Fieldstone Memory Care of Puyallup

Hoods, grease-removal devices, fans, and ducts not cleaned as required.

Fire protection and life safety systems not maintained in operative condition.

Manual fire alarm system requirements in Group I occupancies.

Required exit accesses, exits and exit discharges not maintained free from obstructions.

Combustible materials stored in exits or enclosures for stairways and ramps.

Materials and firestop systems used to protect penetrations not maintained.

Unable to produce quarterly fire sprinkler inspection reports for Q1, Q2 and Q4 of 2024.

Illumination not provided along the path of travel for the exit discharge.

Facility failed to implement interventions to manage resident's skin and care needs, leading to worsened wounds and sepsis.

Facility failed to complete an assessment when a resident had a change in physical condition and worsening wounds.

Facility failed to ensure resident stopped taking medication per doctor's orders. Antibiotics were continued for 6 additional days after a discontinuation order, placing resident at risk.

Facility failed to implement interventions for staff to meet the resident's immediate skin needs, treatments, and prevent new skin breakdown.

Assessments failed to identify resident needs adequately to prevent skin breakdown.

Facility failed to develop systems and negotiated service agreements for safe skin and wound care, resulting in resident hospitalization with sepsis. Medication technicians performed wound treatments without proper training or delegation.

Negotiated service agreements failed to address nursing services, skin/wound monitoring, or responsibilities for care.

Inadequate assessment of change in condition regarding worsening wounds.

The facility failed to monitor residents' psychosocial and mental wellbeing after 3 of 3 sampled residents were involved in incidents with staff (being held down, having wrists grabbed, or being struck on the face).