Reverent Supported Living (pierce)

Provider failed to ensure adequate staffing for Client 3; only one staff present for 2-person assist transfers.

Staff lacked current Bloodborne Pathogens (BBP) training.

Individual Instruction and Support Plan for Client 3 not implemented; repositioning and skin check schedule not tracked/documented.

Provider failed to immediately report allegations of abuse for Client 1 to the Complaint Resolution Unit.

Provider failed to ensure training requirements met for 3 of 4 sampled staff.

Evacuation plans not practiced with Client 2 and inadequately developed for Client 3 (specifically regarding night-time staffing).

The provider failed to ensure 1 of 3 sampled clients had an accurate running balance for their provider-managed cash account, placing the client at risk of financial exploitation.

Provider records did not include all personal possessions or identifying/serial numbers as required; this was corrected prior to the exit conference.

Provider failed to follow internal policy for reporting abuse regarding Client 1.

Lacked documentation, physician orders, and instructions for safety belt and Hoyer lift use for Client 3.

Provider failed to ensure Individual Financial Plans fully identified client resources and parties managing funds.

The provider failed to ensure the medication organizer was labeled and filled by an approved individual for 1 of 3 sampled clients, placing the client at risk of medication error.

Staff poured medication into a cup and transferred unused excess medication back into the original bottle, creating a risk of contamination for 1 of 3 sampled clients.