Edmonds Post Acute

Nursing Home Edmonds, WA Medicare and Medicaid
1/5
Overall Rating
1/5
Certified Beds
128
Residents
81
Total Fines
$26,520

Ratings & Quality

Overall
1/5
Health Inspection
1/5
Staffing
4/5
Quality
4/5

Staffing Details

RN Hours per Resident per Day0.79
Total Nurse Hours per Resident per Day4.14
Number of Certified Beds128
Number of Residents81

Inspection Deficiencies (95)

0684 2025-11-24 D Not Corrected

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

Correction date: 2025-12-12

0585 2025-11-17 D Not Corrected

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.

Correction date: 2025-12-12

0656 2025-04-21 D Not Corrected

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

Correction date: 2025-05-20

0880 2025-04-21 E Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2025-05-20

0610 2025-03-14 D Not Corrected

Respond appropriately to all alleged violations.

Correction date: 2025-04-03

0880 2025-03-14 D Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2025-04-03

0755 2025-02-10 D Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2025-03-06

0550 2024-11-26 D Not Corrected

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

Correction date: 2025-01-10

0552 2024-11-26 D Not Corrected

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

Correction date: 2025-01-10

0554 2024-11-26 D Not Corrected

Allow residents to self-administer drugs if determined clinically appropriate.

Correction date: 2025-01-10

0578 2024-11-26 D Not Corrected

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.

Correction date: 2025-01-10

0584 2024-11-26 E Not Corrected

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Correction date: 2025-01-10

0585 2024-11-26 D Not Corrected

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.

Correction date: 2025-01-10

0610 2024-11-26 D Not Corrected

Respond appropriately to all alleged violations.

Correction date: 2025-01-10

0623 2024-11-26 D Not Corrected

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

Correction date: 2025-01-10

0625 2024-11-26 D Not Corrected

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.

Correction date: 2025-01-10

0637 2024-11-26 D Not Corrected

Assess the resident when there is a significant change in condition

Correction date: 2025-01-10

0641 2024-11-26 E Not Corrected

Ensure each resident receives an accurate assessment.

Correction date: 2025-01-10

0644 2024-11-26 D Not Corrected

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Correction date: 2025-01-10

0645 2024-11-26 D Not Corrected

PASARR screening for Mental disorders or Intellectual Disabilities

Correction date: 2025-01-10

0656 2024-11-26 D Not Corrected

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

Correction date: 2025-01-10

0657 2024-11-26 D Not Corrected

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

Correction date: 2025-01-10

0658 2024-11-26 E Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2025-01-10

0684 2024-11-26 D Not Corrected

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

Correction date: 2025-01-10

0686 2024-11-26 D Not Corrected

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

Correction date: 2025-01-10

0695 2024-11-26 D Not Corrected

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

Correction date: 2025-01-10

0727 2024-11-26 D Not Corrected

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Correction date: 2025-01-10

0732 2024-11-26 E Not Corrected

Post nurse staffing information every day.

Correction date: 2025-01-10

0757 2024-11-26 D Not Corrected

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Correction date: 2025-01-10

0758 2024-11-26 D Not Corrected

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.

Correction date: 2025-01-10

0761 2024-11-26 E Not Corrected

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Correction date: 2025-01-10

0812 2024-11-26 E Not Corrected

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction date: 2025-01-10

0838 2024-11-26 C Not Corrected

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Correction date: 2025-01-10

0880 2024-11-26 E Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2025-01-10

0882 2024-11-26 F Not Corrected

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Correction date: 2025-01-10

0883 2024-11-26 D Not Corrected

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Correction date: 2025-01-10

0887 2024-11-26 D Not Corrected

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Correction date: 2025-01-10

0610 2024-09-26 D Not Corrected

Respond appropriately to all alleged violations.

Correction date: 2024-10-14

0656 2024-06-05 D Not Corrected

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

Correction date: 2024-07-03

0657 2024-06-05 D Not Corrected

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

Correction date: 2024-07-03

0600 2024-05-28 D Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2024-07-03

0656 2024-04-08 D Not Corrected

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

Correction date: 2024-05-22

0921 2024-04-08 D Not Corrected

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Correction date: 2024-05-22

0684 2023-11-30 D Not Corrected

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

Correction date: 2024-01-11

0558 2023-08-30 D Not Corrected

Reasonably accommodate the needs and preferences of each resident.

Correction date: 2023-10-12

0623 2023-08-30 D Not Corrected

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

Correction date: 2023-10-12

0625 2023-08-30 D Not Corrected

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.

Correction date: 2023-10-12

0655 2023-08-30 D Not Corrected

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

Correction date: 2023-10-12

0657 2023-08-30 D Not Corrected

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

Correction date: 2023-10-12

0661 2023-08-30 D Not Corrected

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Correction date: 2023-10-12

0677 2023-08-30 D Not Corrected

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

Correction date: 2023-10-12

0692 2023-08-30 D Not Corrected

Provide enough food/fluids to maintain a resident's health.

Correction date: 2023-10-12

0695 2023-08-30 D Not Corrected

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

Correction date: 2023-10-12

0761 2023-08-30 E Not Corrected

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Correction date: 2023-10-12

0802 2023-08-30 E Not Corrected

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Correction date: 2023-10-12

0803 2023-08-30 E Not Corrected

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Correction date: 2023-10-12

0812 2023-08-30 E Not Corrected

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction date: 2023-10-12

0883 2023-08-30 E Not Corrected

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Correction date: 2023-10-12

0908 2023-08-30 E Not Corrected

Keep all essential equipment working safely.

Correction date: 2023-10-12

0947 2023-08-30 D Not Corrected

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Correction date: 2023-10-12

0689 2023-08-21 D Not Corrected

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

Correction date: 2023-10-12

0580 2023-04-13 D Not Corrected

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction date: 2023-05-17

0600 2023-04-13 D Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2023-05-17

0623 2023-04-13 D Not Corrected

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

Correction date: 2023-05-17

0684 2023-04-13 G Not Corrected

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

Correction date: 2023-05-17

0684 2023-03-02 D Not Corrected

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

Correction date: 2023-04-05

0550 2022-05-27 E Not Corrected

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

Correction date: 2022-07-11

0552 2022-05-27 D Not Corrected

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

Correction date: 2022-07-11

0565 2022-05-27 D Not Corrected

Honor the resident's right to organize and participate in resident/family groups in the facility.

Correction date: 2022-07-11

0578 2022-05-27 D Not Corrected

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.

Correction date: 2022-07-11

0584 2022-05-27 E Not Corrected

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Correction date: 2022-07-11

0609 2022-05-27 D Not Corrected

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

Correction date: 2022-07-11

0610 2022-05-27 D Not Corrected

Respond appropriately to all alleged violations.

Correction date: 2022-07-11

0623 2022-05-27 D Not Corrected

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

Correction date: 2022-07-11

0625 2022-05-27 D Not Corrected

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.

Correction date: 2022-07-11

0655 2022-05-27 D Not Corrected

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

Correction date: 2022-07-11

0656 2022-05-27 E Not Corrected

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

Correction date: 2022-07-11

0657 2022-05-27 D Not Corrected

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

Correction date: 2022-07-11

0658 2022-05-27 D Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2022-07-11

0677 2022-05-27 E Not Corrected

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

Correction date: 2022-07-11

0679 2022-05-27 D Not Corrected

Provide activities to meet all resident's needs.

Correction date: 2022-07-11

0688 2022-05-27 D Not Corrected

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.

Correction date: 2022-07-11

0690 2022-05-27 D Not Corrected

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

Correction date: 2022-07-11

0695 2022-05-27 D Not Corrected

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

Correction date: 2022-07-11

0725 2022-05-27 D Not Corrected

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

Correction date: 2022-07-11

0756 2022-05-27 D Not Corrected

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Correction date: 2022-07-11

0758 2022-05-27 E Not Corrected

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.

Correction date: 2022-07-11

0761 2022-05-27 F Not Corrected

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Correction date: 2022-07-11

0791 2022-05-27 D Not Corrected

Provide or obtain dental services for each resident.

Correction date: 2022-07-11

0812 2022-05-27 E Not Corrected

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction date: 2022-07-11

0868 2022-05-27 F Not Corrected

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Correction date: 2022-07-11

0880 2022-05-27 E Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2022-07-11

0881 2022-05-27 D Not Corrected

Implement a program that monitors antibiotic use.

Correction date: 2022-07-11

0883 2022-05-27 D Not Corrected

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Correction date: 2022-07-11

0919 2022-05-27 D Not Corrected

Make sure that a working call system is available in each resident's bathroom and bathing area.

Correction date: 2022-07-11

Penalties & Fines

Date Type Fine Amount
2023-04-13 Fine $26,520

About Edmonds Post Acute

Edmonds Post Acute is a medicare and medicaid certified nursing home in Edmonds, Washington. The facility has 128 certified beds and currently houses 81 residents. It has received an overall quality rating of 1 out of 5 stars from CMS. The facility has 95 inspection deficiencies on record. Total fines assessed: $26,520 across 1 penalties. Registered nurse hours are 0.79 per resident per day.