Accura HealthCare of Pierce

In the surveyor’s words

From the most serious findings on record at Accura HealthCare of Pierce, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Feb 10, 2025

  Licensure Reference Number 175 NAC 12-006.04(H)(ii)(1) Based on record review and interview; the facility failed to employ a qualified Dietary Manager (DM). This had the potential to affect food service provided to all residents who were served food from the kitchen. The facility census was 33. Findings are: A. Review of the facility Job Description: Director of Dining Services with a revised date of 07/18/2024 revealed the necessary qualification of a Director of Dining Services was to meet State requirements for Dietary Manager. B. A review of an undated staff list revealed DM-N was listed as the Dining Services Manager. […]

• No harm, potential for more than minimal, widespreadF812Feb 26, 2024

  Licensure Reference Number 175 NAC 12-006.11E Based on observations, record review and interview, the facility failed to ensure measures were implemented to prevent the potential of food borne illnesses related to food storage and unserviceable cookware items. This had the potential to affect all residents who consumed food from the kitchen. The facility census was 35. Findings are: A. Review of the facility policy Sanitation dated 6/2015 revealed the following related to dry storage goods: 1) products would be labeled with delivery date indicating month, day and year the product was receive and 2) follow the expiration date for all packaged goods and discard three months after opening. B. […]

• No harm, potential for more than minimal, widespreadF880Apr 19, 2023

  Licensure Reference Number 175 NAC 12-006.17 Based on observation, interview, and record review; the facility failed to perform hand hygiene at appropriate intervals, properly wear and dispose of Personal Protective Equipment (PPE- gowns, gloves, masks, shield used to protect the care giver from potential contamination and to prevent the spread of infection), and maintain a contingency plan for unvaccinated staff to prevent the spread of COVID-19. This had the potential to affect all facility residents. The facility census was 34. Findings are: A. […]

• No harm, potential for more than minimal, widespreadF725Jan 12, 2023

  Licensure Reference Number 175 NAC 12-006.04 Based on observations, record review and interviews; the facility failed to ensure sufficient direct care nursing staff were available to; 1) provide a restorative nursing program for Resident 8 and 29; 2) meet the transfer needs for Resident 8; and 3) have Nursing Assistants (NAs) in accordance with the Facility Assessment to ensure resident care needs were met. In addition, the facility failed to assure a Dietary Manager and a Registered Dietitian were on staff. The sample size was 16 and the facility census was 34. Findings are: A. […]

• No harm, potential for more than minimal, widespreadF801Jan 12, 2023

  Licensure reference: 175 NAC 12-006.04D2a Based on record review and interview: the facility failed to employee a qualified Dietary Manager and a Registered Dietician. This had the potential to affect all residents who reside in the facility. The total sample size was 16 and the facility census was 34. Findings are: A. Review of the Job Description for Dietary Services Supervisor with an effective date of 1/2013 revealed the Dietary Supervisor was to manage the operation of the dietary department to include staffing, food ordering and preparation, food delivery and clean-up in accordance with facility policies, physician orders, resident care plans and appropriate regulations. […]