Orchard Crest LLC

Facility failed to ensure Washington state name and date of birth and national fingerprint background checks were completed for 16 of 16 sampled agency staff.

Facility did not have a consistent process for agency staff orientation to the facility.

Fire sprinklers in the kitchen had extreme amounts of particulates attached.

Portable fire extinguishers were blocked in the main dining room, kitchen, and memory care 2nd floor kitchen.

7 canisters of oxygen were found unsecured in the memory care oxygen room on the 2nd floor.

Facility could not provide documentation for fire drills for 2024 Quarter 2 (swing shift) and 2024 Quarter 4 (swing shift).

The facility failed to report a microwave fire that occurred on December 15, 2023, to the Department of Social and Health Services.

Failed to ensure a qualified assessor conducted preadmission assessments for 2 of 12 residents, leading to lack of safety assessment for medical equipment.

Failed to provide medications as prescribed for 2 of 12 sampled residents (8 and 12), resulting in medication errors.

Failed to maintain a safe environment by allowing resident access to potentially hazardous supplies, chemicals, sharp instruments, and high-temperature hot water.

Failed to perform a safety assessment for a resident using a medical transfer pole, placing the resident at risk.

Failed to maintain on-site food service in compliance with state food code regarding hand hygiene/glove use and clean outer clothing.

Failed to perform required monitoring, intervention, and healthcare provider notification for residents (5 and 8) regarding blood pressure and weight management.

Failed to ensure negotiated service agreements were signed by residents or representatives for 9 of 12 sampled residents.

Failed to document investigations for alleged or suspected neglect of 4 residents (6, 7, 9, and 10) by a staff member.

Facility failed to provide care in a manner promoting health and well-being, dignity, and respect for Resident 11, who was unable to feed themselves and was left without assistance during lunch, and faced allegations of neglect regarding hygiene.

Failed to ensure 4 of 12 residents received services outlined in their agreement, including thickened liquids and monthly weigh-ins.

Failed to report an allegation of neglect regarding a staff person hired as a licensed nurse who lacked proper licensure.

Facility failed to comply with long-term care resident rights by failing to provide adequate assistance with eating and hygiene for Resident 11.