Brookdale Vancouver Stonebridge

Facility failed to complete Washington state name and date of birth background checks upon hire for 5 of 5 sampled staff.

Facility failed to maintain a current resident characteristics roster accurately documenting needs (special diet, pressure ulcers, exit seeking behaviors, incontinence) for 5 of 9 sampled residents.

Facility failed to ensure the content of the negotiated service agreement (NSA) for 1 of 9 sampled residents accurately documented the care and services they were receiving.

Facility failed to document involvement of resident or representative in care planning for 4 of 9 sampled residents as evidenced by missing signatures on Negotiated Service Agreements (NSA).

Facility failed to complete TB testing within 3 days of employment for 2 of 3 sampled staff members (Staff C and E).

Facility failed to provide annual inspection of fire resistance rated construction.

Facility failed to provide fire door inspection report for all fire doors (missing resident room doors); fire doors throughout had excessive gasps; Claire bridge studio kitchen door found damaged; items found attached to fire doors (Christmas wreaths) during initial inspection.

Facility failed to provide fire damper inspection report.

Missing or improper signage on exhaust hood/system cabinet regarding type/arrangement of appliances.

Facility failed to submit appliance modifications to the City of Vancouver; new heat survey required due to appliance changes.

Monthly carbon monoxide detector testing not provided.

Portable fire extinguisher at front entrance blocked by Christmas tree.

Signage needs to be installed or updated in accordance with door locking arrangements.

Facility failed to provide fire door inspection report for all fire doors (missing resident room doors); fire doors found throughout with excessive gaps; Claire Bridge studio kitchen door damaged.

Signage needs to be installed/updated in accordance with locking arrangement.

Facility failed to provide annual inspection of fire resistance rated construction.

Facility failed to provide fire damper inspection report.

Missing required signage on exhaust hood/system cabinet regarding appliance arrangement.

Facility must submit appliance modifications to the City of Vancouver; new heat survey required due to change in appliance selection.

Portable fire extinguisher at front entrance blocked by Christmas tree.

Monthly carbon monoxide detector testing not provided.

Signage shall be installed/ updated in accordance with locking arrangement.

The facility failed to report suspected abuse to DSHS for 3 sampled residents. Interviews revealed staff were not trained to report directly to the state and were instructed to only report to internal management.

The facility failed to ensure the safety of a resident (R1) by not implementing preventative measures for hot beverage service; the resident was left unattended with a hot drink, which they spilled, resulting in a skin burn.

Facility failed to provide for the safety and well-being of a resident regarding hot beverage service, resulting in a skin burn. Staff failed to check beverage temperature (which was 164°F, exceeding the 155°F policy) and left the resident unattended while drinking.

Failed to complete a national fingerprint background check for 1 of 5 sampled staff.

Failed to complete TB testing for 2 of 3 sampled staff within the required three-day time frame.

Failed to ensure the Negotiated Service Agreement was signed annually for 3 of 9 sampled residents.

Facility failed to document plans to provide necessary health support services from outside providers in the NSA for 6 of 9 sampled residents (R1, R2, R3, R4, R6, R9).

Facility failed to complete a full assessment within 14 days of move-in for 1 of 6 residents (R8) and failed to assess for specific safety considerations (medical devices) for 1 of 1 resident (R1).

Facility failed to ensure 1 of 3 staff had a current food handler's card.

Failed to ensure 2 of 5 sampled staff had a current Washington State name and date of birth background check.

Failed to ensure 2 of 3 sampled staff had current first aid and CPR training certifications.

Failed to ensure proper nurse delegation, supervision, and documentation for insulin injections and other tasks.

Facility failed to ensure Negotiated Service Agreements (NSA) for residents R3, R4, and R7 were signed by the resident or their responsible party.

Facility failed to ensure Medicaid policy was signed or kept in the record for 3 of 9 sampled residents (R1, R3, R9).

Facility failed to ensure 2 of 9 sampled residents (R1, R9) received medications as prescribed; Medication Administration Records (MARs) contained holes or blanks.