Vineyard Park of Puyallup

Facility failed to ensure a Washington state name and date of birth background check was completed every two years for 1 of 6 sampled staff (Staff A).

Facility failed to serve food at safe temperatures in Memory Care Unit and failed to properly date/label food items in kitchen refrigerator.

Facility failed to investigate and protect a resident after an injury of unknown origin (fractured clavicle) was discovered. No documentation of investigation, staff interviews, or interventions existed on file.

Facility failed to notify the resident's representative or provider of a significant injury of unknown origin and subsequent hospital transfer.

Facility failed to ensure that negotiated service agreements were agreed upon and signed for 3 of 4 sample residents (Residents 2, 3, & 4).

Facility failed to provide showers as agreed upon for 2 of 4 sample residents (Resident 1 & 2), resulting in residents not receiving required showers.

Facility failed to conduct an assessment when a resident had a change in condition involving safety/behavioral issues.

Facility failed to provide proper 30-day discharge notice and transported a resident to a locked unit under false pretenses, causing emotional distress.

Facility failed to provide proper advance written notice to resident representative prior to discharging resident, placing her at risk for emotional distress.

Facility failed to notify resident's representative in advance of extra charges for private caregiver services, resulting in an unexpected financial burden.

Facility failed to consult with resident's representative regarding significant changes in the resident's condition and failed to document these communications.