The Legacy of Bothell

Facility failed to ensure one newly hired staff member was screened for Tuberculosis within three days of being hired.

Facility failed to obtain resident signatures on their policy for accepting Medicaid as a payment source and the document lacked space for signatures.

Facility failed to secure potentially hazardous supplies including nail polish remover, super glue, and housekeeping cart chemicals, posing a risk to residents with dementia.

Facility failed to obtain a Medical Testing Site Waiver/CLIA certification required to perform in-house tests like COVID-19.

Facility failed to ensure a contracted employee with unsupervised access to residents had a completed state background check.

Failed to update assessments for Residents 2, 4, and 5.

Staff A and C lacked required two-step tuberculin skin tests.

Resident 7's Negotiated Service Agreement lacked specific care instructions for an indwelling urinary catheter.

Facility failed to implement a Respiratory Protection Program (RPP) and failed to perform medical clearance and fit-testing for 6 of 6 sampled staff.

Nurse delegation program for Residents 2, 4, 5, and 7 was not updated.

Disaster plan lacked specified locations for alternative resident accommodations.

Staff B and D lacked required one-step tuberculin skin tests within hire timeline.

Facility failed to ensure water temperatures in 5 of 9 common bathrooms remained between 105 F and 120 F; temperatures measured as high as 128.8 F.

Failed to complete full assessment for Resident 3 within 14 days of move-in.

Oxygen supply closet lacked required 'OXYGEN - USE NO OIL' signage.

Negotiated Service Agreements were not signed annually for Residents 1, 3, 4, and 5.