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Sequim Bay Post Acute: Pressure Wound Care Failures - WA
The deeper problem wasn't the heel protectors on the floor....
Latest reports, citations, and penalties from CMS data
The deeper problem wasn't the heel protectors on the floor....
Nobody reported it to the state....
When the resident's family asked about the money and jewelry months later, none of it was there....
When state inspectors arrived on April 28, 2026, the Director of Therapy told them directly: she had missed the deadline....
What they found was a facility that had failed to provide basic care and assistance to residents who could not perform activities of daily living on their own....
Inspectors documented the scene at 11:45 a.m....
The problem had lasted roughly a week before a repair was made, and even after that repair, temperatures remained below an acceptable threshold....
The concierge at the front desk saw Resident R125 walk out of the building with a visitor....
That was one item on a longer list....
The resident, identified in inspection records as Resident 156, has lived at the facility since 2014....
The violation affected some residents, according to the inspection report....
When he looked more closely, he found the reason....
The resident was cognitively intact, able to communicate, and understood what was happening around them....
The inspection, completed April 28, 2026, produced two deficiency citations total....
That complaint, filed with the state in April, triggered an inspection on April 28, 2026....
The gap ran from October 2025 through February 2026....
She has lived at the facility since July 2023....
The inspection, completed April 28, 2026, was a complaint investigation, meaning it was not a routine survey....
Inspectors from the Centers for Medicare and Medicaid Services were watching....
The inspection, completed April 28, was a complaint investigation, meaning someone had already raised concerns before inspectors arrived....