Riverside Place

The facility failed to conduct a thorough investigation and document findings after a resident sustained a serious injury (nose fracture and two black eyes) from an unwitnessed fall, leaving the possibility of physical abuse unruled out.

Facility failed to provide agreed-upon care (showers and medication administration) as outlined in resident service plans.

Facility failed to implement appropriate infection prevention practices.

Failed to follow facility fall policy (vital signs and post-fall assessment) for 1 resident following an unwitnessed fall.

Facility failed to ensure staff were trained, credentialed, and qualified to perform delegated tasks; also failed to ensure a nurse delegator verified staff credentials.

Failed to safely store hazardous supplies in 3 of 3 indoor locations; chemicals found in unlocked cabinets accessible to residents.

Facility failed to obtain prescribed medications in a timely manner for 4 of 5 sampled residents, placing them at risk of harm.

Facility failed to secure hazardous supplies (cleaning agents, personal care items) in resident-accessible areas, including the dining room, R1's room, and R3's room.

Facility lacked a certified food protection manager, one staff member lacked a valid WA food worker card, and refrigerator temperatures consistently exceeded safety thresholds.

Facility failed to ensure staff were individually delegated to perform specific nursing tasks for residents, placing them at risk for injury.

Facility failed to institute appropriate infection prevention practices; missing soap dispenser in hopper room, staff do not wash hands after handling soiled laundry.

Facility failed to ensure Negotiated Service Agreements (NSAs) were completed within 30 days for new admissions (R3) and failed to update NSAs for 4 of 6 sampled residents when their physical or mental condition changed or when the existing agreement no longer met their needs.

Facility failed to properly store hazardous supplies, placing residents at risk of injury due to ingesting hazardous ingredients.

Facility failed to complete 14-day assessments in a timely manner for R2 and R3.

Facility failed to provide care agreed upon in the service plan (NSA) for 3 of 5 sampled residents.

Facility failed to ensure 7 of 8 sampled staff obtained or maintained active Home Care Aide (HCA) certification. Staff with lapsed or missing credentials were actively providing care to residents.

Facility failed to implement appropriate infection prevention practices (handwashing) in a memory care unit, posing a risk of spreading infectious diseases.

Facility failed to implement its fall policy for R6 after a fall, failing to perform required assessments and vitals checks.

The licensee failed to ensure staff were individually delegated to each resident's individual task, resulting in three residents receiving services from non-delegated, untrained staff.

Failed to institute appropriate infection prevention practices to limit the spread of infectious illnesses in one memory care unit.

Failed to safely store supplies in three indoor locations in a memory care facility.

Failed to ensure staff were individually delegated to each resident's individual delegation task; delegated services provided by non-delegated staff.

Failed to provide care agreed upon in the service plan for two residents.

Failed to implement fall policy for one resident.

The licensee failed to provide care agreed upon in the service plan (negotiated service agreement [NSA]) for three residents.

The facility failed to promptly notify the Complaint Resolution Unit (CRU) of 2 out of 2 reported and investigated incidents.

Facility failed to provide documentation showing annual inspection of fire-resistance-rated construction.

Facility failed to provide documentation showing annual fire door inspections; failed to maintain double doors by dining room (not closing).

Facility failed to provide documentation showing fire/smoke damper 4-year inspection.

Facility failed to provide documentation showing smoke detectors sensitivity test.

Facility failed to provide documentation showing annual backflow inspection; failed to maintain sprinkler head in front of kitchen hood (head recessed).

Facility failed to provide agreed-upon incontinent care for 3 of 5 residents. Staff were aware residents were found soaked in urine but failed to take action.