Arc of King County

Provider failed to ensure staff provided required level of supervision for a client with fall risks and communication barriers, resulting in an unwitnessed fall and clavicle fracture.

The provider failed to ensure medications were administered as prescribed for Client 2. Specifically, Furosemide was administered without checking blood pressure as required by the 'HOLD' instructions on the Medication Administration Record. This was a repeat deficiency.

Provider failed to maintain a safe home environment (exposed electrical wires, mold-like substance in bathroom, and lack of evacuation plan).

Provider failed to maintain current physician orders and safety instructions for medical devices (wheelchair seatbelts, bed rails, Hoyer lifts) for two clients.

Provider failed to immediately report a client's allegation of financial exploitation to the Complaint Resolution Unit (CRU).

Provider failed to ensure current Bloodborne Pathogens (BBP) training for three of seven sampled staff.

Provider failed to ensure Bloodborne Pathogens (BBP) training for one of seven sampled staff.

Provider failed to ensure six of seven sampled staff read and signed mandatory reporting training (DSHS Form 10-403) at least annually.

Provider failed to ensure required documentation pertaining to client refusal of services was in place and reviewed every six months for three clients.

Provider failed to treat a client with dignity and consideration by denying desired outings without a client-agreed plan.

Provider failed to document completion of required continuing education (CE) training for three of seven sampled staff.

Provider failed to ensure a client received necessary healthcare supports, specifically by not following doctor-ordered blood-glucose protocol.

Provider failed to ensure written route-specific instructions from the delegating nurse were available to staff in the home for two clients.