Rainier Rehabilitation

In the surveyor’s words

From the most serious findings on record at Rainier Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Mar 4, 2022

  Based on observation, interview and record review, the facility failed to ensure the resident environment did not pose a safety risk to residents from water temperatures exceeding 120 degrees Fahrenheit (F- a scale of heat measurement) for 1 of 2 hot water boilers reviewed for environmental concerns. Failure to routinely monitor, record and ensure safe water temperatures in resident rooms and bathrooms placed residents at risk for injury and uncomfortable living conditions. Findings included . Observation in room 320 on 02/24/2022 at 11:25 AM showed the hot water from the bedroom sink after running for two minutes was 121.2 degrees F. Observation in room 327 on 02/24/2022 at 11:27 AM showed the hot water from the bedroom sink after running for two minutes was 120.8 degrees F. […]

• No harm, potential for more than minimal, patternF658Mar 4, 2022

  Based on observation, interview, and record review, the facility failed to ensure services provided met professional standards of practice for six of 28 sampled residents (Residents 26, 5, 20, 44, 136 and 31) reviewed. The facility nurses' failure to follow and/or clarify physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings included . Please refer to F756 for additional information for Resident 136. Review of the facility's pharmacy's policy and procedure titled, 6.0 General Dose Preparation and Medication Administration, revision dated 01/01/2022 showed that prior to administration of medication, facility staff should take all measures required by facility policy and applicable law to include checking for allergies to medications. […]

• No harm, potential for more than minimal, patternF804Mar 4, 2022

  Based on observation, interview, and record review the facility failed to ensure proper consistency and nutritional value was maintained to meet the nutritional needs for four of four residents (Residents 58, 26, 49 and 286) who required their food in a pureed texture. The failure to follow the written recipe did not ensure the proper consistency or flavor of food served, and placed the residents at risk for a diminished dining experience, less than adequate nutritional intake potentially leading to a decreased quality of life. […]

• No harm, potential for more than minimal, patternF812Mar 4, 2022

  Based on observation and interview, the facility failed to ensure multiple food items in the dietary department were properly stored, labeled, and that expired foods were identified and discarded. The facility also failed to ensure sanitary preparation of raw foods to prevent cross-contamination. The failure to properly store, label and prepare foods, including potentially hazardous foods, placed residents at risk for consuming expired/spoiled foods and at risk of exposure to food-borne illnesses. Findings included . CENTRAL KITCHEN STORAGE An observation of food storage in a small freezer on [DATE] at 10:37 AM, showed a chocolate cake and four pie crusts undated. Staff K, Dietary Supervisor (DS), took them and placed dates on the packaging when questioned. […]

• No harm, potential for more than minimal, isolatedF645Aug 12, 2025

  Based on interview and record review, the facility failed to ensure a level I Pre-admission Screening and Resident Review (PASRR, a mental health screening tool) assessment was obtained prior to admission and was completed timely for 1 of 6 sample residents (Residents 49) reviewed for PASRRs or unnecessary medication use. This failure placed the resident at risk for unidentified mental health care needs and a diminished quality of life. Findings included . Review of the facility's policy titled, PASRR screening for Mental Disorder/ Intellectual Disability, dated 01/22/2025 showed, The PASRR, process requires all individuals be screened for possible serious mental disorders or intellectual disabilities and related conditions. […]