North Auburn Care
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
was an on-call provider number staff should call to report. Staff B stated when the on-call provider was called a progress note was automatically generated into the medical record. Staff B stated there was no progress note in Resident 1's record showing the on-call provider was notified of the hip fracture. Staff B stated the NP notified them on 12/13/2025 at about 7:30 AM that Resident 1 had a hip fracture. Staff B stated the NP gave directions to send Resident 1 to the hospital. Staff B stated they called the facility nurse assigned to Resident 1. Staff B stated the nurse was not aware of Resident 1's x-ray results and told Staff B Resident 1 was at their dialysis appointment. Staff B said they directed the nurse to call the dialysis clinic to send Resident 1 to the hospital.In an interview on 12/30/2025 at 9:58 AM, the NP stated they expected the nursing staff to review the x-ray results and report a fracture immediately to the provider, including calling
the on-call provider if the report was after hours. The NP stated the facility did not notify the provider of the fracture. The NP stated they looked up the x-ray report in Resident 1's medical record on 12/13/2025 at 7:30 AM and tried calling the facility. The NP stated when they could not reach the facility staff, they called Staff B to instruct the facility to send Resident 1 to the hospital immediately for the hip fracture from the 12/11/2025 incident. The NP stated a hip fracture was a severe injury requiring ambulance transportation to
the hospital for immediate intervention. In an interview on 12/30/2025 at 10:16 AM, Staff C stated they were
the evening shift nurse on 12/12/2025 and received a phone call and report from the x-ray company about 10:00 PM, which was shift change. Staff C stated they did not report the fracture to the Medical Provider. In
an interview on 12/30/2025 at 10:21 AM, Staff D (LPN) stated they were the night shift nurse on 12/12/2025 and they were not informed by the prior shift that Resident 1 had a fracture. Staff D stated when a report of
a fracture was received the nurse was expected to notify the Medical Provider immediately. Staff D stated there was an after-hours number to call the on-call provider. Staff D stated Resident 1 should not have gone to dialysis on 12/13/2025 and should have gone to the hospital when the report of a fracture was received by the facility. In an interview on 12/30/2025 at 12:25 PM, Staff B stated they called the x-ray company to verify the report of Resident 1's x-ray results. Staff B stated the x-ray company notified the facility of the fracture on 12/12/2025 at 10:30 PM and spoke with Staff C. Staff B stated the nursing staff did not notify the NP or the on-call provider as required. In an interview on 12/30/2025 at 12:47 PM, Staff A (Director of Nursing) stated the investigation of Resident 1's injury did not identify the delay of nursing staff to process the Medical Provider's x-ray orders and did not identify the error of nursing staff to immediately notify the provider of Resident 1's fracture. Staff A stated the nurse was expected to call the x-ray company right away when the NP provided the STAT x-ray order. Staff A stated STAT x-rays should be completed within four hours of notification of the x-ray company. Staff A stated the nurse was expected to notify the on-call provider immediately upon the report of Resident 1's fracture. Staff A stated if Staff C notified the on-call provider as required, Resident 1 would have gone to the hospital on [DATE REDACTED] and would not have been transported to dialysis on 12/13/2025.Reference: WAC 388-97-1060.
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North Auburn Care in AUBURN, WA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in AUBURN, WA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from North Auburn Care or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.