Federal Nursing-Home Survey Record
Bethany At Pacific
Does Bethany At Pacific have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Bethany At Pacific (CCN 505404), in EVERETT, WA, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 18 deficiencies; the most serious carries scope/severity E. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $42,477 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
CMS has $42,477 in civil money penalties on file against this facility.
Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.
Scope & Severity — current cycle
Civil money penalties on file
$42,477
CMS has $42,477 in civil money penalties on file against this facility.
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 4 · CMS state average: 3.3
Deficiency timeline — full federal history
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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.
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.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure services provided by the nursing facility meet professional standards of quality.
PASARR screening for Mental disorders or Intellectual Disabilities
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
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.
Provide enough food/fluids to maintain a resident's health.
Provide and implement an infection prevention and control program.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Ensure each resident receives an accurate assessment.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Allow residents to self-administer drugs if determined clinically appropriate.
PASARR screening for Mental disorders or Intellectual Disabilities
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
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.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Keep complete, dated laboratory records in the resident's record.
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
PASARR screening for Mental disorders or Intellectual Disabilities
Provide enough food/fluids to maintain a resident's health.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Plan the resident's discharge to meet the resident's goals and needs.
Document what happened
Were you or a loved one harmed at Bethany At Pacific?
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Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.