Hampton Special Care - Tumwater

Fire/smoke damper report from 4/10/2023 showed deficiencies; facility needed to show proof of correction.

Facility failed to provide annual forward flow test for the fire sprinkler backflow.

Facility failed to provide report showing kitchen suppression system is inspected twice a year.

Facility failed to provide monthly inspection report for battery operated smoke alarms.

The facility failed to ensure resident medications were administered as ordered for two residents, leading to missed medications, altered mental status for one resident, and hospitalization for one resident.

Facility failed to monitor and take appropriate action for changes in physical/mental status and medication non-compliance for 2 residents.

R3 received double doses of quetiapine, failed to start antibiotic treatment for UTI, and delayed start of cranberry/vitamin C supplements. The facility failed to document these medication issues in the Alert Charting Report or progress notes.

Facility staff failed to document or alert on significant behavioral changes or health status changes (e.g., lethargy/slouching) and did not maintain continuous behavior charting. Staff incorrectly identified abnormal behavior and physical state as 'normal' for the resident.

Facility failed to ensure medications were administered as prescribed for 2 residents, resulting in missed doses, wrong dosages, and negative health outcomes including hospitalization.

Staff failed to take necessary safety measures when assisting a resident with wheelchair mobility, resulting in facial injuries that required hospitalization.

The facility failed to ensure staff took necessary safety measures to prevent avoidable injuries when assisting a resident with wheelchair mobility, resulting in the resident sustaining facial injuries that required hospitalization.

Facility failed to implement infection control hand hygiene practices for 6 of 6 staff observed; failed to provide handwashing supplies in laundry area.

Facility failed to incorporate medication assistance and intermittent nursing services into negotiated service agreements for 7 of 7 sampled residents.

Facility failed to investigate, determine circumstances, rule out abuse, or protect residents for 2 of 3 residents regarding injuries of unknown origin/allegations of abuse.

Facility failed to monitor resident well-being and take appropriate actions for 2 residents regarding identification and response to condition changes, including pain from injury and medication adjustments.

Facility failed to secure potentially hazardous supplies in 8 of 8 observed locations, placing 44 residents at risk for ingesting toxic materials.

Facility failed to ensure 2 of 2 sampled staff completed their required continuing education units (CEU).

Facility failed to ensure 2 of 2 sampled staff (Staff F and G) submitted new background checks every two years.

Facility failed to ensure confidentiality of resident records on medication cart computers, leaving them unattended and accessible to others.

Facility failed to store medications in a secure manner in 2 of 7 sampled rooms (R1 and R9); unlocked cabinets contained non-prescribed hydrocortisone cream and Biotene lozenges.

Facility failed to ensure 2 of 3 sampled new staff received their second TB skin test within the required time frames.

Facility failed to maintain commercial cooking hood cleaning schedule (last service 05/30/2024, due every 6 months), placing 44 residents at risk.

Facility failed to notify physicians when residents refused or missed medications for 4 of 7 sampled residents.

Facility failed to provide 7 of 7 sampled residents access to their own rooms without staff assistance, impacting autonomy.

Six staff observed failing to implement hand hygiene practices during resident care; facility failed to provide necessary handwashing supplies in one area.

Fire drills during morning and swing shift must be audible alarms.

Facility failed to provide documentation showing annual fire-resistance-rated construction inspection.

Kitchen is missing a K-class fire extinguisher.

Fire alarm report from 4-3-24 indicates digital alarm communicator transmitter failed test.

Medication room had an unsecured oxygen tank.