Res-Care Washington INC (snohomish County)

The provider failed to properly document and monitor skin breakdown for 1 client, resulting in insufficient documentation and inappropriate administration of a steroid ointment on an open wound.

Provider failed to ensure safety requirements were met for Client 1, resulting in a non-functional front door alarm and a bedroom window that was blocked by a stopper that could not be easily removed, creating an emergency exit hazard.

Medications were not secured; a closet door was open with a key in the knob, and an unlocked medication box containing narcotics was accessible.

Staff failed to follow the Positive Behavior Support Plan (PBSP) during self-injurious behavior and ingestion of non-edible substances.

Staff failed to follow proper procedures for gastrostomy tube (g-tube) dressing changes, did not use clean technique, and failed to report skin redness/breakdown.

Provider failed to provide full assistance with hygiene (dried/wet nasal mucus) and failed to ensure client's scheduled walks were completed or documented.

Environment was not safe; client consumed non-edible items (wood, paint) due to damage in the home that was not repaired.