Bothell Health Care

In the surveyor’s words

From the most serious findings on record at Bothell Health Care, in the surveyor’s own words.

• Actual harm, isolatedF689May 1, 2026

  Based on observation, interview, and record review, the facility failed to provide supervision of two staff assistance and use of a mechanical lift (Hoyer) device to prevent an avoidable accident during a transfer for 1 of 3 residents (Resident 1), reviewed for accident hazards. Resident 1 experienced harm when they had an assisted fall while being transferred by one staff person without the use of the care planned Hoyer lift device, sustained a broken distal fibula (calf bone), and required transfer to the emergency room. This failure placed residents that require mechanical lift transfer or two staff extensive assistance at risk for injury, adverse outcomes, functional decline, and diminished quality of life. […]

• Actual harm, isolatedF600Oct 6, 2023

  Based on observation, interview, and record review, the facility failed to ensure residents were free of physical abuse when the facility failed to implement their abuse policy and procedures to conduct an immediate investigation that included resident interviews for potential abuse for 2 of 3 residents (Residents 2 & 1). In addition, the facility failed to protect Resident 2 and other residents from potential abuse when an identified nursing assistant (NA) remained in the facility after Resident 1 reported to staff that the same NA hit them on the right upper arm causing bruise, and mental anguish. These failures caused Resident 1 harm and had the potential to cause further abuse, pain, and fear for Resident 2 and other residents. […]

• Actual harm, isolatedF689Jun 22, 2023

  Based on interview and record review, the facility failed to implement the planned preventative measure of two-person assist to prevent falls for 2 of 3 residents (Residents 1, and 2) reviewed for falls. Resident 1 experienced harm when they were not provided two-person assist with toileting, fell , and fractured their right hip. Resident 2 experienced harm when they were not provided two-person assist with transferring and experienced an injury to their left upper arm. The inability to consistently follow care planned preventative measures for falls placed all residents at risk for falls, injury, and a diminished quality of life. Findings included . <RESIDENT 1> Resident 1 admitted to the facility on [DATE] with diagnosis that included muscle weakness. […]

• Actual harm, isolatedF684May 2, 2023

  Based on interview and record review, the facility failed to ensure 2 of 3 residents (Residents 1 & 2), reviewed for change of condition, received timely transport to the hospital when Resident 1 had a new onset of weakness to the right upper and lower extremities, and failed to supervise safe transportation to the hospital for Resident 2 who experienced seizure like activity. Delayed transport to the hospital caused harm to Resident 1 who arrived at the hospital outside the window of a medical intervention. Transport of Resident 2 to the hospital for seizure like activity, unsupervised in a non-medical vehicle, placed the resident at risk for untreated medical complications, injury, and a diminished quality of life. […]

• Actual harm, isolatedF684Dec 5, 2022

  Based on interview and record review the facility failed to recognize a change in condition and intervene timely in accordance with professional standards of practice to minimize the risk of severe complications for one of one resident (1) reviewed. These failures resulted in harm to Resident 1 who was hospitalized for an arterial occlusion of the right lower extremity, which required surgical intervention. Findings included . Resident 1 admitted to the facility on [DATE] with diagnoses to include dementia (memory loss) without behaviors, chronic congestive heart failure (affects the pumping power of the heart, often edema [swelling] occurs), atrial fibrillation (abnormal heart rhythm) with history of pulmonary embolism (PE - blood clots in lungs) and history of deep vein thrombosis (DVT… […]