Fred Lind Manor

The facility failed to create a service plan with interventions to monitor a resident's new medical device, resulting in a moderate violation of care planning requirements. The resident also required increased supervision due to suicidal ideation, though physician-ordered 1:1 supervision was declined by POA. The facility responded appropriately by implementing safety checks every 30 minutes to 4 hours, notifying the physician about increased anxiety, ensuring medication orders were followed, and maintaining communication with family members. The resident reported satisfaction with care and had no active plans for self-harm at time of investigation.

The facility failed to include catheter care monitoring in a resident's Negotiated Service Agreement, creating risk of infection and health complications. This is a recurring deficiency previously cited twice in 2023, indicating a pattern of non-compliance with care planning requirements. The facility has opportunity to submit a corrective action plan within 10 days, but the recurrence suggests inadequate systemic controls. A $300 civil fine was imposed for this violation.

The facility had three uncorrected repeat deficiencies from a previous August 2024 citation: missing signatures on service plans for 7 residents, hot water temperatures exceeding safe limits (risking scalding for all 44 residents), and lack of dietician-approved menus. The facility's response was inadequate, as evidenced by the repeat violations remaining uncorrected after the initial citation, resulting in $1,100 in civil fines and demonstrating a pattern of non-compliance with basic regulatory requirements.

The facility had recurring violations including failure to obtain signatures on service plans for seven residents and failure to maintain required medical testing certifications and staff clearances, placing 42 residents at risk. These are repeat deficiencies previously cited multiple times between April 2023 and June 2024, indicating a pattern of non-compliance. The facility's response has been inadequate, as evidenced by the recurring nature of violations across multiple inspection cycles, resulting in escalated civil fines totaling $1,000. No evidence of effective corrective action or systemic improvements is demonstrated in the report.

The facility failed to ensure three staff members were medically cleared to wear fit-tested respirator masks during an infectious illness outbreak, placing 68 residents at risk. This violation was previously cited on December 22, 2023 and remained uncorrected by the February 27, 2024 follow-up visit, resulting in a $300 civil fine. The facility's response was inadequate, as demonstrated by the repeat nature of this compliance failure and the continued lack of proper medical clearances for respiratory protection equipment during a critical public health situation. The repeat violation indicates minimal corrective action was taken despite prior notification.

The facility failed to implement a required Respiratory Protection Program, leaving 71 residents at risk for COVID-19 exposure by not ensuring care staff were medically evaluated and fit-tested for respiratory masks. This was an uncorrected repeat violation previously cited in October 2023, demonstrating a pattern of non-compliance with infection control requirements. The facility's response was inadequate, as evidenced by the repeat citation and imposition of a $400 civil fine for failure to correct the deficiency after prior notification. The systemic failure to protect vulnerable residents from a potentially life-threatening infectious disease, combined with the lack of timely correction, represents a serious lapse in care standards.

The facility failed to ensure a resident received newly prescribed medications as ordered, resulting in prolonged skin irritation from a rash. This violation is particularly concerning as it represents a recurring citation (previously cited in May 2021 and December 2021), demonstrating a pattern of medication management failures. The facility's response appears inadequate given the recurring nature of the violation, with insufficient systemic corrections implemented after previous citations. A $400 civil fine was imposed due to the repeated non-compliance with medication service requirements.

This inspection report appears to be blank or contains only header information with no substantive content regarding violations, deficiencies, or compliance issues. Without any documented violations or findings, this represents either a compliant facility inspection with no deficiencies found or an incomplete report document. No corrective actions were required, and the facility's baseline operations appear adequate. No safety concerns or violations were identified in the available documentation.

The facility experienced a COVID-19 outbreak affecting 9-10 residents but failed to report it to the Local Health Jurisdiction or DSHS as required by WAC 388-78A-2610. While the facility had infection control policies in place and appropriately quarantined affected residents, the failure to notify authorities represents a significant procedural violation during a public health crisis. The facility promptly acknowledged the violation, completed corrective actions within the required timeframe, and passed a follow-up inspection on 03/08/2023 with no deficiencies found, demonstrating good response to the citation despite the initial reporting failure.