Arlington Health And Rehabilitation
ARLINGTON HEALTH AND REHABILITATION in ARLINGTON, WA — inspection on August 23, 2024.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Findings included .
Review of the facility policy titled, Notification Policy, revised 04/17/2020 states the facility should promptly notify the resident, their physician, and primary contact of changes in the residents condition or status .the nurse will notify the physician when there was a change in condition in their physical, mental, or psychosocial status, involvement in any incident, need to alter the residents treatment, and when necessary in the best interest of the resident.
Resident 1 admitted to the facility on [DATE] with diagnoses to include atrial fibrillation (irregular heartbeat), long term use of anti-coagulant (medication that thins the blood), diabetes (medical condition in which the body doesn't use insulin properly), and history of stroke.
The significant change in condition Minimum Data Set (MDS - an assessment tool) assessment, dated 05/11/2024 showed the resident had intact cognition, no refusals of care, was dependent on staff for toileting, and personal care.
The MDS showed the resident was incontinent of bowel and bladder and was taking an anticoagulant medication.
Resident 1's physician order for sustaining life (POLST) form dated 02/21/2024 showed that the resident choice indicated selective treatment that designated the primary goal was to treat medical conditions while avoiding invasive measures whenever possible.
The resident chose to receive medical treatment, intravenous (IV) fluids (fluids administered through a needle and tubing injected directly into the vein), medications, and cardiac monitor as indicated.
The resident chose to have airway support with oxygen and wanted to be transferred to hospital if indicated.
Review of a nursing progress note dated 07/22/2024 at 9:45 PM, showed Resident 1 had experienced abdominal discomfort, received an antacid (medication to reduce abdominal discomfort) twice without relief.
Review of a nursing progress note dated 07/23/2024 at 4:56 AM, showed Resident 1 continued to experience abdominal discomfort.
505351
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 505351 B.
Wing 08/23/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Arlington Health and Rehabilitation 620 South Hazel Street Arlington, WA 98223