Ambitions of Washington, INC (kittitas)

The provider failed to update the Individual Instruction and Support Plan (IISP) to reflect significant changes in a client's health, mobility, and care needs after being admitted to hospice, leading to unsafe transfer practices by staff.

The provider failed to revise the Individual Instruction and Support Plan (IISP) to reflect significant changes in the client's condition and care needs after the client became bedbound and entered hospice care, putting the client at risk of injury and unmet needs.

Provider failed to ensure staff had access to a dependable method of unlocking a bathroom door during emergencies for a client known to lock themselves in. This resulted in water damage to the home when a toilet overflowed.

Provider failed to complete a functional assessment that included an intervention for emotional outbursts, despite the client's person-centered service plan indicating extensive support needs for this behavior.