Avalon Care Center Federal Way, L.L.C.

In the surveyor’s words

From the most serious findings on record at Avalon Care Center Federal Way, L.L.C., in the surveyor’s own words.

• Actual harm, isolatedF686Apr 19, 2021

  Based on interview and record review, the facility failed to ensure 1 of 2 residents (Resident 1) reviewed for Pressure Ulcers (PU) received care and services, in accordance with professional standards of practice, to promote healing of existing PUs and prevent the development of avoidable PUs. The facility failed to accurately assess the resident's clinical condition, identify factors that increased the risk for skin breakdown, ensure the development and implementation of a resident specific plan of care, provide ongoing assessment of existing PUs, and to ensure provision of care as ordered by a Physician. […]

• No harm, potential for more than minimal, widespreadF881Jul 24, 2024

  Based on interview and record review, the facility failed to implement an effective Antibiotic Stewardship Program (ASP), to promote appropriate use of Antibiotics (ABO), reduce the risk of unnecessary ABO use, and decrease the development of an ABO resistance for 6 of 6 sample residents (Resident 204, 80, 77, 64, 47, & 3) reviewed. This failure placed residents at risk for potential adverse outcomes associated with the inappropriate and/or unnecessary use of ABO's. Findings included . <Facility Policy> According to a facility policy titled, Infection Prevention and Control ABO Stewardship, revised 03/2019, the program would validate that antibiotics were prescribed for the correct indication, the correct dose, the correct route and the correct duration. […]

• No harm, potential for more than minimal, widespreadF908Apr 28, 2023

  Based on observations, interview, and record review the facility failed to ensure 1 out of 1 walk-in freezers was maintained in satisfactory working condition. The freezer temperature logs indicated the temperature was elevated for a month prior to the start of the survey and there was a leak in a pipe resulting in substantial ice buildup in the freezer. Although service visits were made a couple of weeks prior to the survey, the freezer continued to be out of temperature range and with significant ice buildup, without additional follow-up being implemented. […]

• No harm, potential for more than minimal, widespreadF886Oct 14, 2021

  Based on interview and record review, the facility failed to ensure COVID-19, an infectious disease by a new virus causing respiratory illness with symptoms including cough, fever, new or worsening malaise, headache, or new dizziness, nausea, vomiting, diarrhea, loss of taste or smell, and in severe cases difficulty breathing that could result in severe impairment or death, testing was documented as completed and/or the results of testing was documented in the residents' record for nine (39, 73, 45, 51, 22, 62 ,74, 87 and 91) of nine residents reviewed for documentation of COVID testing. Failure to add COVID testing results to individual health records left residents at risk for inaccurate health records. […]

• No harm, potential for more than minimal, patternF658Nov 21, 2025

  Based on interview and record review, the facility failed to ensure services provided met professional standards of practice for 5 (Residents 11, 82, 69, 13, & 7) of 25 residents reviewed. The nursing staff's failure to clarify and/or follow Physician Orders (PO) and follow medication parameters placed residents at risk for unmet care needs, risk for medication errors, delayed treatment, and potential negative outcomes. Findings included .<Facility Policy>Review of the facility's 12/01/2007 General Dose Preparation and Medication Administration policy, showed prior to administration of medication the facility staff would take all measures required each time a medication was administered; the correct medication, correct dose and correct rate was provided. […]