Bonaventure of Salmon Creek

The licensee failed to ensure written plans containing required information were submitted for three residents whose families assisted with medication management.

The licensee failed to document plans for providing specific identified care and service needs in negotiated service agreements for three residents.

The licensee failed to complete tuberculosis testing within three days of hire for two staff members.

The licensee failed to complete full assessments within 14 days of admission for two residents and failed to complete a self-administration of medication assessment for one resident who was independent with medication management.

The licensee failed to maintain a current characteristic roster accurately documenting resident care needs and services for five residents.

The licensee failed to complete and/or document a Medicaid policy for five residents.

The facility failed to ensure a resident was free from abuse and involuntary seclusion, resulting in the resident being isolated and barricaded in their room.

The facility failed to ensure medications were administered as directed for two residents. One resident received another resident's heart medication, requiring hospitalization.

Facility failed to provide fire drill for day shift for the fourth quarter.

Facility failed to provide semi-annual hood system inspection report.

Smoke detectors in memory care covered due to painting.

Exit signs in memory care found covered with paper for painting.

Facility failed to provide conductance testing on generator battery.

Storage found in electrical room around electrical panels.

Deep fat dryer failed to strain protection connected.

Hole found in main electrical room ceiling.

Fire extinguisher in memory care covered by paper for painting.

Heat detector in kitchen found too close to heat diffuser, causing false alarms due to rapid temperature rise.

Heat detector in kitchen found too close to heat diffuser.

Annual fire door inspection missing; need to include gap measurements and remove items on fire door in excess of 5%.

Dirty fire sprinkler heads in kitchen and fridge area.

Missing or improper signage indicating appliances under the hood system.

Kitchen strain protection not maintained for commercial cooking appliances on casters.

Annual fire door inspection, including gap measurements and corrections, is required. Items on fire door in excess of 5% must be removed.

Dirty fire sprinkler heads in kitchen and fridge.

Kitchen strain protection must be maintained for kitchen cooking appliance.

Required signage indicating appliances from left to right must be durable, with approved size, color, and lettering.

Facility failed to monitor a recurring physical condition (wounds) for 1 of 12 residents.

Facility failed to have the Medicaid policy on a separate page and signed by 4 of 9 sampled residents.

Facility failed to obtain prescribed medications in a correct and timely manner for 3 residents (6, 8, and 9). Deficiency is recurring.

Facility failed to complete TB testing within three days of hire for 2 of 3 sampled staff.

Facility failed to document accurate and complete Negotiated Service Agreements (NSA) for 7 residents (2, 3, 4, 5, 7, 9, 10), omitting services like hospice, bed rails, wound care, and specific diets.

Facility failed to ensure nurse delegation requirements; delegator failed to obtain written consent for 1 resident and failed to delegate nursing tasks for 5 of 7 medication aides.

Facility failed to complete Negotiated Service Agreements (NSA) within 30 days of admission for 2 of 5 sampled residents (R5, R11).

Facility failed to complete required annual full assessments or change of condition assessments for 2 residents (Residents 2 and 7).

Facility failed to ensure NSAs were signed at least annually or within a reasonable timeframe for 4 of 12 sampled residents (R1, R4, R6, R10).

Facility failed to maintain an accurate resident characteristics roster for 5 of 12 sampled residents, missing documentation of services like hospice, diabetes, and medical devices.

Facility failed to notify the physician of repeated medication refusals for 1 resident (Resident 3) in August 2024.

Facility failed to implement systems for safe medication service; 3 of 3 medication carts contained expired medications and opened items (inhalers, creams, eyedrops, insulin) without dates of opening.

Facility failed to ensure 3 of 3 sampled staff had required training documentation (orientation, basic training, CPR/first aid) or HCA certification.

Facility failed to obtain a required written plan for family assistance with medications for 1 of 2 residents (R5).

Facility failed to complete full assessments within 14 days of admission for 3 of 5 sampled residents (R5, R6, R11).

Facility failed to complete/document Washington state and/or national fingerprint background checks for 5 staff members (C, D, E, F, G).

Facility failed to complete or document state and national background checks for 5 of 5 sampled staff.

Facility failed to coordinate services with external providers for 1 resident (Resident 12) regarding documented medication discrepancies.

Facility failed to ensure 2 of 3 pets had regular exams, immunizations, and vet certification of being disease-free.