Garden Terrace Healthcare Center of Federal Way

Facility failed to properly store over-the-counter medications separately for each resident.

Facility failed to provide 5 of 9 residents with a copy of the facility's policy for acceptance of Medicaid and failed to obtain a signature.

Facility failed to ensure 4 of 6 staff completed required training in dementia, mental health, CPR, first aid, and continuing education.

Facility failed to ensure menus were not repeated within a three-week timeframe.

Department found that previously identified deficiencies were corrected.

Facility failed to submit background authorization forms or complete fingerprint background checks for 5 of 6 staff members.

Facility failed to ensure 3 of 5 residents or their representatives signed an annual Negotiated Service Agreement.

Facility failed to ensure 2 of 4 staff members were screened for TB within three days of employment.

Facility failed to notify the Department in writing within 10 days of a change in administrator.

Facility failed to complete a full assessment of care needs, capabilities, and preferences for 3 of 4 sampled residents within 14 days of admission.

Facility failed to document in 3 of 5 residents' service agreements a plan to monitor and address interventions for clinical needs, such as catheter care and hypertension/anxiety management.

Facility failed to ensure 6 of 6 staff had documented qualifications, orientation, or training for their assigned duties.

Department found that previously identified deficiencies were corrected.

Department found that previously identified deficiencies were corrected.

Unsanitary kitchen conditions including dust and debris on fans, light fixtures, and shelves; and uncovered food in refrigeration.

Facility failed to provide a system for 9 of 9 residents to summon staff for assistance in resident-accessible areas.

Department found that previously identified deficiencies were corrected.

Facility failed to develop and implement written policies and procedures for assisted living services, only having policies for skilled nursing.

Facility failed to ensure safe handling and storage of liquid narcotic medication (Oxycodone) for Resident 1, with reports of medication spilling, missing amounts, and unexplained changes in medication color/taste.

Failed to document in two residents' service agreements a plan to monitor and address interventions required to meet their care and current clinical needs.

Failed to complete two residents' pre-admission assessments.

Failed to ensure four staff completed all required training to perform their job duties and responsibilities.

Failed to complete a national fingerprint background check for three staff.

A bush outside by room 322 obstructs the exit door, making it harder to open and close.

Facility unable to provide a fuel sample report for their generator.

Facility needs a heat survey for the commercial hood to determine required fusible link rating; current report shows 7 links at 450 degrees.

Facility unable to provide an annual forward flow report.

The fire extinguisher in the Riser room is not properly mounted.

Sprinkler heads were loaded in the kitchen and laundry room.

The facility's hood suppression report shows it is yellow tagged.

2 out of 7 sampled residents did not have an annual negotiated service agreement (NSA) signed by the resident or their representative.

Menu items repeated within a three-week timeframe; food service director was unaware of the requirement to include all food options or avoid repeating menu items.

The facility failed to have a valid food worker card for two food service employees.

Facility failed to notify the Department in writing of a change in the assisted living facility administrator within 10 days of hire.

The facility failed to ensure all staff completed required specialized training for dementia for four residents with a primary diagnosis of dementia.

Facility failed to provide specific group activities for assisted living residents; activities were nursing-home based, and no specific AL calendar was created.

The facility failed to document potential side effects and interventions for a resident receiving blood-thinning medication (Aspirin and Clopidogrel), placing the resident at risk.

Facility failed to maintain/post the current license, failed to post the 2020 inspection report, and failed to renew the Medical Test Site Waiver certificate.

The facility failed to keep ceiling tiles throughout the facility clean and in good condition due to water damage.