Bonaventure of Vancouver

Facility failed to complete a Washington state name and date of birth background check every two years for 2 of 2 sampled staff (Staff F and G).

Facility failed to complete a national fingerprint background check for 1 of 3 sampled staff (Staff E) and failed to complete a Washington state name and date of birth background check upon hire for 1 of 3 sampled staff (Staff E).

Facility failed to complete TB testing within three days of employment for 3 of 3 sampled staff (Staff A, D, and E).

Facility failed to document specific resident care and service needs (related to medical devices) in the negotiated service agreements for 2 of 7 sampled residents.

Facility failed to label opened topical medications, eye drops, ear drops, or insulin pens with an open date on 3 medication carts.

The facility failed to complete tuberculosis (TB) testing within three days of hire for 4 of 4 sampled staff members.

The facility failed to obtain prescribed medications for 1 of 3 residents in the sample, resulting in the resident not receiving ordered medications and being placed at risk of harm.

Facility failed to provide annual fire door inspection report including gap measurements; multiple fire doors were found with wreaths on them.

Missing records of employee training on fire extinguisher use and manual actuation of the fire-extinguishing system.

Fire extinguisher found blocked by carts in the kitchen.

Facility failed to ensure nurse delegation requirements were met for 9 of 14 Medication Aides prior to administering medications to Resident 4.

Facility failed to ensure medication administration was safe for Residents 4, 6, and 12, who received medications not as prescribed (wrong dose or medication not given).

Facility failed to complete a full assessment within 14 days of admission for 2 of 6 sampled residents (Residents 4 and 9).

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

Facility failed to ensure the Medicaid policy was on a separate page and signed on or before admission for 3 of 9 residents.

Facility failed to provide requested documentation (nurse delegation credentials) to the department.

Facility failed to ensure 3 of 3 sampled staff (Staff C, D, E) completed required basic, specialty training, or 12 hours of annual continuing education.

Facility failed to complete a Negotiated Service Agreement (NSA) within 30 days of admission for 2 of 6 sampled residents (Residents 4 and 9).

Facility failed to ensure 3 of 3 pets had required examinations, immunizations, and certification by a veterinarian.

Facility failed to post the most recent full inspection report in the survey binder.

The facility failed to ensure a staff Medication Technician obtained their Cardiopulmonary Resuscitation (CPR) certificate after working at the facility for 4 months, violating their own policy.

The facility failed to reorder and obtain prescribed medications for one resident in a timely manner, resulting in the resident missing multiple doses of Lisinopril and Memantine over a five-day period.