North Auburn Care: Vitamin D Dosing Without Testing - WA
The resident, identified in inspection records only as Resident 7, was placed on a high-dose Vitamin D supplement. No Vitamin D level was ever obtained beforehand. The facility's own staff said that was wrong.
The Resident Care Manager, interviewed by inspectors on April 17, said she would expect a Vitamin D level to be drawn before any high-dose supplement was started. It hadn't been. A second staff member, interviewed the following day, reviewed Resident 7's health records on the spot and confirmed the same thing: no Vitamin D level on file, ever, and one should have been obtained before the supplement was started.
That second staff member explained why it mattered. Administering a high-dose supplement without first measuring the patient's actual levels risks giving them a medication they don't need. Vitamin D toxicity, while not common, can cause nausea, weakness, frequent urination, kidney damage, and in serious cases, dangerous calcium buildup in the blood. The whole point of checking the level first is to avoid treating a problem that may not exist, or compounding one that does.
The inspection classified the violation as minimal harm or potential for actual harm, affecting few residents. Inspectors cited Washington Administrative Code 388-97-1060(1) in connection with the finding.
What the record shows is straightforward: a resident was given a high-dose medication, the staff responsible for that resident's care knew a baseline test was required before starting it, and the test was never done. When inspectors arrived and asked, two separate staff members reviewed the file and reached the same conclusion independently.
North Auburn Care is located at 2830 I Street Northeast in Auburn. The inspection was completed April 21, 2025.
The facility's plan to correct the deficiency was not included in the inspection report. CMS directs anyone seeking that information to contact the nursing home or the Washington State survey agency directly.
What the inspection does not answer is how long Resident 7 had been taking the supplement without a baseline level on file, whether anyone flagged the gap before inspectors arrived, or whether a Vitamin D test was ordered after the problem was identified. The record ends where the inspection ended.
For Resident 7, the question of whether they needed the medication at all remains, at least in the public record, unanswered.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for North Auburn Care from 2025-04-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 26, 2026 · Our methodology
North Auburn Care in AUBURN, WA was cited for violations during a health inspection on April 21, 2025.
The resident, identified in inspection records only as Resident 7, was placed on a high-dose Vitamin D supplement.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.