Brookdale Olympia East

The licensee failed to respond in a timely manner to call lights for four residents, resulting in unreasonable delays in care, resident distress, and one resident soiling themselves.

The facility failed to provide timely response to resident call lights, leading to unreasonable delays in care, residents soiling themselves, and injuries to residents/spouses attempting to provide self-care due to lack of staff assistance.

The facility failed to ensure prescribed medications were available for 3 of 5 residents (R2, R4, R5) due to an unorganized pharmacy transition process, resulting in missed doses.

The facility failed to implement and follow its 'Alert Charting Policy' for 3 of 5 residents (R2, R4, R5) by failing to document monitoring for adverse effects after residents missed required medications.

Facility staff were pre-pouring medications into cups to be delivered to residents later, which is not an acceptable or safe practice.

Facility failed to ensure sufficient staff were on duty to meet resident needs and failed to provide accurate 12 weeks of staffing schedules.

The facility failed to investigate and document an incident involving a resident reporting missing money, despite the facility's own policy requiring such action.

Facility failed to complete requirements for conditional hire for 1 of 3 sampled employees; individual was allowed unsupervised access without a completed background check.

Facility failed to ensure 3 of 3 sampled employees had required national fingerprint background checks.

Failed to ensure 4 of 4 sampled staff completed facility orientation and 3 of 4 sampled staff completed 5-hour DSHS training. Failed to ensure 2 of 2 new staff completed 70-hour basic training. Certificates were backdated to 01/01/2025 regardless of hire date.

Failed to ensure 2 of 2 sampled staff received their fingerprint background check.

Facility failed to ensure medication technician provided assistance within scope of practice; staff performed blood sugar checks/finger pokes without required nurse delegation.

Facility failed to keep resident records confidential; records stored in an unlocked, accessible closet in a common hallway.

Facility failed to provide a safe, sanitary, and well-maintained environment; large holes in walls observed in laundry room, dining room, and kitchen.

Facility failed to have the most recent inspection results publicly posted and easily available for review.

Facility failed to ensure sampled pets had required veterinary examinations and certifications of being disease-free.

The facility failed to maintain required veterinary records (vaccinations and licenses) for pets residing in the facility, specifically for residents R3 and R4. Staff confirmed the records were missing and that the facility failed to ensure they were collected.

Failed to complete a character, competence, and suitability (CCS) determination for 1 staff member (Staff F) before they were cleared to work with vulnerable adults.

Facility failed to ensure 2 of 2 sampled staff (E and H) had a new Washington state background check every two years.

Facility failed to store and lock medications in a secure manner in resident room (R6); medications found loose on kitchen counter and coffee table.

Facility failed to ensure 2 of 8 sampled residents (R1 and R6) received prescribed medications as ordered due to lack of availability.

Facility failed to maintain hot water temperatures between 105 F and 120 F; multiple sinks/baths measured above 120 F.

Facility failed to maintain fire safety: fire doors propped open on multiple floors, and oxygen cylinders in a resident room were not secured.

Facility failed to provide handwashing supplies in resident rooms and staff did not consistently follow proper hand hygiene/handwashing procedures.

Facility failed to address resident grievances and concerns regarding long call light wait times.

Combustible material was being stored in the 1st floor electrical room.

Fire/smoke damper report dated 3/11/23 indicated 5 failed dampers requiring correction.

Facility failed to provide an annual inspection report for the automatic alarm system.

Exit sign #17 on the 1st floor was inoperable when tested.

Ceiling penetration found in the riser room across from room 307.

Electrical outlets in the riser room across from room 307 had missing cover plates.

Sprinkler located in 1st floor stairwell by kitchen missed its annual inspection (last done in 2022).

Facility failed to provide annual 1.5 hour power test records for exit signs and emergency lights.

Facility failed to provide annual inspection report for the generator.