Aegis of Queen Anne at Rodgers Park

This follow-up inspection found the facility had successfully corrected all 30 previously cited deficiencies from October 2024. The original violations included moderate medication administration errors, incomplete resident assessments, inadequate pain monitoring, lack of proper delegation documentation for wound care, inconsistent food safety practices, and failure to secure hazardous chemicals. The facility conducted corrective actions across all areas including medication management systems, assessment protocols, staff training, and safety procedures, resulting in full compliance at the follow-up inspection on 12/16/2024.

The September 2024 inspection identified 11 fire safety and building code violations including blocked fire exits, improperly maintained fire suppression systems, missing safety documentation, and fire door malfunctions. While these violations represent serious compliance failures affecting fire safety systems, none posed immediate life-threatening conditions. The facility responded appropriately by correcting all violations within three months, as confirmed by the December 2024 follow-up inspection showing full compliance and approval status restored.

The document appears to be only a state seal header from Washington without any actual inspection report content or findings. No violations or deficiencies are documented in the provided material. As no inspection findings are present, this cannot be assessed as a meaningful compliance review. A baseline good operational score is assigned in the absence of any documented issues requiring corrective action.

A caregiver instructed a resident to remain incontinent in their brief for 34 minutes while busy with dining room duties, demonstrating neglectful care and dignity violations. Investigation revealed the caregiver lacked required 70-hour Basic Long Term Care training, representing a systemic failure in staff qualification verification. The facility conducted a thorough investigation, substantiated the allegations, terminated the employee, and provided facility-wide staff training, though the initial hiring of an unqualified caregiver indicates gaps in screening processes.

The facility failed to document required medication refill attempts per policy when a resident's patch medication ran out on 07/22/2024, with documented communications not occurring until 07/27-07/30/2024. While the facility stated multiple contact attempts were made, they could not provide documentation of the required attempts at 7, 5, 3, and 1 day intervals before medication depletion. The facility's response was partially adequate as no harm occurred and systems were generally in place, but documentation failures and delayed follow-up indicate gaps in medication management processes. A consult was issued for record-keeping under WAC 388-78A-2410, and no citation was written as no failed practice was ultimately identified despite the documentation deficiencies and COVID outbreak context involving 12 memory care residents.

A resident developed a severe unstageable pressure ulcer (7cm x 5cm) with bone-deep infection, abscess, and necrosis over 10 days without proper nursing assessment, physician notification, or medical treatment beyond barrier cream, ultimately requiring hospitalization where the resident died. The facility failed to monitor the wound after initially documenting it as "healed," allowed unlicensed medication technicians to perform nursing assessments, never obtained wound care orders, and did not communicate the worsening condition to the physician or family from 12/19/23 until hospitalization on 1/10/24. Following the investigation, the facility implemented corrective actions including staff retraining on nursing scope of practice, change-of-condition protocols, and communication procedures, with all deficiencies verified as corrected by the 5/8/24 follow-up inspection. The facility's response included policy updates and monitoring systems, though the initial failures represented severe breakdowns in fundamental wound care and communication protocols.

A resident developed a large, infected unstageable pressure wound due to the facility's failure to identify, monitor, evaluate, and respond to changes in skin condition after December 21, 2023. The facility failed to implement its own skin management policies, did not report the pressure ulcer recurrence to the physician or resident representative, and provided no nursing care or medical treatments as the wound progressed. The facility's response was inadequate, resulting in $3,000 in civil fines for systemic failures in resident monitoring and care protocols.

The facility failed to ensure staff completed required CPR training and two-step tuberculosis skin testing, placing 97 residents at risk of improper emergency care and communicable disease exposure. These violations were previously cited on January 27, 2023, and remained uncorrected at the March 30, 2023 follow-up visit, resulting in $600 in civil fines. The facility's failure to correct previously identified deficiencies demonstrates inadequate response and systemic compliance issues with mandatory staff health and safety training requirements. The repeat nature of these violations indicates insufficient corrective action following the initial citation, though the violations themselves are procedural rather than involving actual resident harm.