Royal Columbian Senior Living

The licensee failed to coordinate services with an external health care provider consistent with a resident's negotiated service agreement, preventing timely involvement during a medical change in condition requiring hospitalization.

Failure to maintain compliance with Washington State Patrol Fire Protection Bureau; found in violation of two codes on reinspection.

Failure to develop and maintain a current, comprehensive disaster preparedness plan.

Failed to maintain compliance with Washington State Patrol Fire Protection Bureau (two codes in violation) and City of Kennewick Municipal Codes (public nuisance).

Failed to develop and maintain a current disaster plan with necessary information and procedures.

The licensee failed to determine the circumstances and develop interventions when incidents occurred for one resident, putting the resident at risk of harm.

Licensee failed to ensure assessments were completed for residents with identified issues and failed to complete annual full assessments for two residents, leading to risks of unmet needs and unsafe handling of flammable materials.

The facility failed to ensure residents received medications as prescribed for 3 of 4 sampled residents, resulting in missed/late medications, improper administration, and emergency hospitalization.

The facility failed to notify the department case manager when a resident returned to the facility and was subsequently transferred to the hospital, resulting in payment inconsistencies.

The facility failed to immediately report medication errors resulting in negative outcomes (hospitalization) to the department's Complaint Resolution Unit.

The Department completed a follow-up inspection and found no deficiencies; previously cited deficiencies for this regulation were corrected.

The facility failed to investigate and document medication errors or develop preventive measures for 2 of 3 residents involved in incidents.