Cottages of Sequim

Facility failed to ensure staff notified or consulted with the resident's physician in a timely manner regarding pressure injuries on Resident 1's heels.

Facility failed to ensure appropriate interventions (floating heels/wearing boots) were placed in a timely manner, resulting in worsening pressure injuries for Resident 1.

Facility failed to ensure staff placed boots and floated Resident 1's heels as required by their negotiated service agreement.

Fire alarm electrical panel room has multiple items blocking electrical panels.

Front nurse office has a heater plugged into a power strip.

Facility failed to provide annual inspection report for fire alarm system; fire alarm electrical breaker is missing breaker lock.

Front desk office has an extension cord plugged into a power strip.

Facility failed to provide documentation showing fire department connection 5-year hydrostatic test.

Facility failed to ensure staff met respiratory fit testing requirements upon hire and annually for 2 of 3 staff reviewed, placing residents and staff at risk of infectious disease transmission during a COVID-19 outbreak.

Facility failed to ensure staff implemented incident reporting policy after a resident was found on the floor; failed to report or document a fall resulting in a compression fracture.

Facility failed to maintain resident dignity for 2 of 3 residents reviewed, who were frequently observed in saturated briefs/clothing and bedding.