Edmonds Post Acute
Edmonds Post Acute in EDMONDS, WA — inspection on November 24, 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
Review of a nursing progress note dated 10/30/2025 at 9:12 PM, showed Resident 1's representative was very upset upon arrival to [Resident 1's] room reports found resident wandering around his side of room unsafe. [Resident 1's representative] states, he was promised [Resident 1] would be on one-on-one or 15-minute checks at which time writer explains that 15min [minutes] monitoring is ongoing at which time [Resident 1's representative] expresses that he thinks that is unsafe for [Resident 1] and is very scared and worried for him.Review of Resident 1's EHR did not show documentation of 15-minute interval checks completed from 10/29/2025 through 11/05/2025. In an interview on 11/19/2025 at 2:55 PM, Staff D stated that 15-minute checks were performed on residents who were identified at risk for falls and that we do these safety checks.
Staff D further stated that a form was provided to certified nursing assistants to document 15-minute interval safety checks and that once completed, documentation would be included in the resident's EHR. In an interview on 11/19/2025 at 3:19 PM, Staff E, Licensed Practical Nurse, stated that documentation of completed 15-minute checks were documented on a form with initials of the staff performing the safety check along with the time and date.
Staff E further stated, I have not seen that form for a while now.In an interview and joint record review on 11/24/2025 at 12:52 PM, Staff C stated Resident 1 was identified to be at risk for falls and that 15-minute checks were initiated for safety.
Staff C stated that 15-minute checks were documented using a form at the nurses' station. A joint record review of Resident 1's EHR did not show documentation of 15-minute interval checks completed for Resident 1.
Staff C stated, documentation should be in Resident 1's EHR and that I don't [do not] see it here. A joint record review and interview on 11/24/2025 at 1:24 PM with Staff B, showed a physician's order dated 10/29/2025 for Check every 15 minutes every [work] shift, and that they expected completed 15-minute checks would be documented in Resident 1's EHR.
Reference: (WAC) 388-97-1060 (1)(3).
Facility ID: