Spokane Veterans Home

In the surveyor’s words

From the most serious findings on record at Spokane Veterans Home, in the surveyor’s own words.

• Actual harm, isolatedF760Dec 8, 2022

  Based on observation, interview, and record review, the facility failed to ensure 1 of 8 sampled residents (Resident 1) reviewed for medication administration received a provider ordered increased dose of their diuretic medication (rids the body of excess fluid). This resulted in harm as Resident 1's edema increased during the time they missed the ordered increase in medication and may have contributed to the need for emergency care due to complications from heart disease. Resident 1 developed increased lower leg edema (swelling), skin breakdown of their right calf, and increased shortness of breath, requiring further evaluation in the emergency department. […]

• Actual harm, isolatedF686Jun 21, 2021

  Based on observation, interview, and record review, the facility failed to prevent the development of a pressure ulcer/injury (areas of skin injury from prolonged pressure) for 1 of 3 sample residents (Resident 2), reviewed for pressure ulcers. This failure resulted in actual harm to Resident 2, who developed preventable pressure ulcers, due to not having preventative measures in place. Findings included . Per the 03/30/2021 admission assessment, Resident 2 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The assessment showed the resident had memory impairments, difficulty making needs known, required extensive assistance with bed mobility, was at risk for developing pressure ulcers, and had no pressure ulcers on admission. […]

• Actual harm, isolatedF688Jun 21, 2021

  Based on observation, interview, and record review, the facility failed to ensure that appropriate and timely services were provided to prevent a further decrease in range of motion (ROM) for 1 of 3 sample residents (2), reviewed for range of motion. This failure resulted in actual harm to Resident 2, who had a significant decline in range of motion to the lower extremities and a contracture to the right knee (a restriction of motion, in which the ability to extend, or straighten the knee all of the way is lost. The inability to extend the knee may result in many symptoms to include pain, swelling, and weakness). In addition, the facility failed to provide timely services in order to maintain the level of function the resident had upon admission. […]

• No harm, potential for more than minimal, patternF584Mar 25, 2025

  Based on observation, interview, and record review, the facility failed to maintain a clean, comfortable, safe and homelike environment for 3 of 4 sampled residents (Resident 92, 58 and 35), reviewed for environment. Specifically, Resident 92's wall in their room was in disrepair and had a screw that protruded out of the wall, and Resident 58 and 32's walls were in disrepair. These failures placed all residents at risk for avoidable injuries and a diminished quality of life. Findings included . <Resident 35> An observation on 03/18/2025 at 9:09 AM showed an approximately 2 feet by 2 feet section of peeled, scraped paint on the wall, right next to the Resident 35's bed. The curved paint scrapes appeared to be from the bed's upper rail scraping the wall, when it was swung up or down. […]

• No harm, potential for more than minimal, patternF657Mar 25, 2025

  Based on observation, interview and record review, the facility failed to ensure residents or their representatives were provided the opportunity to participate in care planning for 2 of 3 sampled residents (Resident 29 and 35) whose medical records were reviewed for care planning. This failure placed the residents at risk for unmet needs and a diminished quality of life. Findings included . A revised 04/2016 facility policy titled Resident/Family Participation - Assessment/Care Plans documented the facility invited each resident and their family members to participate in the development of the resident assessment and care planning conference. […]