Community Pride Sunnyside LLC

Facility failed to ensure a one-step tuberculosis test was completed for staff (Staff D) when they started working.

Facility failed to ensure developmental disability specialty training was completed for 5 of 6 staff (Staff B, C, D, E, and F) who provided care to a resident with developmental disabilities.

Facility failed to ensure staff (Staff E) had a valid Washington state name and date of birth background check completed every two years.

Facility failed to submit a Washington state name and date of birth background check within one business day after hire for staff (Staff D).

Facility failed to ensure medications were obtained in a correct and timely manner for 2 residents (Residents 2 and 4), placing them at risk for health complications. Recurring issue.

Facility failed to provide documentation of quarterly fire drills for the swing shift for the 1st, 2nd, and 3rd quarters.

Facility failed to provide documentation of the annual forward flow testing on the fire sprinkler system.

Facility failed to provide documentation of monthly carbon monoxide testing.

Two penetrations were observed in the ceiling of the garage/storage area.

Facility failed to provide documentation of the semi-annual fire alarm system inspection and testing.

The facility failed to maintain required temperatures in 3 of 3 areas; temperatures reached up to 90 degrees Fahrenheit due to a broken air conditioning unit for three days.

The facility failed to protect 9 of 9 residents after a sexual assault allegation against two staff members, as the staff members returned to work before the investigation was complete.

Facility failed to complete assessments for residents with injuries or changes in condition for 3 of 4 residents reviewed, leading to delayed treatment and increased risk of decline.

Facility failed to develop a Negotiated Service Agreement (NSA) that addressed resident needs and interventions for risks including diagnoses, ADLs, and nursing services for 6 of 6 residents reviewed.

Facility failed to evaluate and take action when changes in condition occurred for 2 of 2 residents (Residents 3, 6), resulting in delayed treatment, pain, and hospitalization.

Facility failed to provide care and services per the Negotiated Service Agreement (NSA), specifically failing to provide nurse-directed wound care for Resident 3, resulting in unmet treatment needs and a declined condition.

Facility failed to provide a prescribed therapeutic diet (mechanical soft food and thickened liquids) for Resident 3, placing them at risk of aspiration.

The facility failed to investigate or determine circumstances for accidents/incidents involving Residents 3, 5, and 6, and failed to implement preventative measures.

The facility failed to submit background checks to the department within one business day of hire for Staff B, D, and F.

The facility failed to report injuries of an unknown source to the Complaint Resolution Unit (CRU) for Residents 3 and 6.

Facility failed to ensure medication orders were followed, documented, or administered to the correct resident for 5 of 6 residents (Residents 1, 2, 3, 5, 6), and failed to ensure medications were administered only to the intended resident (Resident 4).

Facility failed to follow nurse delegation requirements, including obtaining proper consents, identifying specific tasks, providing training, and verifying credentials for 4 of 4 residents (Residents 1, 2, 3, 6).

The facility failed to coordinate service referrals for Resident 3, resulting in the resident not receiving ordered wound care, physical therapy, and speech therapy.

The facility failed to submit a Washington state background check for Staff E every two years.

The licensee failed to ensure the administrator was readily accessible and providing sufficient direction and supervision of daily operations.

The licensee failed to implement a safe medication system for two residents, resulting in medications not being documented as administered and placing residents at risk of untreated medical conditions.

Failed to complete assessments for three residents who sustained an injury or experienced a change in condition, leading to delayed treatment and risk of unmet care needs.

Failed to develop a Negotiated Service Agreement (NSA) addressing needs and risks for six residents.

Failed to evaluate and act on changes in condition for two residents, contributing to delayed treatment and one hospitalization.

Failed to follow medication orders, ensure documentation, and ensure correct administration for five residents; resulted in falls and hospitalizations.

Failed to provide a modified diet for one resident, placing the resident at risk of choking and aspiration.

Licensee failed to ensure prescribed pain medication was obtained timely for one resident, resulting in the resident not receiving medication as prescribed.

Licensee failed to report significant changes and consult with representatives/physicians for two residents, resulting in a medication overdose leading to hospitalization and a delay in treatment for pressure injuries.

Licensee failed to complete a focused assessment for two residents when changes of condition occurred, contributing to a medication overdose and unmet treatment needs for pressure injuries.

Facility failed to ensure prescribed pain medication was obtained in a timely manner for Resident 2, resulting in the resident experiencing pain.

Facility failed to complete focused assessments for 2 residents when changes in condition occurred, contributing to medication overdose and untreated pressure injuries.

Facility failed to report significant changes in condition and consult with resident representatives and physicians for 2 residents, contributing to a medication overdose/hospitalization (Resident 1) and delay in treatment for pressure injuries (Resident 2).