Regency Pullman

Facility failed to ensure skin integrity monitoring was documented for a resident with a known skin condition.

Facility failed to perform monthly weight monitoring as required by the resident's service plan.

Facility failed to have a written agreement in place for family medication assistance, leading to missed doses for a resident.

Facility failed to follow nurse delegation procedures (assessment, competency evaluation, and written consent) for a resident receiving blood glucose sensor injections.

Facility failed to ensure a background check was submitted prior to expiration for a staff member.

The facility failed to ensure a Washington state name and date of birth background check was submitted to the department prior to expiration for 1 of 5 staff members (Staff E). The staff member's background check lapsed between 07/01/2024 and 04/03/2025. This was a recurring deficiency.

Facility failed to ensure 1 of 6 sampled staff obtained home care aide certification.

Facility failed to ensure staff were screened for tuberculosis within three days of employment for 3 of 6 sampled staff.

The facility failed to ensure one staff member had a national fingerprint background check on file, which was not attempted until over 6 months after the hire date.

Facility failed to include interventions for problem behaviors in Negotiated Service Plans for 4 of 6 sampled residents, placing them at risk of harm.

Facility failed to ensure two medication aides received required nurse delegation training or held required nursing assistant/home care aide licenses prior to administering medicated eye drops to a resident.

Facility failed to protect a resident from abuse during the course of an investigation, resulting in staff being instructed to physically restrain the resident.

Facility failed to ensure 5 of 5 staff members reviewed completed required specialized training for dementia prior to providing care.

Facility failed to ensure 7 of 7 staff members reviewed obtained required home care aide certification.

Facility failed to ensure staff work references were verified prior to hiring for 7 of 9 staff members reviewed.

Facility failed to ensure staff made immediate reports to the department and law enforcement regarding suspected physical abuse for 2 residents.

Facility failed to ensure 7 of 8 staff members reviewed had completed required national fingerprint background checks.

The facility failed to protect residents from physical restraint and violated the right to refuse unwanted care. Staff (specifically the Executive Director and others under their instruction) repeatedly physically restrained Resident 1 against their wishes to force care, and failed to timely report allegations of abuse and neglect for Resident 1 and Resident 2.

Second floor resident laundry room failed to latch.

Facility failed to provide documentation of annual testing of fire doors meeting NFPA 80 requirements.

Facility failed to complete Annual Forward Flow test and 5 Year Backflow Valve Internal Pipe exam.