Fields Senior Living at Spokane Valley

The facility failed to initiate a timely investigation into allegations of financial exploitation involving a staff member and a resident, failed to determine the circumstances, and failed to protect the resident, allowing the staff member to continue working with the resident.

Facility failed to verify references for 3 of 8 staff, failed to provide facility orientation for 4 of 8 staff, and failed to provide job-specific orientation for 7 of 8 staff.

Facility failed to provide assistance specified in the negotiated service agreement to 1 resident (Resident 1), resulting in unmet needs.

Facility failed to ensure a valid name and date of birth background check for 1 of 8 staff (Staff B) and failed to complete a national fingerprint background check for 1 of 8 staff (Staff C).

Code not posted for any of the exit doors in memory care.

37 dampers failed inspection per report from Farrington Air Quality Services.

Combustible material found in 2nd floor storage room and back electrical room door 253.

All of the fire roll down doors in the facility have not had any maintenance/testing since 2023.

Missing documentation for annual fire door inspections.

Missing monthly inspection documents for several months for CO devices.

Fire alarm pull stations blocked in kitchen and 3rd floor by room 333.

Portable fire extinguishers obstructed in kitchen and 3rd floor by room 333.

Facility unable to provide documentation that annual fire wall inspection has been completed.

Facility unable to provide documentation for monthly 30-second activation test for Nov 2024 through March 2025.

Facility unable to provide documentation for annual fire alarm system testing and maintenance.

Oxygen cylinders in memory room 10 (times 3) are not secured.

Facility cannot provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months. Missing drills: October - December 2024 Swing shift; January - March 2025 NOC shift.

Missing weekly inspection and monthly 30-minute load testing documentation (Nov 2024-Mar 2025); failed to provide annual generator service report.

Facility working with a new fire alarm contractor; system returned to normal condition and all devices tested.

Fire watch documents were reviewed for systems out of service.

Updated fire watch procedure provided.

Facility staff have been trained on updated procedures.

Facility failed to ensure facility orientation for 1 of 5 staff and CPR/first aid training for 1 of 5 staff.

Facility failed to notify residents of decreased nursing service hours.

Facility failed to ensure TB two-step testing for 3 of 5 sampled staff.

Staff entered residents' rooms without knocking for 2 of 9 sampled residents.

Facility failed to provide treatment for skin concerns (rash and wound) for 1 resident.

Facility failed to ensure staff had delegation qualifications and failed to obtain written consents for nurse delegation.

Facility failed to complete a character, competence and suitability review for a staff member with a non-disqualifying criminal charge.

Facility failed to perform annual N95 respirator fit testing for 5 of 5 staff.

Facility failed to complete a safety assessment for a bed cane used by 1 resident.

Facility failed to obtain a written family assistance with medication plan for 1 resident.

Facility failed to complete a safety assessment for a bed cane used by a resident.

Facility failed to ensure 4 of 9 resident pets had current vaccination/examination records.

The facility failed to ensure a staff member (Staff B) had a current Washington state LPN license prior to hiring, placing residents at risk for unmet care needs.

The facility failed to ensure that nurse delegated tasks (such as blood glucose checks, eye drops, and topical medication application) were performed by qualified and trained staff for 3 of 3 staff, impacting 6 of 8 sampled residents. This occurred because the facility lacked current nurse delegation oversight.