Bayonet Point Health Center by Harborview

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Dec 22, 2021

  Based on observation, interview with Resident #1, interview with the family of Resident #1, facility staff interviews, medical record review, outside agency reports, and review of facility policies and procedures, it was determined that the facility failed to provide adequate supervision to one (Resident #1) of six residents who were identified as at risk for elopement. Resident #1 was assessed on admission as an elopement risk due to his known routine of visiting his wife in the facility prior to his admission. […]

• Actual harm, isolatedF624Jun 9, 2022

  Based on record review and interviews, the facility failed to ensure a safe and orderly discharge for one resident (#1) of three sampled residents. Resident #1, a [AGE] year old male, was discharged home where he lived alone, with no running water inside of the home, holes in the walls, floors, and ceiling, an inadequate food supply, and no means for communication outside of the home due to no telephone or computer. Findings included: Review of Resident #1's Admission Record revealed an original admitted [DATE], diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Aug 15, 2024

  Based on observations, staff interviews and record review, the facility failed to maintain the kitchen and kitchen equipment in a sanitary and functional manner during two of four days observed (8/12/2024, 8/13/2024), related to; 1. Kitchen dish washing machine not operating per the machine's maintenance service specifications/recommendations; 2. Not maintaining ceiling vents above food preparation stations in a dust/debris free environment; and 3. Not maintaining the walk in freezer free from heavy ice build up on various boxes of food items. Findings included: 1. On 08/12/2023 at 9:10 a.m. the kitchen was toured with Dietary Manager. He provided a general kitchen tour of the kitchen and other kitchen spaces. […]

• No harm, potential for more than minimal, patternF699Aug 15, 2024

  Based on record review and interview, the facility failed to ensure two residents (#21 and #216) out of two residents with history of trauma had triggers identified to prevent re-traumatization. Findings included: Review of the Admission Record showed Resident #216 was admitted to the facility on [DATE] with diagnoses that included but not limited to Post-Traumatic Stress Disorder (PTSD) Chronic, Schizoaffective Disorder, Bipolar Disorder, Generalized Anxiety Disorder and Major Depressive Disorder, Recurrent. Review of the baseline care plan showed no social service goals related to the diagnosis of PTSD or identified triggers. Review of the Informed Trauma Questionnaire dated 08/06/24 showed I. Assessment 1. […]

• No harm, potential for more than minimal, patternF761Jul 28, 2022

  Based on observation, interviews, and record review, the facility failed to follow their policy to 1. store medications appropriately in three of five (100-400 Hall) medication carts, failed to ensure controlled substances were appropriately stored in a locked drawer in one of two medications storage rooms (SSU Hall), and did not ensure expired [MEDICATION(S)] testing syringes were disposed of in one of two medication storage room refrigerators (100-300 Hall); 2. Failed to appropriately secure medications for two Residents (#67 and #334) of four residents. […]