Gig Harbor Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Gig Harbor Health and Rehabilitation, in the surveyor’s own words.

• Actual harm, patternF880Dec 11, 2024

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program to prevent the transmission of a communicable disease by implementing facility policies and/or outbreak protocols timely for 10 of 94 sampled residents (Residents 15, 14, 83, 352, 9, 351, 91, 344, 346 and 81) when reviewed for infection control/outbreak management. Residents 14, 83 and 9 experienced harm when they were sent to the hospital for illness and/or treated for complications after the facility failed to recognize an illness related to an infectious disease. The facility failed to implement transmission-based precautions (TBP) for 2 of 4 halls (100 and 200 Halls) when reviewed for TBP and ensure sanitary use of washing machines when reviewed for laundry. […]

• Actual harm, isolatedF760Jun 5, 2026

  Based on interview and record review, the facility failed to prevent significant medication errors by administering medications to the wrong resident for 1 of 3 residents (Resident 1) reviewed for medication errors. Resident 1 experienced harm when they were transferred to the hospital for a life-threatening medication overdose requiring life support. This failure placed residents at risk for negative side effects of medications, hospitalization, and a diminished quality of life. […]

• Actual harm, isolatedF684Aug 27, 2025

  Based on interview and record review the facility failed to ensure quality of care was provided by timely obtaining emergency services and thoroughly documenting alert charting for 3 of 3 sampled residents (Resident 1, 2, and 3) reviewed for falls. Resident 1, who was on a blood thinning medication, experienced harm when the facility failed to obtain immediate medical care after an unwitnessed fall with a head injury; the resident developed a latent post fall subdural hematoma (a brain bleed that can happen after a head injury) that required emergency room transfer, surgery, and hospitalization. This failure placed the residents at risk for medical complications, delay in care and services, potential death, and a diminished quality of life. Findings included . […]

• Actual harm, isolatedF689Jan 14, 2025

  Based on interview and record review, the facility failed to provide supervision of two person staff assistance with bed mobility while providing care to prevent accident/falls for 2 of 3 sampled residents (Resident 1 and 2) reviewed for falls. Resident 1 experienced harm when care was provided by one staff that resulted in a fall from bed and injury requiring hospital evaluation. This failure placed residents at risk of injury, unmet care needs and a diminished quality of life. Findings included <Resident 1> Resident 1 was admitted to the facility on [DATE] with multiple diagnoses. […]

• Actual harm, isolatedF684Feb 28, 2024

  Based on observation, interview, and record reviews, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice when a change of condition was not assessed timely and when wound closure device interventions were not consistently provided for a non-pressure skin conditions for 2 of 22 sampled residents (85 & 71) reviewed for quality of care related to change of condition and non-pressure skin condition. This caused harm to Resident 85 when the resident's change of condition was not assessed and monitored timely by staff and not reported to the medical provider for evaluation which delayed interventions and the resident being emergently transferred to the hospital for treatment. […]