Brookdale Walla Walla

Facility failed to maintain compliance with the State Fire Marshal's requirements regarding fire safety, specifically the need to replace single station smoke alarms older than 10 years.

The staff break room door would not latch from a fully open position.

All single station smoke alarms in resident rooms greater than 10 years old need to be replaced.

The staff break room would not latch from a fully open position.

All single station smoke alarms in resident rooms greater than 10 years old need to be replaced.

Facility failed to provide two-person transfer assistance as agreed in the Negotiated Service Agreement for Resident 6, resulting in a fall and injury.

Facility failed to ensure injectable medication for Resident 4 was administered by an RN as required; unqualified staff administered medication and signed for doses they did not give.

Facility failed to timely obtain prescribed medications for Residents 4 and 6, placing them at risk for health decline.

Facility failed to serve prescribed diets, lacked a diet manual for staff, and failed to post weekly menus.

Kitchen staff failed to perform hand hygiene and used the same gloved hands to touch non-food surfaces (refrigerator doors, oven/stove handles) and then touch ready-to-eat foods.

Facility failed to ensure cross-contamination of hands on ready-to-eat foods was prevented in the kitchen.

Facility failed to maintain valid Washington state name and date of birth background checks for 2 of 2 staff (Staff E and F).

Facility failed to ensure TB screening was completed within three days of employment for 4 of 4 staff members.

Resident 6 sustained facial fractures and injuries after an electric recliner tipped over on them. The facility failed to perform an assessment of the chair for safety or evaluate the incident following the event.

Facility failed to verify work references for 4 of 4 new staff members prior to hiring.

Facility failed to complete a Character, Competency, and Suitability (CCS) review for 2 of 2 staff members who had non-disqualifying background check results.

Facility failed to complete an assessment for Resident 6 following a fall incident involving a mechanical recliner that resulted in injuries.

The facility failed to immediately report an allegation of sexual abuse against a resident to local law enforcement, delaying notification by four days because the administrator thought the incident was consensual.

Facility failed to ensure resident received medications as prescribed; medication administration records showed multiple missed doses without documentation or explanation.

Facility failed to ensure an initial service plan was developed for 1 of 5 residents within the required timeframe.

Facility failed to ensure staff responded to call lights in a timely manner (waits often exceeding 30-60 minutes) for 3 residents.