Deficiency Records for Prestige Post-Acute and Rehab Center - Edmonds
Updated as of April 01, 2024
A list of the most recent deficiencies for Prestige Post-Acute and Rehab Center - Edmonds. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Meet other general requirements. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-28 | 2023-09-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-28 | 2023-09-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-28 | 2023-09-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-28 | 2023-09-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-28 | 2023-09-26 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-28 | 2023-09-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-28 | 2023-09-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-28 | 2023-09-26 | Y |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-08-24 | 2023-09-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-22 | 2022-07-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-22 | 2022-07-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-31 | 2022-04-29 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-31 | 2022-04-29 | 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 | 2022-03-31 | 2022-04-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-31 | 2022-04-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-31 | 2022-04-29 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-31 | 2022-04-29 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-31 | 2022-04-29 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-03-31 | 2022-04-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-31 | 2022-04-29 | Y |
| 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 | 2022-03-31 | 2022-04-29 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-22 | 2022-03-30 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-07-22 | 2019-09-11 | 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 | 2019-07-22 | 2019-09-11 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-07-22 | 2019-09-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-22 | 2019-09-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-07-22 | 2019-09-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-07-22 | 2019-09-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-22 | 2019-09-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-22 | 2019-09-11 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-07-22 | 2019-09-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-22 | 2019-09-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-22 | 2019-09-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-22 | 2019-09-11 | N |
| Provide or obtain dental services for each resident. | Health | 2019-07-22 | 2019-09-11 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-07-22 | 2019-09-11 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-07-25 | 2019-08-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-25 | 2019-08-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-07-25 | 2019-08-22 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-07-25 | 2019-08-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-25 | 2019-08-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-25 | 2019-08-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-25 | 2019-08-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-07-25 | 2019-08-22 | N |
