Azalea Health Center by Harborview

In the surveyor’s words

From the most serious findings on record at Azalea Health Center by Harborview, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Nov 17, 2025

  Based on staff interviews, record reviews, and review of the facility's job description titled Registered Nurse (RN), the facility failed to ensure the services of an RN for at least eight consecutive hours a day was maintained. The facility's census was 87 residents. Findings include: Review of the facility's job description titled Registered Nurse (RN), revised October 2020, revealed the Primary Purpose of this Position section stated, The primary purpose of this position is to provide skilled nursing care to residents under the medical direction of the residents' attending physician and within the scope of nursing practice for the state. […]

• No harm, potential for more than minimal, widespreadF761Aug 12, 2021

  Based on observations, interviews, and review of facility policy titled Storage and Expiration of Medications, Biologicals, Syringes, and needles dated 10/31/12, the facility failed to ensure the proper disposal of expired medication for two of four medication storage rooms and three of three medication carts observed. Findings include: Observation and interview with Licensed Practical Nurse (LPN) FF on 8/11/21 at 8:29 a.m. of the medication storage room for station one, revealed there were four bottles of medications noted with past expiration dates: [MEDICATION(S)] 400 milligrams(mg)100 tablets expired on 8/2021 there were 3 bottles and Acidophilus 100 capsules expired 8/2021. All expired medications dates were confirmed by LPN FF, and which were removed from the medication room. […]

• No harm, potential for more than minimal, patternF565Apr 23, 2026

  Based on record review, resident and staff interviews, and review of the facility policies titled Resident and Family Grievances and Resident Council, the facility failed to follow up on complaints expressed by residents (R) during the Resident Council meetings. This deficient practice had the potential to place the resident's concerns at risk of not being addressed by the facility. Findings include:Review of the facility policy titled Residents and Family Grievances, with a reviewed/revised date of 03/01/2025 included, Policy Explanation and Compliance Guidelines: . 2. […]

• No harm, potential for more than minimal, patternF644Mar 16, 2025

  Based on observations, staff interviews, record review, and review of the facility's policy titled, Resident Assessment-Coordination with PASARR Program, the facility failed to submit for a Preadmission Screening and Resident Review (PASRR) Level II after a new mental illness diagnosis was added for four of 35 sampled residents (R) (R5, R2, R14, and R294) reviewed for PASRR. This deficient practice had the potential to place R5, R2, R14, and R294 at risk of not receiving services and/or care according to their needs. Findings include: Review of the facility's policy titled, Resident Assessment-Coordination with PASARR Program, dated 3/1/2022, revealed the section titled Policy Explanation and Compliance Guidelines included . 6. […]

• No harm, potential for more than minimal, patternF677Mar 16, 2025

  Based on observations, staff interviews, resident interviews, record review, and review of the facility's policies titled, Activity of Daily Living (ADLs) and Residents Rights, the facility failed to ensure three of five residents (R) (R8, R84, and R294) sampled for ADL care received care and services for ADLs. The deficient practice had the potential to place R8, R84, and R294 at risk for unmet needs and a diminished quality of life. Findings include: Review of the facility's policy titled, Activity of Daily Living (ADLs), revised 3/1/2023, revealed the Policy section included The facility will, based on the resident's comprehensive assessment and consistent with the resident's needs and choices, ensure a resident's abilities in ADLs do not deteriorate unless deteriorate unless… […]