Bremerton Trails Post Acute
Bremerton Trails Post Acute in BREMERTON, WA — inspection on July 13, 2024.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Findings included .
<Cove 2 Medication Cart>
Observation of the Cove 2 medication cart on 07/12/2024 at 5:55 AM with Staff O, Registered Nurse (RN), revealed the following expired and/or undated medications:
1) A Lantus insulin pen for Resident 61, opened 05/28/2024.
2) A lispro insulin pen for Resident 61, was opened and undated.
3) A lispro insulin pen for Resident 27, was opened and undated.
4) A vial of lispro insulin for Resident 85, opened 05/30/2024.
5) A humolog insulin pen for Resident 6, opened 06/08/2024.
6) A lispro insulin pen for Resident 151, opened 06/04/2024.
7) A basaglar insulin pen for Resident 151, opened 06/04/2024.
8) A bottle of Vitamin E 180 mg with a best by date of 04/2024.
9) A bottle of multivitamins with a best by date of 03/2024.
10 ) A bottle of ferrous gluconate with a best by date of 05/2024.
On 07/12/2024 at 6:55 AM, Staff O, RN, said unrefrigerated insulin pens were good for 28 days after opening.
Staff O confirmed the seven insulin pens referenced above and three over the counter medications were either not dated when opened or had been opened for greater than 28 days and needed to be discarded.
When asked if the three over the counter medication referenced above were past their best by dates, Staff O, RN, stated, yes.
<Cove 1 Medication Cart>
505123
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 505123 B.
Wing 07/13/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Bremerton Trails Post Acute 2701 Clare Avenue Bremerton, WA 98310
Findings included .
On 07/13/2024 at 1:09 PM, Staff A, Administrator, said the facility QA&A committee met monthly and the included the Director of Nursing, Administrator, Social Work, Resident Care Managers, Registered Dietician, all department heads and the Medical Director.
When asked for a copy of the sign in sheets/attendance sheets to show the Medical Director had attended the meeting at least once in the past two quarters, Staff A, who had just recently started at the facility, indicated they did not know where they were located and would have to find them and then email them after exit.
An email was received from Staff A on 07/16/2024 at 2:44 PM, with a document attached, titled QAPI Attendance for a 07/03/2024 QAPI meeting.
The attendance sheet did not include the medical director.
On 07/17/2024 at 11:00 AM, Staff A, Administrator, said in a telephone interview that they were unable to locate any QAPI attendance sheets in the past two quarters that showed the medical director was in attendance.
Reference WAC 388-97-1760(1)(2)
505123
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.