Port Washington Post Acute
PORT WASHINGTON POST ACUTE in BREMERTON, WA — inspection on June 18, 2024.
Found 2 citations. 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 .
Resident 67 was admitted to the facility on [DATE].
The Admission Minimum Data Set, dated dated [DATE], documented Resident 67 was cognitively intact.
On 06/11/2024 at 9:07 AM, Resident 67 was observed with three unopened apple juice containers on the bedside table. Resident 67 said they were on a cardiac diet and had allergies to apples but still received apple juice every day with breakfast.
On 06/12/2024 at 3:09 PM, Resident 67 was observed with two unopened containers of apple juice sitting on the bedside table.
On 06/14/2024 at 7:39 AM, Resident 67 was observed with one unopened container of apple juice on the breakfast tray.
A Life Enrichment Evaluation, dated 05/03/2024, showed Resident 67 had a known allergy to apples. No other documentation in the electronic health record documented the apple allergy.
On 06/17/2024 at 10:38 AM, in a joint interview with Staff D, Dietary Manager/Cook and Staff N, Regional Registered Dietitian, both staff said they are informed of resident preference/allergies when the resident is admitted to the facility either by evaluation or word of mouth from other staff members.
Staff D said she had just been informed about Resident 67's apple allergy that morning.
Reference WAC 388-97-1120 (2)(a)
505240
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 505240 B.
Wing 06/18/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Port Washington Post Acute 140 South Marion Avenue Bremerton, WA 98312
Findings included .
<Resident 35>
Resident 35 admitted to the facility on [DATE].
Review of the 04/03/2024 Minimum Data Set (MDS, an assessment tool), showed the resident had severe cognitive impairment, was on a mechanically altered diet, and required substantial to maximal assistance with eating.
Review of a diet order, dated 04/04/2024, showed Resident 35 was on a pureed diet (food that has been blended, mixed, or processed into a smooth and uniform texture)
Review of a progress note, dated 05/13/2024, showed Resident 35 had an episode of choking at breakfast, requiring staff to intervene and perform the Heimlich maneuver to clear the airway.
Review of a swallowing problem care plan (CP), dated 05/21/2024, showed Resident 35 had intermittent episodes of coughing and choking with meals and staff were directed to alternate small bites and sips, check the resident's mouth after meals for pocketed food and debris, keep the head of bed elevated 45 degrees during meals and for at least thirty minutes afterwards, instruct the resident to eat slowly, and to chew each bite thoroughly and provide the diet as ordered.
Review of a progress note, dated 05/21/2024, showed the nurse was called to Resident 35's room due to the resident coughing and having difficulty swallowing during the lunch meal.
The nurse alternated providing small bites of food followed by small sips of fluid, but the resident's coughing with attempts to swallow persisted.
505240
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 505240 B.
Wing 06/18/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Port Washington Post Acute 140 South Marion Avenue Bremerton, WA 98312