05-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-04-11 | 2018-04-11 | N |
| Use approved construction type or materials. | Fire Safety | 2017-05-18 | 2017-06-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-05-18 | 2017-06-27 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2017-05-18 | 2017-06-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-05-18 | 2017-06-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-05-18 | 2017-06-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-05-18 | 2017-06-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-18 | 2017-06-27 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-05-11 | 2017-06-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-05-11 | 2017-06-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-11 | 2017-06-23 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-05-11 | 2017-06-23 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-05-11 | 2017-06-23 | 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 | 2017-05-11 | 2017-06-23 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-11 | 2017-06-23 | N |
