Alpine Way Retirement Apartments

Facility failed to document and implement personalized preventative fall interventions for 2 of 3 sampled residents after falls, resulting in one resident sustaining a hip fracture requiring surgery.

The facility failed to investigate and document investigative actions/findings after becoming aware of an allegation of potential sexual abuse involving two residents, which placed a resident at risk for ongoing abuse.

The licensee failed to investigate, and document investigative actions/findings after becoming aware of an allegation of potential sexual abuse involving two residents.

Facility failed to ensure 4 of 4 residents received medication administration from staff within their scope of practice; medication technicians administered medications that should have been delegated to qualified/trained staff.

Facility failed to secure hazardous supplies (shampoos, body washes, mouthwash, laundry detergent) accessible to memory care residents in 4 of 4 locations, placing 78 residents at risk.

Facility failed to ensure staff completed required orientation, specialty dementia/mental health training, and maintained current CPR/First Aid and professional credentials.

Failed to ensure 3 of 5 sampled staff possessed required food worker cards.

Facility failed to document necessary care, services, and appropriate behavioral interventions in the Customized Service Plan for 5 of 9 sampled residents (R6, R9, R5, R4, and R1), putting them at risk for unmet needs and decreased quality of life.

Facility failed to ensure medications were stored and locked in a secure manner in 3 of 3 sampled resident care areas (Resident 5 room, Resident 7 room, and assisted dining room), leaving potentially harmful substances accessible.

Facility failed to provide care/services as agreed in customized service plans for 2 of 5 residents (R6, R5), specifically regarding application of protective geri-sleeves/legs and use of adaptive equipment for eating.

Facility failed to complete ongoing assessments for R5 regarding a tilt and space wheelchair and side rails, potentially impacting care needs.

Failed to ensure 3 of 5 sampled staff completed and received final fingerprint background checks.

Facility failed to ensure 1 of 3 sampled pets had current rabies vaccination and updated health examinations, placing residents and staff at risk of exposure to diseases.

Facility failed to implement proper infection control hand washing measures for 6 of 6 observed staff during resident care tasks, placing residents at risk for spread of infectious disease. This is a recurring deficiency.

Facility failed to secure potentially hazardous supplies in 4 locations, placing 78 residents at risk for ingesting potentially toxic materials.

Facility failed to maintain a safe and sanitary environment; a resident's (R6) fall mat was torn, exposing internal yellow foam, posing an infection control risk.

Failed to update service plans for residents R4 and R5 following changes in condition and behavior. Failed to complete initial NSA within 30 days of admission for residents R3 and R9.

Failed to implement grievance policies for 4 reported grievances and failed to develop a policy for alert charting regarding changes in resident baseline behaviors.

Facility failed to secure and lock medications in 3 of 3 sampled resident care areas, placing 52 residents at risk of unauthorized access or ingestion of harmful substances.

Facility failed to ensure 1 of 2 staff members reviewed (Staff F) had a background check completed within two years of the initial check.

The facility failed to ensure timely disposal of expired leftover foods in the kitchen, including ham, boiled eggs, and salad, posing a foodborne illness risk to residents.

The facility failed to maintain and retain on-site copies of background checks for 2 of 3 sampled staff members.

The facility failed to conduct and retain Washington state and national fingerprint background checks for 3 of 3 sampled contracted agency staff members.

Facility staff failed to report an incident of neglect to the department's Complaint Resolution Unit when a caregiver told a resident to use their brief instead of providing assistance with a mechanical lift to the toilet.

Facility failed to complete reference checks for 1 of 3 sampled staff members.

Facility failed to investigate 1 of 4 incidents of a resident being left in a wet brief for an undetermined amount of time.

Facility failed to follow and implement care documented on Customized Service Plans for 2 residents regarding toileting and incontinence care, resulting in skin issues.

The facility failed to follow policies and procedures to notify the Complaint Resolution Unit (CRU) in a timely manner regarding an incident involving R1 and R2.

The facility failed to investigate and document investigative actions for an incident involving R3 being left in a wet brief.