LANDMARK CARE AND REHABILITATION, YAKIMA, WA — Violations & Inspection Reports

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Keep residents' personal and medical records private and confidential.

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.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Respond appropriately to all alleged violations.

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.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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.

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Provide and implement an infection prevention and control program.

Keep all essential equipment working safely.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

PASARR screening for Mental disorders or Intellectual Disabilities

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.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Provide safe and appropriate respiratory care for a resident when needed.

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Provide care or services that was trauma informed and/or culturally competent.

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.

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Ensure that residents are free from significant medication errors.

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Ensure that residents are fully informed and understand their health status, care and treatments.

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Ensure medication error rates are not 5 percent or greater.

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Respond appropriately to all alleged violations.

Provide care or services that was trauma informed and/or culturally competent.