Gig Harbor Memory Care

The facility failed to monitor the urinary catheter for one resident, resulting in a blocked catheter, significant urinary tract infection, sepsis, and acute renal injury.

The facility failed to notify the resident's power of attorney when the resident was sent to the hospital for a significant change in condition.

The facility was found to have corrected the previously identified deficiency.

The facility failed to provide a reliable way for families to contact staff after hours; however, the issue was corrected by the time of the investigation.

The licensee failed to develop and implement policies and procedures to address aggressive or assaultive behavior for one resident, placing others at risk of harm.

Failed to ensure 3 of 5 sampled staff (Staff B, D, and F) had a valid CPR/First Aid card.

Facility failed to maintain on-site food service in compliance with retail food code, including equipment repair and accurate temperature logging.

Facility failed to ensure negotiated service agreements for 8 sampled residents (R1, R2, R3, R4, R5, R6, R7, R9) were signed by the resident or their representative.

Facility failed to maintain an effective emergency call system in living areas; staff failed to respond to test pulls in multiple rooms.

Intermittent Nursing Services/Nurse Delegation was not established for one resident who required medication assistance from non-licensed staff.

Failed to ensure 1 of 5 sampled staff (Staff C) obtained home care aide (HCA) certification within 200 days of hire.

Failed to ensure 5 of 5 sampled staff (Staff B, C, D, E, and F) completed facility orientation before having routine interactions with residents.

Facility failed to complete or retain preadmission assessments for R2, R5, and R9, and lacked required signatures.

Facility failed to provide safe medication services for 5 sampled residents; multiple instances of missing medications, documentation errors, and failure to follow physician orders for vitals/blood sugar monitoring.

Facility failed to ensure bathrooms in 3 of 3 resident living areas were supplied with soap, paper towels, and toilet paper, and failed to maintain an adequate supply of PPE.

Failed to ensure 1 of 5 sampled staff (Staff F) completed a Washington state name and date of birth background check.

Facility failed to prepare and serve food according to diet manuals and corporate dietitian-approved menus.

Facility environment in all wings was not maintained in good repair; observed issues included peeling paint, missing trim, clogged toilets, lack of sanitation, and debris.

Facility failed to ensure clothing/bedding was washed as required and evidence suggested improper sanitation practices (washing mop heads with resident laundry).

ALF did not have a licensed nurse in the building 5 days per week totaling 40 hours as stated in the Disclosure of Services.

Facility failed to implement medication services with required parameters (blood pressure/pulse monitoring) for R1 before administering medication, placing R1 at risk.

Failed to ensure 4 of 5 sampled staff (Staff B, D, E, and F) completed their continuing education hours as required.

Failed to ensure preadmission assessments were completed as required for 3 of 3 sampled residents.

Facility failed to monitor skin integrity for R4; staff documentation regarding treatments was inconsistent with physician orders.

Facility failed to update service agreements for 6 sampled residents to reflect current physical, mental, or medical needs (seizures, diet, mobility, wound care).

The licensee failed to implement medication services with parameters for one resident, resulting in the resident not receiving medications as prescribed.

Licensee failed to ensure one caregiver had a valid First Aid card.

Licensee failed to ensure one caregiver had a valid First Aid card.

Licensee failed to ensure one caregiver had a valid First Aid card.

Licensee failed to ensure one caregiver had a valid First Aid card.

Licensee failed to ensure the environment for 46 residents was kept safe, clean and in good repair.

Licensee failed to implement medication services for four residents that was safe and supported the needs of each resident as required.

Licensee failed to ensure the communication system was operable in three living areas.

Licensee failed to ensure the Negotiated Service Agreements (NSA, Service Plans) for four residents were updated to reflect the current needs of the residents when there was a significant change in resident's health status and physical ability.