Transitional Care Of Seattle

In the surveyor’s words

From the most serious findings on record at Transitional Care Of Seattle, in the surveyor’s own words.

• Immediate jeopardy, patternF756Jun 28, 2021

  Based on interview and record review, the facility failed to address Drug Regimen Review (DRR) recommendations for 2 (April and May 2021) of 2 months reviewed. The facility's failure to ensure the DRR recommendations for Resident 1's blood thinning medication was provided to and reviewed by the physician, resulted in Resident 1 suffering a debilitating stroke that left Resident 1 unable to articulate words, formulate ideas, and understand the spoken word. In addition, Resident 1 suffered numbness, tingling, and weakened legs. This failure placed all other residents at risk for harm, related to inappropriate medication dosages, inappropriate drug administration, and/or lack of clinical and/or laboratory monitoring. […]

• Actual harm, isolatedF689May 31, 2024

  Based on observation, interview, and record review, the facility failed to identify the risk of hot liquids, adequately supervise, and initiate interventions for the safe use of hot liquids for a resident who required staff assistance for 1 of 1 residents (Resident 1), reviewed for accidents. Resident 1 experienced harm when they sustained a burn to their left lower lip. Findings included . Review of the facility Microwave Reheating Guidelines dated October 2017 showed foods and fluids heated in the microwave were served to residents at safe temperatures. Safety steps listed included temperature is taken prior to service to the resident. Hot beverages and hot foods are served to residents at less than or equal to 150 degrees Fahrenheit. […]

• Actual harm, isolatedF689Jun 15, 2023

  Based on observation, interview, and record review, the facility failed to provide sufficient supervision by ensuring. resident rooms were free from unapproved hazardous electrical appliances and equipment for 5 of 77 residents (Residents 1, 2, 3, 7, and 8). This failed practice caused harm to Resident 1 who spilled hot water from an electric kettle, experienced a burn their right foot, and placed all residents at risk for potential injury. Findings included . Review of the facility's Resident Handbook, revised June 2020, showed that some items, such as electrical appliances and equipment, are potential fire hazards and must be approved by the center prior to use. […]

• Actual harm, isolatedF692Sep 30, 2022

  Based on observation, interview, and record review, the facility failed to ensure 4 (Residents 1, 2, 3 & 4 ) of 4 residents reviewed for hydration, maintained acceptable parameters of hydration status or were adequately monitored for hydration status. Failure to ensure accurate intakes were documented, accurately monitor fluid intake, and notify physicians of changes, placed the residents at risk for fluid imbalance, medical complications [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings included . […]

• Actual harm, isolatedF686Jun 17, 2022

  Based on observation, interview and record review the facility failed to ensure 1 of 4 (Residents 1) residents reviewed for pressure ulcers, received the necessary treatment and services consistent with professional standards of practice and/or had appropriate and timely interventions in place based on individual risks, to promote healing of existing pressure injuries and prevent new pressure injuries from developing. These failures contributed to Resident 1 experiencing discomfort and a pressure ulcer and placed residents at risk of extended healing time, and development of additional pressure ulcers/skin issues. […]