Washington Senior Living

In the surveyor’s words

From the most serious findings on record at Washington Senior Living, in the surveyor’s own words.

• Immediate jeopardy, patternF760Apr 27, 2023

  Based on record review and interview the facility failed to properly prepare and administer medications to prevent a significant medication error for one resident (R3) and failed to prepare medications properly for three residents (R5, R6, and R8) of four residents reviewed for medication administration in a total sample of four. These failures resulted in R3 receiving the wrong medication and being hospitalized for low blood pressure and cardiac monitoring. These failures resulted in an immediate Jeopardy. While the immediacy was removed on 4/26/23. The facility remains out of compliance at severity level 2 while the Facility continues to educate the nursing staff on proper medication preparation and administration and conduct audits to ensure continued compliance. […]

• Immediate jeopardy, patternF880Oct 4, 2021

  Based on interview, observation and record review, the facility failed to provide dedicated staff to care for COVID positive residents, ensure COVID positive residents were not cohorted with Non-COVID (negative) residents, ensure proper room placement to prevent non-COVID (negative) residents from being housed between residents currently in quarantine precautions and residents currently COVID positive, perform hand hygiene throughout cares, and sanitize a blood glucose monitor after use. These failures have the potential to affect all 34 residents (R1 - R34) residing in the facility's southeast and southwest hallways. […]

• Immediate jeopardy, isolatedF600Sep 25, 2024

  Based on observation, interview, and record review, the facility failed to protect a resident (R2) from sexual abuse by another resident (R1) and failed to ensure a resident (R4) was free from physical abuse by another resident (R3) with a known history of verbal and physical aggression for two of four residents reviewed for abuse in a sample of six. This failure resulted in R3 verbally yelling and physically slamming his door on R4's hand. R4 sustained bleeding lacerations and fractures to three fingers on R4's right hand which required hospitalization evaluation where 12 sutures were placed to R4's fingers; further surgical intervention is pending. These failures have the potential to affect R4 and other dementia residents residing in the facility. […]

• Immediate jeopardy, isolatedF689Jun 6, 2023

  Based on observation, interview, and record review the facility failed to provide adequate supervision, failed to ensure exit door alarms were answered immediately by staff, failed to develop and implement a monitoring schedule as directed by the facility's policy for a known wandering resident, failed to ensure staff were aware of residents they were responsible for monitoring and providing care for one of three residents (R1) reviewed for elopement risk in the sample of three. […]

• Immediate jeopardy, isolatedF689Jan 30, 2023

  Based on observation, interview and record review the facility failed to ensure exit doors were secure and the door alarm system was in working order, failed to properly assess residents at risk for elopement, failed to develop a care plan and implement interventions for residents at risk for wandering/elopement, failed to follow facility elopement policies, and failed to provide adequate supervision for three of three residents (R4, R8, R9) reviewed for elopement risk in the sample of nine. […]