Wamu's Family Care Home

The facility failed to administer medication as ordered by a licensed prescribing practitioner for one resident. Specifically, the resident was prescribed Peridex mouthwash to be used twice daily, but the Medication Administration Record (MAR) showed the medication was being administered four times daily. Additionally, staff failed to follow the prescribed frequency and did not document or communicate issues regarding the medication usage to the dentist.

The facility failed to administer medications as ordered by a licensed prescribing practitioner for one resident. Specifically, the resident's orders required Peridex rinse twice daily, but the medication administration records showed the medication was being administered four times daily. This discrepancy between the physician's orders and the actual administration practice was identified during a review of the resident's MAR and medication supply.

The facility failed to maintain current building sanitation and fire and building safety inspection reports. A review of records showed the most recent building sanitation report was dated 11/02/17, and the facility has not requested an inspection since 2018.

The facility failed to ensure that three out of three sampled medication aides completed the state-mandated annual infection control training course. Record reviews and interviews confirmed that the required annual in-service training was not documented as completed for the staff members.

The facility failed to ensure that 3 out of 3 sampled medication aides completed the state-mandated annual infection control training. Personnel records for Staff A, Staff B, and Staff C lacked documentation of required annual training, and interviews confirmed the training had not been completed.

The facility failed to ensure that one of three staff members was tested for tuberculosis disease using the required two-step skin test method. Instead, the facility relied on a chest X-ray for a staff member who declined the skin test due to concerns regarding scarring from previous vaccinations.

The facility failed to ensure the implementation of a physician's order for Resident #1 regarding the use of TED hose (compression stockings). There was no subsequent physician order to discontinue the use of the stockings, and the facility had no TED hose available to apply to the resident's legs during the survey.