Sails Washington INC. (spokane)

Provider failed to safeguard access to medications for Client 1 by leaving medication boxes unlocked, posing a risk of harm due to the client's Pica condition.

Provider failed to update the Individual Instruction and Support Plan (IISP) semi-annually for Client 1; the plan lacked current needs, goals, and habilitative goals.

Provider failed to keep client medications locked and out of reach; medications were found unsecured in a hallway closet on two consecutive days.

Provider failed to follow internal policies for investigating and reporting financial exploitation regarding missing food, specifically failing to conduct an internal investigation or report the incident to the department in a timely manner.

Provider failed to protect private health information when a client's medical information binder was misplaced at the hospital, exposing protected health information and preventing the Department from reviewing records.

Provider failed to follow doctor's orders for medication administration; 95 missed or improperly documented doses identified for 4 clients, placing them at risk for medical harm.

Failed to ensure Individual Instruction and Support Plans (IISP) were based on current Person-Centered Service Plans for Client 2 and Client 5.

Failed to reconcile or verify provider-managed bank accounts, cash, or cash-equivalent funds for all five sampled clients.

Staff deficiencies in CPR/First Aid certification.

Client 3's Nurse delegation binder was missing or required recreation.

IFPs required updates.

Failed to provide annual dental examinations for two of five sampled clients (Client 2 and Client 5).

Failed to ensure IISP for Client 4 was approved via signature by their legal representative.

Staff training deficiencies regarding 75-hour training/exemption and CEU completion.

Client 4 had sharps locked without being addressed in their plan or consented to by legal representative.

Client 2 and Client 5 IISPs were not updated with current information from their 4/2023 PCSPs.

Financial statements and receipts verification issues.

Failed to ensure nurse delegation instructions were in place for Client 3 regarding medication administration and Vagus Nerve Stimulator use.

Failed to ensure Individual Financial Plans were completed, signed, updated, or accurate for Clients 1, 3, and 4.

Staff deficiencies in Blood Borne Pathogens certification.

Client 2 and Client 5 were not scheduled for annual dental examinations.

ISP and IISP dates did not reflect current state assessments.

Staff provided G-tube care to a client without being nurse-delegated between 01/15/2023 and 02/13/2024.

Provider failed to follow medication administration systems, resulting in one client receiving another client's medications, leading to multiple emergency department visits and seizures.

Provider failed to provide requested client records for 3 of 3 sampled clients, hindering the investigation and potentially placing clients at risk.

Provider failed to immediately report suspected physical assault of vulnerable adults to the Department's Complaint Resolution Unit (CRU) for 2 of 3 clients.

Provider failed to immediately report suspected physical assault to law enforcement for 1 of 3 clients.

Provider failed to develop, train, or implement written policies regarding incident reporting, protecting clients, and addressing allegations of abuse or neglect.