Fieldstone Memory Care of Puyallup

The facility failed to provide showers as scheduled for residents, with multiple instances of residents going weeks without a shower and staff failing to document or re-attempt missed showers.

The facility failed to investigate medication errors for 3 residents and the cause of a hip injury for Resident 5 to rule out abuse, neglect, or exploitation, and failed to implement interventions to prevent recurrence.

The facility failed to ensure residents received medications as prescribed for 3 of 9 sample residents, placing them at risk for poor health outcomes.

The facility failed to provide showers as agreed upon in the negotiated service agreements for 4 of 7 sample residents.

Materials and firestop systems used to protect penetrations not maintained.

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

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

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

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

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

Manual fire alarm system requirements in Group I occupancies.

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

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.

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

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 to manage resident's skin and care needs, leading to worsened wounds and sepsis.

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

Inadequate assessment of change in condition regarding worsening wounds.

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

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

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).