Life Care Center of Puyallup

In the surveyor’s words

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

• Actual harm, isolatedF686Apr 10, 2026

  Based on observations, interviews, and record review, the facility failed to provide the necessary treatment and services consistent with professional standards of practice to prevent the development and/or promote healing of PU/PI (Pressure Ulcers/Pressure Injuries) for 4 of 5 Residents (Residents 11, 128, 13, and 134) reviewed for PU/PIs. Resident 11, who was identified to be at risk for developing PU/PI, experienced harm when they developed an avoidable right heel Stage II (partial-thickness skin injury that breaks through the epidermis and exposes the dermis) that worsened to an unstageable (a full-thickness wound whose depth cannot be determined because it is covered by obstructive material) PU/PI and pain after admission to the facility, when the facility failed to… […]

• Actual harm, isolatedF760Jan 18, 2023

  Based on interview and record review, the facility failed to ensure 1 of 3 residents (Resident 1) reviewed for anticoagulant (anticlotting) therapy was free of significant medication error. This failure resulted in harm to Resident 1 who was symptomatic with severe unrelieved chest pain that required emergent transfer to the hospital and hospitalization for myocardial infarction (heart attack). Findings included . According to the American Heart Association's article titled A Patient's Guide to Taking Warfarin, dated 11/17/2022, Warfarin (brand name Coumadin) is a prescription medication used to prevent harmful blood clots from forming or growing larger .Harmful blood clots can cause a heart attack, stroke, deep vein thrombosis (DVT, blood clot in a deep vein) or pulmonary embolism (PE,… […]

• Actual harm, isolatedF684Jul 14, 2022

  Based on interview and record review, the facility failed to ensure necessary care and services were provided following a fall incident for 1 of 4 residents (Resident 1) reviewed for injury of unknown origin and falls. This failure resulted in delayed identification of a significant injury, delayed treatment, hospitalization , inability of the resident to maximize participation in therapy and a diminished quality of life. Findings included . Refer to F658 and F689 for additional information Review of the facility's policy and procedures titled, Incident and Reportable Event Management, revised 06/17/2022, showed that if an event occurs, the facility will determine what happened, provide care and document the injury, conduct an interview, investigate why the event occurred, and evaluate… […]

• No harm, potential for more than minimal, widespreadF880Oct 10, 2022

  Based on interview and record review, the facility failed to implement an Infection Prevention and Control Program and ensure the collection of infection data, document analysis of infection control data, identify trends of infections and complete follow-up activities in response to trends for five of six months (May, June, July, August, and September of 2022) reviewed for infection control. These failures placed residents at risk for healthcare acquired infections, related complications, and a decreased quality of life. Findings included . […]

• No harm, potential for more than minimal, widespreadF881Oct 10, 2022

  Based on interview and record review, the facility failed to implement an effective Antibiotic Stewardship Program, to promote appropriate use of antibiotics, reduce the risk of unnecessary antibiotic use and decrease the development of antibiotic resistance for one of five residents (Resident 7) reviewed. This failure placed residents at risk for potential adverse outcomes associated with the inappropriate and/or unnecessary use of antibiotics. Findings included . Record review of the facility policy titled Antibiotic Stewardship showed that it was the policy of the facility to maintain an Antibiotic Stewardship Program (ASP). […]