Olympic View Post Acute: Maggot Infestation Hidden - WA
Staff at Olympic View Post Acute discovered the maggots around 5 a.m. on July 30, 2025, but federal inspectors found that administrators, nurses, and a physician assistant all assumed someone else had contacted the family. Nobody had.
The resident, who had severe cognitive impairment and depended on staff for all daily care, was receiving wound care twice daily for a cancerous lesion that had become increasingly painful with excessive drainage. A Licensed Practical Nurse called to the room that morning found maggots in the wound and reported it to incoming nurses, but did not notify the family.
Moving organisms were still present during a dressing change the next day, according to a progress note dated July 31 at 8:21 a.m. The note documented that a supervisor and charge nurse were notified. It made no mention of family notification.
Later that morning, a social services worker spoke with family members about moving the resident to a private room. The conversation included no discussion of the maggot infestation that staff had been treating for more than 24 hours.
Staff D, a certified physician assistant from a travel agency, told federal inspectors on August 1 that they "provided the best treatment they could for the infestation." When asked why the resident wasn't sent to the hospital, the physician assistant said facility staff had told them the family didn't want hospitalization.
But the physician assistant had never spoken to the family. "No, because I thought [the Director of Nursing] had," they told inspectors.
The Director of Nursing hadn't either.
Staff B, the facility's Director of Nursing, acknowledged to inspectors that they never notified the family. When asked whether family members should have been told so they could make informed decisions about treatment including possible hospitalization, the nursing director said, "Yes, everyone has that right, but I thought the nurse that found the maggots talked to them."
Federal regulations require nursing homes to fully inform residents or their representatives about health status, care and treatments. The facility's own undated Resident Rights Policy, given to all residents and representatives upon admission, states residents have "the right to be informed of, and participate in, your treatment, including the right to be informed in advance, by the physician or other practitioner or professional, of the risks and benefits of proposed care."
The cascade of assumptions left family members unaware that their loved one's wound had become infested with maggots. Each staff member believed someone else had made the notification that never came.
The resident's quarterly assessment from earlier in 2025 showed they had severe cognitive impairment and required total assistance with all activities of daily living. Under federal law, such residents' legal representatives must be informed about medical conditions and treatment options so they can make healthcare decisions.
The maggot infestation represented a significant development in the resident's cancer care. Maggots typically indicate advanced tissue death and can signal serious infection requiring immediate medical intervention. Family members never got the chance to weigh hospitalization against continued facility-based treatment.
Staff continued treating the infestation at the facility rather than seeking emergency care. The physician assistant's belief that family members had refused hospitalization was based entirely on secondhand information from facility staff who had never actually consulted the family.
The breakdown in communication meant family members remained unaware their relative was receiving treatment for a maggot-infested wound while staff made medical decisions without their knowledge or consent.
Federal inspectors concluded the facility failed to ensure residents' representatives could exercise their right to make healthcare choices. The violation placed residents and their families at risk of being unable to make informed decisions about care and services.
The inspection, completed August 12, 2025, followed a complaint to the facility. Inspectors found the communication failure affected one resident but represented a systemic breakdown in the facility's obligation to keep families informed about significant medical developments.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Olympic View Post Acute from 2025-08-12 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
Olympic View Post Acute in PORT ANGELES, WA was cited for violations during a health inspection on August 12, 2025.
Staff at Olympic View Post Acute discovered the maggots around 5 a.m.
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.