Renton Health & Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, patternF678Jun 25, 2024

  Based on observation, interview, and record review, the facility failed to have a system in place that ensured basic life support was initiated immediately, as directed in the facility policy, including Cardio-Pulmonary Resuscitation (CPR - an emergency procedure consisting of chest compressions combined with giving breaths of air) when 2 of 3 residents (Residents 1 & 2) were reviewed for unexpected death in the facility. This failed practice placed 35 additional residents (Residents 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, & 39), who had current physician orders to receive CPR, at serious risk for adverse outcome including death and constituted an Immediate Jeopardy (IJ). […]

• Immediate jeopardy, patternF610Sep 6, 2023

  Based on observation, interview, and record review, the facility failed to identify allegations of abuse, ensure alleged abuse, neglect and/or unexpected deaths were reported, and thoroughly investigated for 8 of 9 residents (Residents 2, 3, 4, 5, 6, 7, 8 & 1) reviewed for abuse. Residents expresed fear of staff, not feeling safe, crying, nervous from the fear and not calling for assistance due to fear of being yelled at or pushed and pulled by staff. Although the facility was aware of these concerns, they were not identified, reported, or investigated as potential allegations of abuse, but were considered grievances. […]

• Actual harm, isolatedF686Aug 27, 2021

  Based on observation, interview, and record review, the facility failed to ensure necessary care and services were provided to prevent the development of avoidable pressure ulcers (PUs) for 1 (Resident 1) of 3 residents reviewed. The facility's failure to timely and accurately assess Resident 1's clinical condition and UP risk factors, precluded staff from identifying, developing and implementing resident specific interventions to prevent the development of PUs. Additionally, the facility failed to notify the Physician of the continued deterioration of Resident 1's UP. […]

• No harm, potential for more than minimal, widespreadF725Sep 6, 2023

  Based on observation, interview, and record review the facility failed to schedule sufficient staff to provide care and services to ensure resident's needs were met on one of three shifts (night shift) reviewed for sufficient staffing. This failure placed resident's at risk for unmet care needs, accidents/injuries, and diminished quality of life. Findings included . Review of the Facility Assessment (FA) revised April 2023, showed 55 residents required 1-2 person assist with transfers, 13 residents were dependant on staff for transfers, 69 residents required 1-2 person assist with toileting, and three residents were dependent on staff to meet toileting needs. According to the FA the facility assessed the facility to require four nursing assistants on night shift for a census of 85. […]

• No harm, potential for more than minimal, widespreadF835Sep 6, 2023

  Based on interview, and record review, the facility failed to ensure the facility was administered in a manner that used its resources effectively and efficiently so residents could attain or maintain their highest practical physical, mental, and psychosocial well-being and to ensure the facility maintained substantial compliance with state and federal regulations. The Administration failed to provide administrative oversight and monitoring of facility personnel, systems, practices, and policies related to Abuse/Neglect; to provide sufficiently trained and supervised nursing staff to meet resident needs; and failed to ensure staff were trained on facility identified training and required mandatory training, including, but not limited to Abuse, Neglect, and Exploitation. […]