Lynnwood Post Acute Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Lynnwood Post Acute Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF607Oct 26, 2022

  Based on interview and record review, the facility failed to implement written abuse and neglect policies and procedures related to the required resident protection, abuse reporting and investigation for 2 of 3 residents (Residents 1 and 2) reviewed for abuse and neglect. These failures caused harm to Resident 1 who experienced potential on-going abuse/neglect of care that resulted in psychosocial harm in the form of fear, embarrassment and change in mood. The facility's failure to address and investigate allegations of abuse and neglect placed the residents at risk for harm and a diminished quality of life. […]

• Actual harm, isolatedF684Oct 26, 2022

  Based on interview and record review, the facility failed to comprehensively assess, adequately monitor, and follow professional standards of practice for 1 of 3 residents (Resident 1) reviewed for change in condition and medication administration. Additionally, the facility failed to follow written physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . These failures caused harm to Resident 1 who experienced potentially serious Adverse Side Effects (ASEs) from opioid/narcotic overdose who was found unresponsive and not breathing at the facility. Findings included . According to the United States Food and Drug Administration (FDA), Respiratory depression is the chief hazard from [MEDICATION(S)]. […]

• Actual harm, isolatedF600Jul 14, 2022

  Based on interview and record review, the facility failed to ensure 1 of 3 residents (Resident 1) reviewed for abuse and neglect was free from sexual abuse. The facility failed to prevent and/or protect the resident from another resident's (Resident 2) unwanted sexual advances. As a result of this failure, Resident 1 experienced psychosocial harm including difficulty and/or trouble sleeping, increased agitation and anxiety, statements of wanting to die, feeling helpless, restlessness, and with an increased episodes of paranoia (an intense, irrational, persistent instinct or thought process of fearful feelings). […]

• No harm, potential for more than minimal, widespreadF732Jul 22, 2024

  Based on observation, interview, and record review, the facility failed to ensure the daily nurse staffing form was accurately completed for the number of staff worked, actual hours worked and included the census for 30 of 30 days, reviewed for posted nurse staffing information. The failure to post a complete and accurate form daily placed the residents, family members and visitors, at risk of not being fully informed of the current staffing levels. Findings included . Observation on 07/15/2024 at 9:32 AM, showed that the Daily Nursing Staffing Information posting did not include the census and the actual hours worked. […]

• No harm, potential for more than minimal, widespreadF835Oct 26, 2022

  Based on interview and record review, the facility Administration failed to effectively manage the facility in compliance with state and federal regulatory requirements. The facility Administration failed to ensure compliance and implementation of written policies and procedures and provide adequate oversight to facility staff related to Abuse and Neglect. These failures placed all 57 residents of the facility at risk for harm related to potential ongoing abuse and/or neglect. […]