Washington Rehabilitation and Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF804Dec 1, 2022

  Based on observation, resident interviews, staff interviews and record review, the facility failed to provide a palatable diet that took resident preferences and feedback into consideration for 9 of 20 residents sampled who consume meals from the facility (#s 6, 7, 8, 10, 27, 34, 55, 66, and 109). The findings include: On 11/28/22 at approximately 12:01 PM, an interview was conducted with Resident #7 who stated, the food is horrible. An observation was made of the resident eating beans and macaroni and cheese from a plastic container. Resident #7 revealed her family brings food to her because the food at the facility is so horrible. […]

• No harm, potential for more than minimal, isolatedF609Nov 25, 2025

  Based on record reviews and interviews, the facility failed to ensure allegations of neglect were reported timely for 2 of 2 sampled residents. (Residents #3 and #8) The findings include:Resident #8 On 11/24/25, a record review was conducted for Resident #8. The review revealed the resident sustained a fracture of the right knee during a 1 person assist transfer from their bed to a wheelchair. On 11/24/25 at 11:00 AM, an interview was conducted with Staff B, a licensed practical nurse (LPN), who performed the transfer. The LPN stated he broke protocol when getting the resident up for a medical appointment. He stated that the resident needs a mechanical lift for all transfers but the lift could not be found, so he asked the resident if she could pivot and she agreed. […]

• No harm, potential for more than minimal, isolatedF880Jun 19, 2025

  Resident #116 An observation of Resident #116 was conducted on 6/16/25 at 1:18 PM. Contact precautions signage was observed to be on the resident's room door. (Photographic evidence was obtained.) The signage instructed everyone to clean their hands before entering the room, and providers and staff to put on gown and gloves before entering the room. Employee A (Laundry Aide) was observed to enter the room and deliver Resident #116's laundry. Employee A did not apply a gown or gloves prior to entering the room. Employee A was observed to touch Resident #116's bare hand with her bare hand and then left the room. An interview was conducted with Employee A on 6/16/25 at 2:30 PM. She stated she recalled touching Resident #116's hand when she delivered her laundry. […]

• No harm, potential for more than minimal, isolatedF656Mar 7, 2024

  Based on interviews and record review, the facility failed to implement the care plan for 1 of 3 residents sampled for wound care. (Resident #308) The findings include: On 3/5/24 at 8:35 AM, an interview was conducted with Resident # 308's representative. During the telephone interview, she indicated Resident #308's wound care treatments were not being done. A review of Resident # 308's record was conducted. The record revealed that Resident #308 was discharged from the facility on 2/16/24 and could not be observed or interviewed. […]

• No harm, potential for more than minimal, isolatedF552Dec 1, 2022

  Based on observation, interview, and record review the facility failed to offer adequate language assistance to residents who have limited English proficiency for 1 of 1 resident sampled for communication (#61). The findings include: On 11/28/22 at approximately 1:17 PM, a family interview was conducted with the family of residents #61. During the interview the family member explained that her mother does not speak English and the facility does not provide adequate language assistance when it comes to interpretation. On 11/30/ 22 at approximately 8:20 AM, Staff F Certified Nursing Assistant (CNA) and Staff G, CNA were observed as they assisted Resident #61 with turning and repositioning in the bed. The two staff members did not verbally interact with Resident #61 before or during care. […]