Olympic View Post Acute

In the surveyor’s words

From the most serious findings on record at Olympic View Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 16, 2026

  Based on observation, interview, and record review, the facility failed to ensure the hot water used for beverage(s) were at a safe temperature for 1 of 3 residents (Resident 1) reviewed for accidents hazards. Resident 1 experienced harm when staff served them hot water directly from the dispensing machine without checking the temperature; the hot water spilled on the resident that resulted in a burn with blistering to the midline of their abdomen with reported pain and required wound care. This failure placed residents at risk for serious injury related to scalding and burns. Findings included . Consumer product safety commission publication 5098, undated, documented, Most adults will suffer third-degree burns if exposed to 150-degree [Fahrenheit F] water for two seconds. […]

• Actual harm, isolatedF684Jan 21, 2026

  Based on observation, interview, and record review the facility failed to ensure residents received necessary nursing assessment, monitoring, and/or care when licensed nursing staff were not actively involved in the assessment or management of residents' wounds and a change in condition and unlicensed medication or nurse technicians performed wound care and assessments without nursing oversight, resulting in complications and hospitalizations for 2 of 2 residents (Resident 1 and Resident 2) reviewed for care and services. […]

• Actual harm, isolatedF690Aug 1, 2025

  .Based on observation, interview, and record review, the facility failed to provide the appropriate care and services for 2 of 3 residents (Resident 1 and Resident 2) reviewed for indwelling catheter (a flexible tube inserted into the bladder to drain urine) care and maintenance. Resident 1 experienced harm when their indwelling suprapubic urinary catheter was not changed monthly as ordered and required hospitalization due to catheter related complications. This failure placed residents with indwelling catheters at risk of medical complications. […]

• Actual harm, isolatedF689Dec 15, 2023

  Based on interview and record review the facility failed to intervene timely and/or provide necessary supervision during a resident-to-resident altercation for 2 of 3 residents (Resident 1 & 2) reviewed for accidents and supervision with known histories of agitation and inappropriate behaviors. Resident 1 experienced harm when they developed a subdural hematoma (blood pooling on surface of the brain) during the altercation. The failure to provide adequate interventions and supervision during resident altercations placed all resident at risk for potential injuries or harm. […]

• Actual harm, isolatedF686Dec 4, 2023

  Based on interview and record review, the facility failed to identify, assess, and monitor a pressure ulcer (PU - an injury to skin and underlying tissue resulting from prolonged pressure on the skin) and to implement orders timely to prevent the PU from deterioration and infection for 1 of 3 sampled residents (1), reviewed for PUs. Resident 1 experienced harm when the facility did not identify, monitor, or implement orders to care for a PU resulting in the resident developing septic shock (a potentially fatal condition when organs fail as a result of an infection) and a Stage 3 PU (full thickness loss of skin exposing subcutaneous tissue). This failure placed residents at risk for wound infection, delayed healing, increased pain, and a decreased quality of life. Findings included . […]