Brookdale Allenmore AL (WA)

Facility failed to obtain a written medication assistance plan for 1 of 2 sampled residents receiving family assistance.

Facility failed to implement safe medication services for 3 residents, including failing to follow physician orders for vitals monitoring and failure to provide prescribed nebulizer treatment.

Facility failed to screen 3 of 4 sampled staff for Tuberculosis within three days of employment.

Staff A lacked documentation of current CPR/FA card; Staff B only completed online CPR/FA training without the required skills demonstration test.

Facility failed to ensure staff were delegated by a Registered Nurse to administer medications, insulin, and perform blood sugar checks for 3 residents.

Facility failed to ensure 3 of 4 sampled staff completed facility orientation.

Facility failed to properly thaw frozen foods (brisket and turkey) using running water, placing them at risk for food-borne illnesses.

Failure to ensure two staff members were delegated by an RN to administer medications and perform blood sugar checks, placing four residents at risk.

Failure to ensure medications were given as prescribed for five residents, placing them at risk of illness and health decline.

Failure to ensure two staff members met all long-term care worker training requirements, placing 54 residents at risk.

Facility failed to ensure staff were delegated by an RN to administer medications, insulin injections, and/or perform blood sugar checks for 3 residents.

Facility failed to ensure 3 of 4 sampled staff were screened for tuberculosis within three days of employment.

Facility failed to ensure staff followed health and safety guidelines to properly thaw frozen foods in the main kitchen.

Facility failed to obtain a written medication assistance plan for a resident receiving family assistance with medications.

Facility failed to implement safe medication services for 3 residents; residents received medications against physician orders or without orders, and required monitoring was not performed or documented.

Personnel files for Staff A, Staff B, and Staff D lacked documentation of facility orientation.

Staff A lacked a current CPR/FA card. Staff B completed online-only training without the required skills demonstration test.

The licensee failed to implement medication services for three residents, resulting in two residents receiving medications against physician's orders and one resident receiving medications without a physician's order.

Facility failed to ensure resident received insulin as ordered and failed to perform required blood sugar checks for multiple dates.

Facility failed to report a medication error to the department's Complaint Resolution Unit (CRU).

Deficiency previously cited and now corrected.

Facility allowed an unqualified staff member (lacking required DSHS nurse delegation training) to perform blood sugar checks and administer insulin injections to a resident.

Facility failed to implement policies for responding to call lights, resulting in excessive wait times (40+ minutes, 5 hours) and a resident fall where they were left on the floor for 4-5 hours.

Facility failed to provide signed Personal Service Plans (Negotiated Service Agreements) for 5 of 7 sampled residents.

Facility failed to ensure 1 of 6 sampled staff had basic training and 2 of 6 had completed continuing education.

Facility failed to ensure 1 of 4 sampled new staff members was screened for tuberculosis within three days of employment.

Facility failed to ensure 1 of 4 sampled staff had a second TB test documented as required.

Facility failed to ensure 3 of 3 sampled pets living in the facility had regular examinations and immunizations.

Facility failed to have 6 of 6 sampled staff fit tested for an N95 respirator.

Facility failed to provide a presentable environment; observations showed chipping and peeling paint on pillars on lanai and side of building walls.

The licensee failed to ensure they implemented their own policy on call system alerts for two residents.