Washington State Walla Walla Veterans Home

In the surveyor’s words

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

• Actual harm, isolatedF689Feb 27, 2026

  Based on observation, interview, and record review the facility failed to identify hazards and risks to ensure the resident's environment remained free of accident hazards for 1 of 3 residents (Resident 80) reviewed for hospitalization. The failure to consistently complete a thorough safety assessment of Resident 80's environment with the use of their powered wheelchair (w/c) caused Resident 80 to experience harm when they drove their powered w/c off a curb and sustained an injury that required hospital and surgical intervention. Findings included . […]

• Actual harm, isolatedF697Dec 7, 2022

  Based on interviews and record review the facility failed to ensure staff provided adequate pain management in a timely manner for 1 of 3 residents (Resident 1) who expressed a need for narcotic pain medication and did not receive it. Failure to provide narcotic pain medication resulted in harm to Resident 1 due to pain and emotional distress. Findings included . Resident 1. Review of the resident's medical record showed they were admitted to the facility with diagnoses which included cancerous tumor of the left kidney. […]

• No harm, potential for more than minimal, widespreadF886Feb 14, 2023

  Based on interviews and record review the facility failed to perform testing for COVID-19 (infectious disease by a new virus causing respiratory illness with symptoms including cough, fever, new or worsening malaise, headache, or new dizziness, nausea, vomiting, diarrhea, loss of taste or smell, and in severe cases difficulty breathing that could result in severe impairment or death) per federal guidelines for 7 of 7 staff (Staff A, B, C, D, E, F, G) during a COVID-19 outbreak (a single new case of COVID-19 among residents or staff). […]

• No harm, potential for more than minimal, widespreadF756Oct 27, 2022

  Based on interview and record review the facility failed to ensure each resident's drug regimen was reviewed at least once a month by a licensed pharmacist for five of five residents (52, 22, 6 39 and 40), reviewed for pharmacy services. This failure placed the residents at risk of adverse drug events and unmet care needs. Findings included . Review of the facility's policy titled Medication Regimen Review Timelines, dated 09/11/2018, showed Once a month, a pharmacist will conduct a medication regimen review including a review of the complete chart for each resident. Resident 52. […]

• No harm, potential for more than minimal, widespreadF812Oct 27, 2022

  Based on observation, interview and record review, the facility failed to ensure food was served at the proper temperature, the dish machine was sanitized at the appropriate temperature, thermometers were sanitized properly between food items, and hand washing was conducted in accordance with proper sanitization practices for six of six houses. This had the potential to effect all 57 residents and placed them at risk of foodborne illnesses. Findings included . Review of the facility's policy titled Food Handling and Storage effective date 04/23/2019, showed Chemicals are not to be used around food that is being prepared. Chemicals in the kitchens will be stored in locked cabinets under the sinks, separate from where food is being stored . […]