Olympia Convalescent Hospital

In the surveyor’s words

From the most serious findings on record at Olympia Convalescent Hospital, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Apr 24, 2026

  Based on observation, interview, and record review, the facility failed to provide adequate supervision and implement effective interventions to prevent elopement (when a resident leaves the facility grounds or a designated safe area without the staff knowing and/or without the supervision the resident needs) for one of three sampled residents (Resident 1) who was assessed at risk for wandering (walking around without a clear purpose) and elopement by failing to: 1. Accurately assess and identify elopement risk. The facility's Wandering & Elopement assessment dated [DATE] indicated a Low Probable Risk even though Resident 1 demonstrated repeated exit seeking, wandering, and attempts to elope on [DATE]. […]

• Actual harm, isolatedF689Aug 11, 2025

  Based on observation, interview, and record review the facility failed to provide care and services to prevent an avoidable accident from occurring for one of three sampled residents (Resident 1) by failing to: 1. Ensure Restorative Nursing Assistant 1 (RNA 1-nursing aide program that helps residents maintain their function and joint mobility) implemented the Activities of Daily Living (ADL- include eating, dressing, getting into or out of a bed or chair) Care Plan to transfer Resident 1 from a shower chair (is an assistive device designed to help people who have limited mobility or physical strength when bathing) to the bed using a Hoyer lift (a mechanical device used to safely transfer individuals with limited mobility) on 7/26/2025 between 8 am to 9 am. 2. […]

• Actual harm, isolatedF689Jul 29, 2021

  Based on observation, interview and record review, the facility failed to identify and evaluate accident risks and provide a safe environment to prevent accidents for one of four sampled residents (Resident 4). Resident 4, who was diagnosed with dementia (a loss of mental ability severe enough to interfere with normal activities of daily living), was a high fall risk, and cognition was severely impaired, the facility failed to: 1. Notify the physician of Resident 4's behavior of crawling out of bed as indicated in the resident's care plan for [MEDICATION(S)] (anti-psychotic medication) 2. Ensure the resident's call light was within reach as indicated in the resident's fall care plan. 3. […]

• No harm, potential for more than minimal, widespreadF812Jul 30, 2026

  Based on observation, interview, and record review, the facility failed to ensure the food preparation equipment in the kitchen was clean when one of one ice machines (Ice Machine 1) had yellowish-brown debris on the interior of the ice storage compartment according to the facility's policy and procedures (P&P) titled, Cleaning Schedule, last reviewed 1/1/2026 and the Food and Drug Administration's (FDA) Food Code, dated 2022. This failure had the potential to cause foodborne illness in 120 out of 121 residents who receive and consume food prepared from the facility kitchen. Findings: During a concurrent observation and interview on 7/27/2026 at 7:50 AM with the Dietary Services Supervisor (DSS) in the kitchen, the interior of Ice Machine 1 was inspected. […]

• No harm, potential for more than minimal, widespreadF880Jul 30, 2026

  Based on observation, interview, and record review, the facility failed to ensure two of two staffs (Housekeeping Supervisor - [HKS] and the Environmental Supervisor - [EVS]) understood the correct water temperatures and drying temperatures when washing and drying linen for residents in the facility according to the facility's policy and procedures (P&P) titled, Laundry - Sorting, Washing & Drying, last reviewed 1/1/2026, California Code of Regulations Title 22 Section 71629 - Laundry Service (CCR), undated, and the manufacturer's guidelines titled, Washer-Extractor Pocket Hardmount, dated December 2005. […]