Life Care Center of Skagit Valley

In the surveyor’s words

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

• Actual harm, isolatedF686Feb 23, 2026

  Based on observations, interviews, and record reviews, the facility failed to implement measures to prevent development of an avoidable pressure ulcer (PU) and provide ordered treatment for the PU for 1 of 3 residents (Resident 1) reviewed for PU's. Resident 1 experienced harm when they developed an avoidable unstageable PU (a full-thickness skin and tissue loss where the actual depth of the wound is hidden by slough (yellow, tan, gray, green, or brown necrotic tissue) or eschar (tan, brown, or black, hard, necrotic tissue) which caused pain and discomfort. this failure placed residents at risk for skin breakdown, unmet care needs and diminished quality of life. […]

• Actual harm, isolatedF689Aug 22, 2023

  Based on observation, interview and record review, the facility failed to develop and implement an effective policy and procedure related to hot beverages and failed to provide adequate supervision 1 of 1 resident (Resident 52) and failed to ensure a bathing area with chemicals and sharp razors was locked for 1 of 3 bathing areas (Tulip Shower Room) reviewed for avoidable accidents and supervision. These failures caused harm and injury to Resident 52 who sustained a second-degree burn from an airpot [NAME] (a portable vacuum insulated thermos dispenser for hot beverages) in the dining room and placed other residents at risk for injury related to hot beverages left in unsupervised airpot flasks in the dining rooms and had unlocked bathing areas accessible to residents with hazardous… […]

• Actual harm, isolatedF692Aug 22, 2023

  Based on observation, interview, and record review, the facility failed to implement preventative measures identified weight loss, offer alternative meals when a resident ate less than 50% of their meal, supervision with meals, and evaluate the effectiveness of weight loss interventions to determine if addition interventions were needed for 1 of 4 residents (Resident 56) reviewed for nutritional needs. These failures caused harm to Resident 56 who experienced a 12.2% severe weight loss in 4 months and placed the resident at risk for additional weight loss and a decline in their nutritional status. Findings included . […]

• Actual harm, isolatedF689Mar 28, 2023

  Based on observation, interview, and record review, the facility failed to ensure staff used safe technique for bed mobility for 3 of 3 residents (Resident 1, 4 and 12) reviewed for accidents and supervision who utilized a bariatric bed. This failure caused harm to Resident 1 who was being turned in bed by one staff member, rolled off bed on the unsupervised side, sustained a subdural hematoma (pool of blood between the brain and it's outermost covering), tension pneumothorax (collapsed lung), scalp laceration, and subsequently expired. This failure additionally placed other residents at risk for potential harm and injury. […]

• Actual harm, isolatedF563Jul 6, 2021

  Based on interviews and record review, the facility failed to protect one of three residents' (Resident 1) visitation rights under the state Safe Start Plan for long term care facilities. Additionally, the facility failed to ensure staff were consistent with knowledge, interpretation, and/or adherence to the facility visitation policy. This failed practice resulted in harm as Resident 1 died alone, with no visits from family or loved ones during her stay at the facility. Findings included . […]