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Complaint Investigation

Crystal Cove Post Acute

August 19, 2024 · Lacey, WA · 1505 Carpenter Road Se
Citations 1
Beds 96
Provider ID 505254
Healthcare Facility
Crystal Cove Post Acute
Lacey, WA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)  ·  6 pages
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Crystal Cove Post Acute in LACEY, WA — inspection on August 19, 2024.

Found 1 citation. 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

FF684
Immediate DNAR would include appropriate comfort measure and may include a range of treatments including use of Few pureed texture and honey thick liquids, had difficulty chewing and difficulty swallowing with a recent affected

Findings included .

Facility Foreign Body Airway Obstruction Management (Chocking) policy, undated showed, timely intervention to relieve obstruction is imperative to offset complications.

Facility Emergency Operations Plan, undated, showed instructions for 'rapid response' to a situation that placed residents' health or safety at risk to activate overhead codes or facility emergency alert systems as appropriate

Resident 5 was admitted to the facility on [DATE] with diagnoses including Parkinson's disease, Chronic Obstructive Pulmonary Disease (breathing difficulty with cough, wheezing and often excess mucus), dementia, gastroesophageal reflux disease (condition in which stomach acid repeatedly flows back up into the tube connecting the mouth and stomach), and dysphagia (swallowing difficulties). Resident 5's Minimum Data Set (MDS), an assessment tool, dated [DATE], showed Resident 5 was rarely understood and had no behaviors.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

505254

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 505254 B.

Wing 08/19/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Roo Lan Health & Rehab 1505 Carpenter Road SE Lacey, WA 98503

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LACEY, WA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Crystal Cove Post Acute or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

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.