Olympia Transitional Care and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Olympia Transitional Care and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF689May 22, 2024

  Based on observations, interviews, and record review the facility failed to ensure residents were free from avoidable accidents for 1 of 3 residents (Resident 1) reviewed for Activities of Daily Living (ADLs-such as bed mobility, toileting, eating, and transferring) and accidents. This failure placed residents at risk for injury and diminished quality of care. Resident 1 experienced harm when facility staff did not follow resident's individualized care plan (CP) and use two people for bed mobility during incontinence care, resulting in a fall from the bed and a broken leg. […]

• No harm, potential for more than minimal, widespreadF623Sep 15, 2021

  Based on interview and record review, the facility failed to provide written notice of transfer to the resident and/or the resident's representative(s) describing the reason for transfer and appeals process for 3 of 3 sampled residents (83, 70 & 54) reviewed for hospitalization . This failure placed residents at risk of not being informed of their condition, unmet care needs and a diminished quality of life. Findings included . 1) Resident 83 was admitted to the facility on [DATE] with multiple diagnoses. […]

• No harm, potential for more than minimal, widespreadF732Sep 15, 2021

  Based on observation, interview and record review, the facility failed to ensure nursing hours were accurately posted and updated for each shift for 42 of 42 shifts reviewed for nurse staff posting. This failure placed residents, the residents' representative, and visitors at risk of not being fully informed of the current staffing levels and census information. Findings included . Review of staff postings, from 08/25/2021 to 09/07/2021, documented Licensed staff and scheduled hours that were typed. The actual hours worked by facility staff were filled in with hand-written figures. On 09/15/2021 at 3:54 PM, Staff K, Central Supply Supervisor, said she was responsible for completing the staff postings. Staff K said she would input the actual hours worked the next day. […]

• No harm, potential for more than minimal, widespreadF812Sep 15, 2021

  Based on observation and interview, the facility failed to ensure staff served food in a sanitary manner and failed to maintain a clean and sanitary dish washing area observed during the kitchen review. Failure to perform proper hand hygiene (HH) and to maintain a clean dish rack stand placed residents at risk for cross-contamination and food borne illness. Findings included . On 09/14/2021 at 6:54 AM, Staff Q, Cook, began dishing up hot cereal, not wearing gloves. When Staff Q picked up the cereal bowls to fill them, his left thumb touched the inside surface of the bowls where the resident's food touched. At 6:56 AM, Staff Q left the steam table area and used bare hands to retrieve a cart. Staff Q returned to the steam table area and began to dish up more hot cereal. […]

• No harm, potential for more than minimal, patternF690Aug 13, 2026

  Based on observation, interviews and record reviews, the facility failed comprehensively assess residents bladder status and ensure they received appropriate treatment and services to restore or maintain continence to the extent possible for 4 of 4 residents (1, 3, 4, & 5) reviewed for bladder incontinence. This failure placed residents at an increased risk of urinary tract infections, discomfort, loss of dignity, and decreased quality of life.Findings included.<Resident 1>Resident 1 was admitted to the facility on [DATE] with diagnoses of Parkinson's disease. […]