Vibrant Health Homecare - Pierce County

Provider failed to immediately report alleged verbal abuse of Client 3 to the department's Complaint Resolution Unit (CRU).

Staff administered a co-tenant's medication to Client 1 instead of their own.

Failure to report a medication error to the Complaint Resolution Unit (CRU) when the error involved a nurse-delegated client.

Inadequate retention of records; logs lacked staff identification; deposits entered without explanation; cash-accountability logs were shredded.

Restricted access to household pantry food and a locked exterior gate; lack of exception to policy (ETP) and consent for locked basement door for Client 1.

Water temperature found above 120F.

No record of an initial fingerprint background check for the administrator.

Failure to maintain running balances for client cash/fund ledgers; transactions entered once a month; unexplained negative balances.

The provider failed to immediately report alleged verbal abuse of a client to the department's Complaint Resolution Unit (CRU). This is a repeat and uncorrected deficiency.

Provider failed to ensure Staff A had a national fingerprint background check on record with the DDA.

Provider failed to ensure client rights regarding restricted access to food and household areas without proper consent or ETP.

Provider failed to ensure medications were given as ordered, resulting in one client receiving a co-tenant's medication.

Provider failed to ensure hot water temperatures in the home remained at or below 120 degrees Fahrenheit.

Provider failed to maintain current running balances for three of four sampled clients' accounts.

Provider failed to report an alleged potential neglect incident regarding a high-level medication error to the department.

Provider failed to retain required financial documentation, including cash-accountability logs and detailed ledgers.

Provider failed to provide adequate staff as identified in the client's person-centered service plan (PCSP), which requires a 2-person physical assist, leading to a client fall.

Provider failed to use the client's current PCSP to develop the Individual Instruction and Support Plan (IISP), which incorrectly indicated only 1-person physical assist.