North Auburn Care
North Auburn Care in AUBURN, WA — inspection on December 29, 2025.
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
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] and would not have been transported to dialysis on 12/13/2025.Reference: WAC 388-97-1060.
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