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Source: WA Dept. of Social & Health Services
DSHS imposed a $1,500 civil fine. The facility was instructed to return a signed and dated Statement of Deficiencies/attestation within 10 calendar days. Formal administrative hearing requests must be received within 28 calendar days of receipt of the letter.
The licensee failed to evaluate and take appropriate action for reported changes in one resident's health condition, resulting in ongoing symptoms and changes not being timely assessed or addressed and placing the resident at risk for unrecognized and untreated cardiac symptoms.
Facility reminded that UL testing for sprinkler systems is due (last completed 2016). Facility reminded that Fire/Damper 4-year inspection is due (last report from 6/27/22). Next inspection scheduled on or after 03/31/2027.
Unapproved/unlisted extension cords in Room 315 and Room 261.
1st floor kitchen fire alarm pull station is blocked by microwave.
Combustible material stored in the basement mechanical room.
The 3rd floor house keeping door frame has penetrations.
Unapproved/unlisted multiplug adapters in use in Room 116.
References complaint number 168007.; The document specifies that the facility is not required to submit a plan of correction for this specific 'consultation deficiency'.
Facility failed to notify the prescribing provider when Residents 6, 13, and 15 repeatedly refused medications.
Facility failed to include a medication self-administration safety assessment for Resident 15.
Facility failed to ensure residents received prescribed medications in a timely manner (Residents 13 and 15).
Facility failed to ensure a safe medication administration system for Resident 15, resulting in missed breathing treatments.
The facility displayed a dry erase calendar on the wall of the second floor near the medication room that included resident's medical appointments with their first name and last initial and the name of the clinic and/or the procedure being completed. The facility removed the clinic names and procedures upon notice.
The facility displayed a dry erase calendar on the wall of the second floor near the medication room that included resident's medical appointments with their first name and last initial and the name of the clinic and/or the procedure being completed. The facility removed the clinic names and procedures upon notice.
Facility failed to update Resident 10's service agreement to include mental health changes and suicidal ideation interventions.
Next inspection scheduled on or after 03/31/2026.
An unapproved multi-plug adapter was found in use in resident room 231.
Forward Flow testing on backflow preventer required. Testing was scheduled with IEFP on 2/23/25.
Includes an initial letter dated 08/01/2023 regarding compliance determination 26245 and a follow-up letter dated 09/15/2023 indicating that all deficiencies listed in the report were corrected.
Facility failed to maintain required staff training records/certificates on the premises for 2 of 6 sampled staff.
Facility failed to ensure 3 of 5 staff members completed required specialty training for dementia, mental health, and developmental disabilities.
Facility failed to ensure nurse delegator evaluated tasks, obtained written consent, and evaluated staff competency initially and every 90 days for 2 residents requiring insulin and/or nystatin powder.
Facility failed to provide documentation of facility orientation training for staff members.
Facility failed to maintain documentation of specialty training for dementia, mental health, and developmental disabilities for staff.
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