The Watermark at Bellevue

Facility failed to conduct an initial TB test within 3 days of hire for 1 staff and failed to perform a second TB test within the required 1-3 weeks for 1 staff.

Staff O failed to change gloves or wash hands between handling dirty and clean dishes in the main kitchen.

The facility failed to update the Service Plan for 3 of 9 sampled residents (Resident 1, Resident 3, and Resident 9) regarding the use of medical devices such as pressure relief air mattresses, heel protectors, bed rails, CPAP machines, and oxygen management.

Staff E failed to complete the required 12 hours of DSHS-approved continuing education training between their 2024 and 2025 birthdays.

The facility failed to ensure 5 of 6 sampled residents with medical devices were assessed for their ability to safely use the devices, and failed to assess 1 of 1 sampled resident (Resident 8) for wound management.

Facility failed to properly implement oxygen therapy through nurse delegation for Resident 9; staff administered oxygen at an incorrect flow rate (3L instead of 2L) and did not verify the medical order.

The facility failed to ensure that residents were assessed for medical conditions (such as seizure activity) and safe/proper use of medical devices (bed rails) within 14 days of admission.

Facility failed to update the service plan for 3 sampled residents (Resident 1, Resident 3, and Resident 9).

Staff C did not complete required specialized training for dementia within 150 days of hire.

Facility failed to complete a Washington State background inquiry (BGI) for Staff D within the required timeframe.

An unlocked and unattended housekeeping cart containing hazardous chemicals was found in a resident area.

Facility failed to document care needs and interventions in the service plans for 5 of 7 sampled residents.

Facility failed to provide food preparation staff with a dietary manual updated within the last five years.

Cold holding tables were not maintained at temperatures at or below 41 degrees Fahrenheit.

Facility failed to provide 44 of 44 residents with a copy of the facility's policy regarding Medicaid as a payment source and obtain signed acknowledgment.

Memory care unit video camera was incorrectly focused on an outdoor courtyard area where residents gather.

Not all staff members assisting with food services held a valid food handler's card.

Facility performed blood glucose tests on residents without a required Medical Test Site Waiver (MTSW) license.

Facility failed to obtain prior written approval from Construction Review Services for changing three nurses' stations to other functional rooms.

Facility failed to maintain a copy of the most recent inspection report in a common area accessible to residents without resident identifiers.

The licensee failed to ensure two staff were screened for tuberculosis (TB). This was an uncorrected deficiency previously cited on August 13, 2024.

The licensee failed to follow the required federal and state regulations to conduct medical tests in long term care facilities for one resident. This was an uncorrected deficiency previously cited on August 13, 2024.