Tacoma Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Tacoma Nursing and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF600Mar 6, 2024

  Based on interviews and record review, the facility failed to implement their Abuse, Neglect, and Exploitation policy and procedures and to act timely to ensure residents were free from sexual abuse and mistreatment for 3 of 5 sampled residents (Resident 1, 2 & 3) reviewed for abuse. This caused harm to Resident 1 when they experienced being inappropriately touched in a sexual manner without their consent. This failure placed residents at risk for sexual and physical abuse, psychological harm, feeling uncomfortable and a diminished quality of life. Findings included . Review of the facility's policy entitled, Abuse, Neglect and Exploitation, undated, defined sexual abuse as any type of non-consensual sexual contact with a resident. […]

• No harm, potential for more than minimal, widespreadF803Jun 22, 2026

  Based on observation, interview, and record review, the facility failed to use measured spoons when serving and provide foods listed on the menu for 2 of 2 sampled days (06/17/2026 and 06/22/2026) reviewed for kitchen. This failure placed residents at risk of receiving reduced portions, receiving inadequate nutrition, avoidable weight loss, and a diminished quality of life. Findings included.Observation on 06/17/2026 at 11:33 AM showed Staff M, Dietary Manager, was serving rice with a gray handled scoop, vegetable medley with a green handled scoop, and carrots (the alternative to the vegetable medley) with an unmeasured silver slotted spoon. Review of the menu for 06/17/2026 lunch showed a half cup of vegetable medley, a half cup of rice, and did not show carrots included as an alternate. […]

• No harm, potential for more than minimal, widespreadF812Jun 22, 2026

  Based on observation and interview, the facility failed to ensure food was safely stored and prepared and dishes were sanitarily washed when reviewed for kitchen. This failure placed residents at risk of consuming contaminated foods, foodborne illness, a decline in condition, and a diminished quality of life. Findings included.Observation on 06/16/2026 at 8:57 AM showed the dry storage area had a canned food rack with one dented can of mandarin oranges and two dented cans of apples. Observation on 06/16/2026 at 9:01 AM showed the kitchen handwashing sink had a trash can with a lid that was not operatable via foot. Observation showed the lid needed to be lifted by hand to dispose of used paper towels. […]

• No harm, potential for more than minimal, widespreadF812Mar 3, 2023

  Based on observation and interview, the facility failed to prepare, distribute, and serve food in accordance with professional standards for food service safety. This failure placed residents at risk of foodborne illness and a deminished quality of life. Findings included . Observation on 02/26/2023 at 9:23 AM showed a box of frozen meat opened with the meat in a plastic bag set inside a metal tray sitting near the facility stove thawing. Further observation showed two mobile phones placed on the tray line with one attached to a charging cable. Observation showed Staff Y, Kitchen Staff, unloaded clean cups from a dishwashing rack and a cup fell to the floor. […]

• No harm, potential for more than minimal, widespreadF880Mar 3, 2023

  Based on interview and record review, the facility failed to ensure staff followed current infection control guidelines related to the cleaning and disinfecting of the facility's laundry from 12/12/2022 to 01/11/2023 (disruption of laundry service due to an inoperable washing machine) and from 02/08/2023 to 02/21/2023 (lack of facility hot water). These failures placed all residents at risk of illnesses for linen to be placed in contact with potentially contaminated surfaces and to ensure that proper (hot fill cycle) temperature range were being met during the washing process. […]