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Source: WA Dept. of Social & Health Services
The Department completed a full inspection and found no deficiencies.
The inspection dated 2025-07-01 resulted in a 'Disapproved' status due to missing documentation. A follow-up inspection on 2025-08-26 confirmed the deficiency was corrected, resulting in an 'Approved' status.
Facility was initially unable to provide documentation for the quarterly sprinkler system inspections for the 1st quarter of 2025; subsequent report received from Patriot Fire.
This document is a notification of the results of an Informal Dispute Resolution (IDR) regarding a Statement of Deficiencies (SOD) dated 09/09/2024. The department decided not to make any changes to the original SOD report.
There is also a cover letter referencing a follow-up inspection on 11/18/2024 for compliance determinations 50074 and 46214, which indicates that deficiencies WAC 388-78A-2060-4 and WAC 388-78A-2060-6 were corrected and no new deficiencies were found.
The facility failed to conduct a proper preadmission assessment for a resident, resulting in the failure to identify a urinary catheter. This led to five days of no catheter care, subsequent infection, sepsis, and a nine-day hospitalization for kidney failure.
A separate follow-up letter indicates that deficiencies 46427 and 43641 were verified as corrected on 08/29/2024.
Failed to provide a safe/sanitary environment: damaged kitchen wall, disconnected stairwell railing cables, hole in room 19 door, and disconnected public restroom paper towel holder.
Failed to provide medications as prescribed for 2 of 5 residents (Residents 3 and 4), leading to medication errors.
Failed to develop and implement a respiratory protection program and failed to ensure fit testing for 5 of 5 sampled staff.
Failed to complete an annual care assessment for 1 of 5 sampled residents (Resident 2).
Includes Complaint ID 101652. Facility is not required to submit a plan-of-correction.
The facility failed to evaluate a resident's head/facial injuries in a timely manner after a fall, waiting three days to call 911 despite policy requiring immediate action for such injuries.
This is an Informal Dispute Resolution (IDR) scheduling letter regarding a Statement of Deficiencies dated September 9, 2024.
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WA DSHS — View Official Record
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