Brookdale Olympia West

The facility failed to issue a refund to a resident's representative within 30 days following the resident's death and removal of their belongings.

The facility failed to obtain medication for a resident in a timely manner, resulting in the resident missing doses and requiring hospitalization for elevated blood sugar levels.

Exit signs failed to operate when tested by room F1 and by room B8 (inside emergency exit area).

Fire/smoke damper report from 1/8/2025 states 14 dampers failed; proof of correction required.

Combustible materials found stored in the electrical room located by the kitchen.

Facility failed to provide documentation showing annual forward flow test for the backflow device.

The licensee failed to investigate, document investigative actions/findings, and protect residents after becoming aware of injuries to residents in the community of which the origin was unknown, for three incidents reviewed. This failure placed two residents at risk for ongoing physical abuse.

The facility failed to investigate, document investigative actions/findings, and protect residents after becoming aware of 3 separate injuries of unknown origin for residents R1 and R2. Staff admitted no formal investigations were conducted.

Facility provided water temperatures outside of the required 105°F - 120°F range, with some showers failing to reach minimum temperatures for 11 minutes. Staff reported issues with cold water, loose fixtures, and internal company policies that superseded state requirements.

The facility failed to ensure its water temperature policy was in compliance with state law, placing residents at risk of exposure to unsafe or uncomfortable water temperatures.

Deficiency corrected

Failure to ensure all fire extinguishers had valid, readable service tags and were serviced yearly; multiple extinguishers had missing or unreadable tags.

Facility failed to maintain a safe/sanitary environment; observed dirty dishes/food debris in common areas, stained walls, soiled shower curtains, and standing water in the kitchen from a broken freezer and leaking sink.

Facility failed to secure hazardous supplies (disinfectant, cleaning agents) in memory care and assisted living areas, making them accessible to residents.

Facility failed to maintain background check forms, results, and authorizations on-site in a confidential and secure manner for 3 of 4 sampled staff.

Facility failed to ensure the negotiated service agreement for 1 of 4 sampled residents was signed annually by all required parties.

Failed to implement infection control practices in 2 of 2 laundry rooms, resulting in clean and soiled laundry intermixing and improper storage.

Failed to provide housekeeping and resident care services as written on personal service plans for 4 of 4 sampled residents.

The facility failed to promptly address and resolve grievances for two residents (R8 and R6), resulting in unresolved concerns regarding laundry, hygiene, housekeeping, and access to services.

Potentially hazardous chemicals were left unsecured in 3 of 3 locations (beauty salon, public bathroom, and kitchenette), including cleaning supplies and disinfectant.

Facility failed to ensure 2 of 2 sampled pets had regular veterinary examinations and certifications of health/disease-free status.

Facility failed to ensure 5 of 5 sampled staff had a copy of their Washington State background check available at the facility for review.

Facility failed to ensure 4 of 5 sampled staff had required CPR/First Aid training, and failed to ensure 2 of 5 sampled staff completed facility orientation.

Facility failed to ensure 2 of 3 sampled new staff members were screened for TB within three days of employment.

Facility failed to provide written menus in advance, maintain them on file, and ensure palatable/nutritious alternative meals for residents.

Failed to provide housekeeping and care services as written on personal service plans for 4 of 4 sampled residents.

Facility failed to provide a safe, sanitary, and well-maintained environment across 7 of 7 areas, including rooms, bathrooms, laundry, and kitchen areas, due to lack of housekeeping staff.

The facility failed to provide documentation showing the former Executive Director (Staff P) had the required training and credentials for their position.

Deficiency corrected

Deficiency corrected

Facility failed to ensure 2 of 3 staff had CPR/First Aid training and 3 of 3 staff had completed required facility orientation.

Failed to maintain respiratory protection program (no N95 fit testing for 5 of 5 staff reviewed) and failed to maintain fire extinguisher service tags/monthly checks.

Failed to store/label food properly, poor hygiene practices observed in kitchen staff, and facility found in unsanitary condition (dirt, pests, mold).

Facility failed to maintain 5 of 5 linen closets in a safe and sanitary manner, specifically regarding fire safety storage clearances.

Laundry room found in unsanitary condition with soiled items and trash blocking access. Kitchenette had brown substances on walls and dirty equipment. Resident rooms contained feces-like substances, excessive trash, and poor sanitary conditions, including a cat-related sanitation issue in R5's room.

Medications were not stored properly and secured for 1 of 1 sampled resident rooms. Over-the-counter spray found unsecured in resident's room.

Facility failed to provide public access to complete, up-to-date inspection reports in the public binder; only 2019 annual report was available.

Facility failed to ensure 3 of 3 sampled staff had a new Washington State name and background check submitted every two years.

Facility failed to complete reference checks for 5 of 5 employees reviewed.

Facility failed to ensure Negotiated Service Agreements for 2 of 7 sampled residents were signed at least annually.

Facility failed to ensure infection control practices in laundry rooms to keep clean and soiled laundry separated.

Facility failed to perform a preadmission assessment for 1 of 4 sampled residents.

Failed to provide residents with unrestricted access to their rooms and outdoor common areas.

Facility failed to maintain 4 of 4 linen closets in a safe and sanitary manner, with linens stored on the ground or above safe stacking lines.

The facility failed to follow their internal grievance system for 4 of 4 residents. Grievance forms lacked documentation of facility responses, were assigned to incorrect staff, and lacked follow-up efforts, leaving resident concerns unresolved.

Deficiency corrected

Food stored and labeled improperly in kitchens; staff failed to follow proper hand hygiene and infection control practices during food prep and service.

Facility failed to ensure staff had required nurse delegation training, supervision, and credentials; staff were unqualified/untrained for delegated medication and task administration.

Facility failed to ensure pet health records (vaccinations, examinations, and veterinarian certification) were maintained for sampled pets on the premises.

Facility failed to complete reference checks for 3 of 3 sampled staff hired.

Facility failed to ensure 2 of 4 sampled staff were screened for tuberculosis within three days of employment.

Facility failed to provide necessary handwashing supplies in 2 of 2 memory care buildings and failed to implement proper infection control handwashing measures for kitchen staff (Staff R).

Facility failed to provide a safe, sanitary, and well-maintained environment for 6 of 6 areas (Bridge side, Clare side, Town square, Resident 7's room, Resident 5's room, and the kitchen).

Facility failed to ensure staff had required nurse delegation training, supervision, and documentation. 6 of 6 staff members lacked verified credentials/training. Untrained staff administered delegated tasks for 2 of 2 sampled residents.

Facility failed to ensure 2 of 2 sampled pets had regular examinations and were certified by a veterinarian to be free of disease, and could not provide pet record binder for review.

Facility failed to have background checks completed for 2 of 2 contracted agency caregivers prior to them working at the facility.

Facility failed to maintain a respiratory protection program with required annual medical evaluations and fit testing for 3 of 5 staff reviewed.

Failed to store/label food properly in 3 of 3 kitchen areas and 1 of 5 staff lacked a food worker card.

Failed to provide dignified care (e.g., showering/grooming) for 3 of 7 residents; recurring deficiency.

Facility failed to provide handwashing supplies in 2 memory care buildings and failed to implement proper infection control handwashing measures during care.

Facility failed to follow their written grievance system, failed to document responses to resident concerns, and left reported concerns unresolved.

The licensee failed to ensure water temperatures met requirements for one facility reviewed. Uncorrected deficiency from June 26, 2024.

The licensee failed to ensure their water temperature policy was in compliance with State law for one facility reviewed. Uncorrected deficiency from June 26, 2024.

The facility failed to provide sufficient, trained staff to furnish services and care needed by residents, as evidenced by missed showers and a lack of documentation for missed care. This is a recurring deficiency.

Facility failed to maintain resident dignity when staff poured cold water over a non-verbal resident during a shower after water pressure/temperature dropped, causing visible distress.

Facility failed to provide sufficient staff to furnish agreed-upon care and services, resulting in missed showers and unmet care needs for 5 of 5 residents reviewed.