Life Care Center of Port Orchard

In the surveyor’s words

From the most serious findings on record at Life Care Center of Port Orchard, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF725Apr 10, 2026

  Based on interview and record review, the facility failed to ensure sufficient qualified nursing staff were available to provide care and services as evidenced by information provided in Resident/Surveyor interviews for 11 residents (Resident 56, 4, 60, 40, 71, 2, 34, 7, 50, 36 & 97) interviewed, and 3 staff (Staff L, G & M) interviewed. The facility had insufficient staff to ensure residents received assistance with care in a timely manner without long wait times. These failures placed residents at risk for unmet care needs and a diminished quality of life. Findings included . Resident InterviewsOn 04/06/2026 at 11:25 AM, Resident 56 said wait times for care was up to an hour on the morning and afternoon shifts. […]

• No harm, potential for more than minimal, patternF804Apr 10, 2026

  Based on observation, interview and record review, the facility failed to provide food that was palatable, attractive, and served at an appetizing temperature for 4 of 4 sampled Halls (Halls A, B, North 1 and North 2) reviewed for food . This failure placed residents at risk of weight loss, depressed mood, and a diminished quality of life.Findings included .Test TrayObservation of a test food tray on 04/10/2026 at 12:43 PM, showed a test tray with a white plate on a heated base system and had an insulated cover. The heated base system and white plate were both room temperature to the touch. Observation showed the white plate consisted of baked fish, coleslaw, corn and an Oreo dessert. Taste testing of corn showed it was mushy and overcooked. […]

• No harm, potential for more than minimal, patternF684Mar 26, 2025

  Based on interview and record review, the facility failed to provide care and services adequate to prevent hospitalization for 2 of 3 residents (Residents 1 & 2) reviewed for hospitalization . The facility failed to provide and monitor for adequate hydration, recognize and intervene when decline occurred, and failed to notify physician and family of abnormal laboratory results. This failure placed residents at risk for dehydration, hospitalization , and a diminished quality of life. Findings included . Review of the facility policy, Hydration and Nutrition, revised [DATE], showed that each resident would receive sufficient fluids to maintain acceptable parameters of nutritional and hydration status. […]

• No harm, potential for more than minimal, patternF758Dec 11, 2023

  Based on observation, interview and record review, the facility failed to ensure residents did not receive unnecessary medications for 3 of 5 sample Residents (25, 30, 62) reviewed for unnecessary medication use. The facility failure to attempt a Gradual Dose Reduction (GDR) of an antipsychotic medication or provide evidence a reduction had been attempted placed residents at risk for receiving an unneeded medication and potentially experiencing side effects related to the use of the medication. Findings included . 1) Resident 30 was admitted to the facility on [DATE] with diagnoses including dementia with agitation and major depressive disorder. […]

• No harm, potential for more than minimal, patternF582Feb 10, 2023

  Based on interview and record review, the facility failed to provide accurate Advanced Beneficiary Notices (ABN, a notification provided that listed services that Medicare would not pay for, along with the estimated costs of the services, so residents/beneficiaries could decide if they wished to continue receiving the services and assume financial responsibility) and/or obtain a choice in writing for 3 of 3 residents (Residents 4, 72 and 73) reviewed for Beneficiary Notification. The facility's failure to provide an accurate estimate of cost for continuing services placed residents at risk for not having adequate information to make informed financial and care decisions. […]