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Complaint Investigation

Crystal Cove Post Acute

March 12, 2025 · Lacey, WA · 1505 Carpenter Road Se
Citations 1
Beds 96
Provider ID 505254
Healthcare Facility
Crystal Cove Post Acute
Lacey, WA  ·  View full profile →
Inspection Summary

Crystal Cove Post Acute in LACEY, WA — inspection on March 12, 2025.

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.

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Inspection Findings

FF678
Immediate oriented and required staff assistance for activities of daily living. Few ventilation, cardioversion (medical procedure used to restore a normal heart rhythm by delivering electrical affected

Findings included .

Review of the facility's policy, titled Medical Emergency Response, undated showed the following:

1.

The employee who first witnesses or is first on site of a medical emergency, that are trained, will initiate immediate action, including CPR as appropriate, basic first aid and summon for assistance.

2. CPR will continue unless: a.

There is a DNR [Do Not Resuscitate] in place b.

There is obvious signs of clinical death c.

Initiating CPR could cause injury or peril to the rescuer.

3. A licensed nurse will: a.

Assess the situation and determine the severity of the emergency. b.

Stay with the resident. c.

Designate a staff member to announce a Code Blue, if necessary, notify the physician and call 911 as needed .

8. If the resident experiences cardiac arrest, the facility must provide basic life support, including CPR, prior to the arrival of emergency medical services, and: a. In accordance with the resident's advanced directives, or b. In absence of advanced directives or a Do Not Resuscitate order, and c. If the resident does not show obvious signs of clinical death .

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 03/12/2025

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.


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