Avamere Puget Sound: Drug Storage Violations - WA
## Why Proper Drug Storage Matters Medication management represents one of the most critical safety functions in any nursing home environment....
Latest reports, citations, and penalties from CMS data
## Why Proper Drug Storage Matters Medication management represents one of the most critical safety functions in any nursing home environment....
The facility has not submitted a plan of correction....
The inspection was triggered by a complaint....
Inspectors determined the facility did not adequately honor residents' right to a safe, clean, comfortable, and homelike environment....
While Level D represents the lower end of the federal severity scale, the nature of this particular violation carries outsized implications....
By the spring of 2025, R3's condition had measurably worsened across every tracked category....
Yellowstone River Nursing and Rehabilitation hired staff member F as their social services director in August, according to facility administrators....
The incident unfolded on August 5, 2025, when LPN #2 heard Resident #1 cursing in his room at The Oaks Rehabilitation and Healthcare Center....
The resident, identified in inspection records only as R1, had asked to use a bedside commode....
The manager said he or she would file a work order ticket....
MDS Coordinator #5 started the position on October 13, 2025, just one day before a quarterly assessment was due for resident #18 on October 14th....
The unwitnessed fall occurred on November 7 at approximately 11:00 p.m....
Dialysis is a critical, life-sustaining procedure for individuals whose kidneys can no longer adequately filter waste and excess fluid from the blood....
The incident happened on March 21, 2024....
Pressure ulcers, commonly known as bedsores, develop when sustained pressure reduces blood flow to the skin and underlying tissue....
The facility's own policy requires staff to provide continuous tube feeding according to physician orders....
The filthy conditions extended throughout the facility's kitchen....
This regulation exists to ensure that every resident receives care consistent with established medical and nursing protocols....
The facility was cited for **four total deficiencies**, including a failure to provide and implement an adequate infection prevention and control program....
The Director of Nursing acknowledged the resident's resistance during a September 19 interview....