Madison Villa

The licensee failed to ensure a Certified Medication Aide was delegated by a Registered Nurse to perform blood glucose monitoring and insulin injections for three residents, as required by Nurse Delegation criteria.

Facility failed to coordinate palliative care services for one resident, despite a referral, resulting in unmet care needs.

The facility failed to report an incident where smoke was detected in the laundry room, the emergency disaster plan was activated, and residents were relocated, because they incorrectly determined it was not a reportable event.

The facility failed to ensure a resident's anti-anxiety medication (Clonazepam) was refilled and available, resulting in the resident missing doses for four days and experiencing increased anxiety.

The facility failed to provide and make available scheduled and non-scheduled nutritious snacks to residents; snacks were consistently unavailable or limited to sandwich options only.

The cook failed to ensure that the diet manual was available and used when preparing foods.

The facility lacked a variety of snacks for residents and failed to maintain an adequate supply of alternative snack options.

Failed to ensure 2 of 6 staff completed hands-on CPR training and 1 of 6 staff completed first aid training.

Failed to ensure 1 of 6 staff (Staff F) was screened for tuberculosis within three days of employment.

Failed to ensure Negotiated Service Agreements were signed annually by residents or representatives for 2 of 7 sampled residents.

Failed to ensure 1 of 6 staff members (Staff F) had a valid Washington state background check completed every two years.

Failed to complete national fingerprint background check for 1 of 6 staff members (Staff A).