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Deficiency Records for Avamere Transitional Care of Puget Sound
View the most recent health deficiencies and inspection results for Avamere Transitional Care of Puget Sound. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avamere Transitional Care of Puget Sound. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2026-03-19 | 2026-04-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-03-19 | 2026-04-13 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-11-25 | 2025-11-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-11-25 | 2025-11-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-11-25 | 2025-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-11-25 | 2025-10-30 | N |
| 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 | 2025-11-25 | 2025-10-30 | 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 | 2025-11-25 | 2025-10-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-11-25 | 2025-10-30 | 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 | 2025-11-25 | 2025-10-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-11-25 | 2025-10-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-25 | 2025-10-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-11-25 | 2025-10-30 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-11-25 | 2025-10-30 | 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 | 2025-11-25 | 2025-10-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-11-25 | 2025-10-24 | 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 | 2025-11-25 | 2025-10-24 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Establish methods for sharing information. | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-11-25 | 2025-10-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-15 | 2025-10-01 | Y |
| 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 | 2025-03-13 | 2025-03-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-31 | 2024-09-11 | N |
| Respond appropriately to all alleged violations. | Health | 2024-07-31 | 2024-09-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-31 | 2024-09-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-31 | 2024-09-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-31 | 2024-09-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-07-31 | 2024-09-11 | 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 | 2024-07-31 | 2024-09-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-31 | 2024-09-11 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-07-31 | 2024-09-11 | 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 | 2024-07-31 | 2024-09-11 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-07-31 | 2024-08-26 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-07-31 | 2024-08-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-07-31 | 2024-08-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-07-31 | 2024-08-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-31 | 2024-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-31 | 2024-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-31 | 2024-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-31 | 2024-08-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-31 | 2024-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-31 | 2024-08-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-07-31 | 2024-08-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-07-31 | 2024-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-18 | 2023-10-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-18 | 2023-10-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-18 | 2023-10-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-18 | 2023-10-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-18 | 2023-10-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-18 | 2023-10-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-18 | 2023-10-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-18 | 2023-10-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-18 | 2023-10-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-18 | 2023-09-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-18 | 2023-09-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-18 | 2023-09-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-18 | 2023-09-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-18 | 2023-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-18 | 2023-09-28 | 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 | 2023-08-18 | 2023-09-28 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-08-18 | 2023-09-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-18 | 2023-09-28 | 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 | 2023-08-18 | 2023-09-28 | 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 | 2023-08-18 | 2023-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-18 | 2023-09-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-18 | 2023-09-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-18 | 2023-09-28 | 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 | 2023-08-18 | 2023-09-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-18 | 2023-09-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-08-18 | 2023-09-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-18 | 2023-09-28 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-08-18 | 2023-09-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-18 | 2023-09-28 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-18 | 2023-09-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-08-18 | 2023-09-19 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-08-18 | 2023-09-19 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-08-18 | 2023-09-19 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-08-18 | 2023-09-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-18 | 2023-09-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-18 | 2023-09-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-18 | 2023-09-19 | N |