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Avamere Skilled Nursing Of Tacoma
3625 EAST B STREET
Tacoma, WA 98404
(253) 475-2507
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 102 |
| Number of Residents: | 92 |
| Percent of Occupied Beds: | 90% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | Yes |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: | |
| Quality Measures: | |
| RN Only: |  |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080402 | Health | Mistreatment Deficiencies | Protect residents from mistreatment, neglect, and/or theft of personal property. | Isolated | Minimal harm or potential for actual harm | 20080515 |
| 20080402 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm | 20080515 |
| 20080402 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20080515 |
| 20080910 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20081024 |
| 20080910 | Health | Resident Rights Deficiencies | Provide enough notice before discharging or transferring a resident. | Isolated | Minimal harm or potential for actual harm | |
| 20080910 | Health | Resident Rights Deficiencies | Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. | Isolated | Minimal harm or potential for actual harm | 20081024 |
| 20081030 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20081118 |
| 20090519 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20090630 |
| 20090519 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20090630 |
| 20090624 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm | 20090708 |
| 20090824 | Health | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Isolated | Minimal harm or potential for actual harm | 20091007 |
| 20090824 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm | 20091007 |
| 20091026 | Health | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | Isolated | Minimal harm or potential for actual harm | 20091201 |
| 20091026 | Health | Environmental Deficiencies | Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. | Pattern | Minimal harm or potential for actual harm | 20091201 |
| 20091104 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm | 20091201 |
| 20100111 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20100223 |
| 20100511 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20100614 |
| 20100511 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Isolated | Minimal harm or potential for actual harm | 20100614 |
| 20100511 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20100614 |
| 20100511 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Minimal harm or potential for actual harm | 20100614 |
| 20100608 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20100706 |
| 20100608 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20100706 |
| 20100608 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20100706 |
| 20100722 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20100824 |
| 20100722 | Health | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | Pattern | Minimal harm or potential for actual harm | 20100824 |
| 20100722 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Widespread | Minimal harm or potential for actual harm | 20100824 |
| 20100722 | Health | Administration Deficiencies | Give lab tests only when the attending doctor ordered them. | Pattern | Potential for minimal harm | 20100824 |
| 20100722 | Health | Environmental Deficiencies | Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. | Pattern | Minimal harm or potential for actual harm | 20100824 |
| 20100722 | Health | Administration Deficiencies | Have a detailed, written plan for disasters and emergencies. | Widespread | Potential for minimal harm | 20100824 |
| 20100722 | Health | Administration Deficiencies | Train all employees on what to do in an emergency. | Widespread | Potential for minimal harm | 20100824 |
| 20100722 | Health | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | Widespread | Minimal harm or potential for actual harm | 20100824 |
| 20100927 | Health | Nutrition and Dietary Deficiencies | 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. | Pattern | Minimal harm or potential for actual harm | 20101026 |
| 20100927 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Minimal harm or potential for actual harm | 20101026 |
| 20100927 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20101026 |
| 20101004 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20101026 |
| 20101004 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm | 20101026 |
| 20101004 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20101026 |
| 20101004 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20101026 |
| 20101018 | Health | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Isolated | Minimal harm or potential for actual harm | 20101102 |
| 20101018 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm | 20101102 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 66 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 82 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 11 | |
| Percent of long-stay residents who have moderate to severe pain: | 9 | |
| Percent of high-risk long-stay residents who have pressure sores: | 22 | |
| Percent of low-risk long-stay residents who have pressure sores: | 2 | |
| Percent of long-stay residents who were physically restrained: | 1 | |
| Percent of long-stay residents who are more depressed or anxious: | 18 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 26 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 10 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 9 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 11 | |
| Percent of long-stay residents who had a urinary tract infection: | 11 | |
| Percent of long-stay residents who lose too much weight: | 12 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 73 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 78 | |
| Percent of short-stay residents who have delirium: | 5 | |
| Percent of short-stay residents who had moderate to severe pain: | 24 | |
| Percent of short-stay residents who have pressure sores: | 17 | |
| # of Residents: | 92 |
| # RN Hours per Resident: | 0.52 |
| # LPN Hours per Resident: | 0.79 |
| # CNA Hours per Resident: | 2.25 |
| Total Staff Hours per Resident: | 1.31 |
