Mountain View Post Acute

During a follow-up interview on 01/08/2025 at 3:55 PM, Staff AA stated they had completed grievances forms regarding resident concerns voiced in the RC meeting in December 2024 and placed them into the SSD ' s box.

Staff AA stated they could not provide a copy of the grievance they completed, nor had they kept copies of the grievances for RC but needed to change their process.

Reference WAC: 388-97-0460

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

During an interview on 01/08/2025 at 12:17 PM, Staff D, Resident Case Manager, stated that Resident 17 ' s wheelchair seat belt had the potential to be considered as a physical restraint, and the resident should have had an evaluation completed to show that it was not.

Staff D stated, as far as I know (Resident 17) can unbuckle themself, and the seat belt was not being used for the resident ' s safety.

During an interview on 01/09/2025 at 10:20 AM, Staff C, Assistant Director of Nursing Services, stated that Resident 17 ' s wheelchair seat belt was a potential physical restraint, and the resident would need to be able to unbuckle the seat belt themselves.

Staff C stated that Resident 17 was not able to unbuckle the wheelchair seat belt by themselves, and the required process was not followed regarding an assessment of the device to show that it was not a physical restraint.

During an interview on 01/13/2025 at 3:10 PM, Staff A, Administrator and Staff B, Director of Nursing Services, both stated the correct process for assessing the need for a physical seat belt restraint was not followed for Resident 17.

Reference: WAC 388-97-0620(1)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

Review of the medical record showed Resident 27 was alert and oriented and able to make their needs known.

During an interview on 01/06/2025 at 9:00 AM, Resident 27 stated they had an issue with a staff member a few months back in 2024.

They could not recall the staff name but stated it was a NA. Resident 27 stated they called them gay for having their nails painted with black nail polish.

Review of the grievance log showed that a concern was made by Resident 27 to the previous SSD on 08/22/2024.

The grievance was that an NA was teasing Resident 27 about their black fingernail polish and called them gay. Resident 27 was hurt by the statement by the NA.

The 08/22/2024 grievance showed the SSD, and the DNS spoke to the unidentified NA in question who stated Resident 27, and they had a playful relationship and was only joking.

The resident stated that they did not want the NA to work with them anymore.

According to the grievance report the previous Administrator spoke with the unidentified NA on 08/28/2024 and asked them to apologize to the resident. A few days later Resident 27 was asked if they would be willing to accept an apology from the unnamed NA and Resident 27 declined.

The SSD documented the resident was stable and active throughout the building.

During an interview on 01/07/2025 at 3:09 PM, Staff C stated that the incident needed to be called in to the state, the unidentified NA would have needed to be removed from caring for residents pending a thorough investigation and abuse should have been ruled out per investigation.

Staff C stated that the allegation should have been an incident report and investigation.

Staff C stated the 08/22/2024 was reportable to the state agency but was not done.

Staff C stated they would investigate the resident's concern since it was not investigated.

During an interview on 01/09/25 at 8:49 AM, Staff C stated they were unable to identify the NA involved or an investigation to determine if the NA was still working at the facility.

Reference WAC 388-97--0640(2)(a)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

Findings included . <Resident 60> Review of the resident ' s medical records showed they were admitted to the facility on [DATE] with diagnoses including heart complications and Parkinson ' s (a progressive disorder that affects the nervous system and the parts of the body controlled by the nerves, causing shaking movements) and was transferred to the hospital on [DATE].

The 10/09/2024 comprehensive assessment showed Resident 60 had a moderately impaired cognition.

Review of progress notes for Resident 60 on 10/09/2024 showed Staff D, Resident Case Manager, documented that Resident 60 had a change in their baseline status and they were going to be emergently transferred to the local hospital.

During an interview on 01/10/2025 at 10:43 AM, Staff E, Social Service Director (SSD), stated they had started working at the facility mid-November 2024 and was not aware of the requirement to provide a written notice of transfer/discharge to the LTC Ombudsman.

Staff E stated they did not have a process in place to notify the Ombudsman of resident transfers/discharges and that it was not being completed.

During an interview on 01/13/2025 at 3:10 PM, Staff A, Administrator and Staff B, Director of Nursing Services, stated the notification of a resident ' s transfer/discharge to the LTC Ombudsman was supposed to be completed by the SSD.

Both Staff A and Staff B stated the correct process was not being followed, and a written notice should have been provided to the LTC Ombudsman regarding Resident 60 ' s transfer to the hospital.

Reference: WAC 388-97 -0120(2)(a-d)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

Findings included . <Resident 60> Review of the resident ' s medical records showed they were admitted to the facility on [DATE] with diagnoses including heart complications and Parkinson ' s (a progressive disorder that affects the nervous system and the parts of the body controlled by the nerves, causing shaking movements) and was transferred to the hospital on [DATE].

The 10/09/2024 comprehensive assessment showed Resident 60 had a moderately impaired cognition.

Review of the medical record showed a 10/09/2024 progress note documented by Staff D, Resident Case Manager, that Resident 60 had a change in their status and they were going to be emergently transferred to the local hospital (no documentation of the written notice for bed hold to Resident 60 or the resident ' s representative).

During an interview on 01/10/2025 at 10:30 AM, Staff D stated the process was for staff to update the resident and/or the resident representative (RR) during a phone conversation and then document the conversation in the resident ' s medical records in a progress note or in an evaluation form.

After reviewing Resident 60 ' s medical records, Staff D stated the notice of bed hold was not completed with the RR at the time of the resident transfer to the hospital.

During an interview on 01/13/2025 at 3:10 PM, Staff B, Director of Nursing Services, stated the notification of bed hold should have taken place with the RR for Resident 60 during the phone call and if not in the resident medical record, then it was not completed.

Reference: WAC 388-97-0120(4)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

Review of the resident's medical record showed they admitted with diagnoses to include PTSD, Attention Deficit Hyperactivity Disorder (ADHD, a persistent pattern of inattention or hyperactivity), depression, pica (a mental health condition where a person compulsively swallows non-food items), and insomnia (inability to sleep normally).

Review of an 11/22/2024 PASARR level 1 assessment form showed Resident 56 had PTSD listed as the SMI identified.

The assessment showed the level 1 assessment was completed by the facility staff after admission, rather than prior to admission to determine if Skilled Nursing was the appropriate placement for Resident 56.

Review of an 11/21/2024 level 2 Invalidation Assessment showed Resident 56 had depression and anxiety (an unpleasant state of inner turmoil and includes feelings of dread over anticipated events) as SMI diagnoses.

During an interview on 01/08/2025 at 4:00 PM, Staff DD, Admissions, stated the process was to review the PASARR assessments prior to admission.

Staff DD stated that did not happen with Resident 56 because the facility/hospital they admitted from had not sent it per their request.

Staff DD stated they thought that having the level 2 Invalidation Assessments was enough to show the residents had SMI and they were evaluated.

During an interview on 01/14/2025 at 9:31 AM, Staff E stated they completed the PASARR level 1 for Resident 56 because they did not receive one from the receiving facility.

Staff E stated they had been in the process of trying to obtain a PASARR level 1 for Resident 263 for the same reason.

Staff E stated the Admissions team and themselves would no longer accept the PASARR level 2 Invalidation Assessment as adequate and correct information without the level 1 present to review for accuracy, prior to admission. <Resident 4> Review of Resident 4's medical record showed they were admitted to the facility with diagnoses including, history of heart transplant, diabetes (higher than normal blood sugar levels) and depression.

Review of the comprehensive assessment dated [DATE] showed the resident was cognitively intact and required moderate assistance (helper does less than half of the activity) for grooming, dressing, hygiene and toileting.

Review of Resident 4's level 1 PASARR level 1 assessment dated [DATE] showed the resident had indicators for mood disorder (depression) which required a level 2 PASRR evaluation.

Continued review of the record showed no level 2 PASARR had been requested or completed to ensure Resident 4 had appropriate mental health services available to them.

Reference: WAC 388-97-1915(1)(2)(a-c)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

Review of Resident 263 ' s medical record showed a BCP that had been started on 12/29/2024 and showed no initial nursing or rehab goals had been formulated and no current medications orders were reviewed.

The BCP was also started on the 3rd day of admission rather than within 48 hours of admission.

The record additionally showed the resident nor the resident's representative had received a BCP summary with their initial goals, medications, dietary instructions, services/treatment that were to be administered by the facility nor the details of their BCP upon completion of the comprehensive assessment. <Resident 48> Review of the resident ' s medical record showed the resident admitted on [DATE] with diagnoses to include dementia (a progressive disease that destroys the memory and other important mental functions) and urinary retention.

The 11/20/2024 comprehensive assessment showed Resident 48 ' s cognition was moderately impaired.

Review of Resident 48 ' s medical record showed a 11/14/2024 BCP that had no intitial social services or rehab goals had been formulated.

The BCP showed a copy of physician orders and instructions were reviewed with the provider and not the resident nor the resident ' s representative.

The record additionally showed the resident nor the resident's representative had received a BCP summary with their initial goals, medications, dietary instructions, services/treatment that were to be administered by the facility nor the details of their BCP upon completion of the comprehensive assessment.

During an interview on 01/14/2025 at 12:40 PM, Staff C, Assistant Director of Nursing Services, stated they were transitioning from one BCP to using something else in their new system to simplify the process, but that process was not completed yet so the BCPs were in three different areas it's a work in progress.

Reference: WAC 388-07-1060(3)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

During an interview on 01/08/2025 at 3:21 PM, Staff E, Social Services Director, stated they assessed Resident 56 for their trauma informed care and learned during that assessment about the drug abuse.

Staff E stated they had not created a CP with resident specific goals and interventions to substance abuse disorder (SUD- a medical condition that is defined by the inability to control the use of a particular substance despite harmful consequences).

Staff E stated they had not had training on SUD so was unaware that needed to be done I know what to watch and monitor for but that does not mean the rest of the staff do.

Reference WAC: 388-97-1020 (1), (2)(a)(b)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

stated, We have never been asked to attend or participate in any of the resident's CC's.

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

Review of the comprehensive assessment dated [DATE] showed the resident was cognitively intact and was dependent on staff for showering, dressing, grooming and mobility needs.

During a concurrent observation and interview on 01/07/2025 Resident 22 stated they had not received a shower for over three weeks I wish someone had time to do it.

Their hair was noted to be flat and oily.

The resident further stated they had not received nail care which generally occurred on their shower day. I really need my nails cleaned and cut I would love to have a manicure.

The residents held up their hands and it was noted their fingernails on both hands were long and dirty.

Additionally, the resident had three long hairs on their chin.

Review of Resident 22's shower schedule showed they had not received a shower since 12/10/2024 (over a month ago).

Review of the resident ' s care plan dated 02/18/2024 shows the resident was to have a shower at least weekly to meet their bathing needs.

During an interview on 01/08/2025 at 11:20 AM, Staff D, Resident Care Manager, stated the NA assigned to the resident on day/evening shifts should be completing the resident's showers and nail care on their scheduled day.

Staff D further stated they tried to schedule an extra NA on the floor, but it was not consistent.

Reference WAC: 388-97-1060 (2)(c)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

During an interview on 01/08/2025 at 11:05 AM, Staff D, RCM, was unaware that Resident 13's had skin issues.

According to Staff D, the licensed nurse was to assess the residents weekly and the NAs were to report skin changes during bathing the resident.

The documentation showed Resident 13 was not assessed for skin changes since 12/28/2024.

Review of the East Hall Shower List Resident 13 refused a bath on 01/02/2025, and no skin issues were reported by staff.

Review of the December 2024 MAR showed weekly skin checks signed by the licensed nurses but did not indicate whether there were new skin issues.

The last skin check for December 2024 was 12/28/2024.

There were no January 2025 skin checks for the first week of January 2025 as of 01/08/2025.

During an interview on 01/09/2025 at 8:35 AM, Resident 13 was assessed by the Certified Wound Specialist (CWS) who determined Resident 13 to have a purple bottom with Moisture Associated Skin Dermatitis (MASD) inflammation related to inflammation and erosion of skin due to prolong exposure to moisture of wearing a brief and bowel incontinence).

Reference WAC 388-97-1060 (1)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

Review of Resident 42's 08/08/2024 Restorative Program Change, showed the resident was to have active range of motion (AROM, the extent or limit to which a part of the body can be moved independently around a joint or a fixed point; the totality of movement a joint could do) exercises for bed mobility. Resident 42 was to complete these exercises to their right lower extremity seated and lying down for ten minutes daily.

Review of the 08/08/2024 quarterly restorative program evaluation, showed the resident had a restorative program for AROM for bed mobility and transferring to the right lower extremity for ten minutes daily.

The evaluation showed Resident 42 would be reevaluated quarterly.

This was the last assessment completed for Resident 42.

Review of Resident 42's 10/10/2024 Care Plan showed the resident had an AROM restorative program #1 and did not show documentation was required.

The restorative program was not detailed to show what the exercises were to be completed, for how long, or how often.

Review of the NA tasks charting (a place NAs chart resident specific tasks assigned to them) showed no restorative program tasks.

During an interview on 01/09/2025 at 8:38 AM, Staff O stated they had worked in restorative for approximately a month, and they had not completed any restorative exercises for Resident 42.

Staff O stated Resident 42 had a history of refusals of care so maybe that was why they were no longer providing them exercises.

Staff O could not provide any documentation to show that Resident 42 refused their restorative programs.

During an interview on 01/10/2025 at 10:46 AM, Staff B, Director of Nursing Services, stated the restorative nursing programs for their 37 residents on the program was broken and needed to be reviewed.

Reference WAC 388-97-1060 (3)(d)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

Findings included . <Resident 30> Review of the medical record showed the resident admitted to the facility on [DATE] after surgery of an infection and partial amputation of the resident's foot.

The 12/17/2024 comprehensive assessment showed the resident was alert and able to make their own decisions and required minimal assistance.

Additionally, Resident 30 was on a psychoactive medication and an intravenous (IV) antibiotic medication. Resident 30's diagnosis includes nicotine dependence to chewing tobacco.

During an observation and concurrent interview on 01/06/2025 at 11:20 AM, Resident 30 was chewing tobacco at their bedside in their room and stated he had been chewing most of their life at home. Resident 30 stated no one had asked him about them chewing tobacco in the facility.

During an interview on 01/06/2025 at 11:37 AM, Staff B, Assistant Director of Nursing Services stated they had just noticed Resident 30 chewed tobacco and was not aware of it on admission to the facility.

Staff B stated they had admitted Resident 30 to the facility and did not know they had continued use of their chewing tobacco.

Staff B stated it is their policy to assess all residents who smoke, or chew tobacco and Resident 30 had not been assessed and no assessment had been conducted.

Reference WAC 388-97-1060 (3)(g)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

Findings included . <Resident 25> Review of the medical record showed the resident admitted to the facility with diagnosis to include hypoxia (low level of oxygen in body tissue), on continuous oxygen and a Bipap device to be worn at night.

Review of the 12/24/2024 quarterly assessment showed Resident 25 was alert and oriented and had shortness of breath.

During an interview on 01/08/2025 at 9:45 AM, Resident 25 stated they had not used their Bipap device for sleep for about two months now.

The Bipap device was observed in their bedside cabinet drawer and Resident 25 could not reach the device at its location. Resident 25 stated that the Bipap device needed to be returned to the medical supply store.

Review of the 09/07/2024 physician orders showed the Bipap device was to be used daily but did not identify the settings for the Bipap device use or the type of mask to be used with the device.

During an interview on 01/08/2025 at 11:30 AM, Staff D, RCM stated Resident 25 was to wear the Bipap device every night and was unaware the resident had been refusing to wear the Bipap device.

Staff D had not offered a risk and benefit option to Resident 25 of the benefit and risk of using or not using the Bipap device.

Reference WAC 388-97--1060 (3)(j)(vi)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

During an interview on 01/13/2025 at 9:31 AM, Staff J, NA, stated that usually a shower NA was scheduled for days and evenings, but one was not on the schedule for 01/13/2025, we try to squeeze the showers in, with all the other resident care that needed to be completed.

Staff J stated that night shift/early morning staff (01/12/2025 to 01/13/2025) was shorthanded so they were still trying to catch up with resident ADL cares that were not able to be completed on night shift.

Staff J stated that shower NAs tended to be pulled to work one of the unit hallways due to being short staffed and some weeks it is every day, the shower NA was pulled because of having low staffing levels. No, we don't have enough staff to get everything done, we are lucky if we can get everyone up in time for breakfast.

During an interview on 01/14/2025 at 10:52 AM, Staff B, Director of Nursing Services, stated they were aware of facility staff concerns regarding; NAs being unable to complete all the required resident care assignments during their shifts (showers, restorative care, ADL care) due to being shorthanded and shower/restorative NA's being pulled to work on one of the unit hallways, nursing staff working double shifts/staying late to finish charting and/or resident cares.

When asked if the facility had enough nursing staff to complete the daily resident cares, Staff B stated its still not there yet, but they were attempting to hire new NA staff and utilized agency whenever possible.

During an interview on 01/14/2025 at 11:23 AM, Staff A, Administrator, stated they were aware the NAs were frequently pulled to work on one of the unit hallways because of low staffing and nursing staff having to work overtime to complete documentation/task and the increase in the resident workload.

Staff A stated that when the shower/restorative NAs were pulled it put that same workload back onto the unit hallway NAs and that it was making hard for staff to get the required resident cares completed.

Staff A stated, we are missing the target (regarding a sufficient number of staff to provide the needed care and services to the residents), and agency staff were not familiar with the facility/residents and had to be taught on the go.

Cross Reference: F-F550, F-F585, F-F677, F-F684, F-F688 Reference: WAC 388-97-1080(1)(3)(4)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

Findings included .

Observations on 01/08/2025 at 10:47 AM no daily staffing roster noted anywhere in the front of the nursing home or by the nursing desk area, on 01/09/2025 at 10:02 AM, no daily staffing roster posted where the surveyor could find it, in the front where visitors could visualize it, or at the nursing desk area, and on 01/13/2025 at 9:06 AM, no daily nurse staffing posting that included the facility name, date, census, and the total number and actual hours worked per shift for Registered Nursed, Licensed Practical Nurses, and Nursing Assistants who would have been responsible for the resident's care.

During a concurrent observation and interview on 01/13/2025 at 10:21 AM, Staff C, Assistant Director of Nursing Services, showed the surveyor a staffing schedule binder at the nursing station, which did not include the required nurse staffing information that was to be readily accessible to residents/visitors.

Staff C stated they had not seen any other nurse staffing information that was available for residents or visitors.

During an interview on 01/13/2025 at 12:13 PM, Staff B, Director of Nursing Services, stated they did not have a nurse staffing information document being posted daily, in a place readily accessible to residents/visitors.

Staff B stated that night shift staff used to completed it, but it was taken out of commission and they did not know why.

Staff B stated that resident and visitors should have access to the staffing data information, and they were not following the correct process.

Reference: WAC 388-97-1620(2)(b)(i)

expected the nurses to know what medications they were giving as well as the specifics of the

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

change of ownership transition and was still a discussion they were working on.

Staff B stated they

Reference WAC: 388-97-1060 (3)(k)(i)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

During an interview on 01/13/2025 11:18 AM, Staff B, Director of Nursing Services, stated they expected residents dining experiences and meals to be served in a manner that supported the resident ' s nutrition and dignity.

Reference WAC 388-97--1100 (1), (2)(b)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

Based on interview and record review, the facility failed to A) update the assessment when a

assessment when substantial changes occurred for sufficient staffing when the facility lost their access to a nursing assistant training program that helped fill nursing assistant vacancies.

These failures placed residents at risk for unmet care needs.

Findings included .

Record review of the Facility Assessment Tool, dated 09/2023, for (former facility name) showed what resources were necessary to provide person-centered care for residents during both day-to-day operations and emergencies.

The Facility assessment showed no change in ownership as of 08/01/2024.

During an interview on 01/06/2025 at 8:50 AM, Staff B, Director of Nursing Services, stated they no longer had a nursing assistant program and that it had been suspended prior to Staff B becoming employed.

During an interview on 01/09/2025 at 9:55 AM, Staff A, Administrator, stated the previous Administrator (from two weeks ago) was to update and complete the Facility Assessment once the change in ownership took place.

Staff A stated that did not happen.

Staff A stated they would update the Facility Assessment to reflect the status of the facility and the care and services it provided.

Reference WAC: 388-97-0020

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

During an interview on 11/20/2025 at 12:50 PM, Staff A, Administrator, Staff A stated that Resident 52 and Resident 21 were cognitively impaired, and that Staff L should not have the residents sign, acknowledging the understanding of the binding arbitration agreement.

Staff A stated the correct process was not followed and the cognitive status of a resident needed to be identified before having them sign a binding legal contract.

Reference: WAC 388-97-1620(2)(b)(i)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

weekly and to maintain infection control practices related to oxygen equipment.

Reference WAC 388-97-1320(2)(a)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

During an interview on 01/09/2025 at 1:00 PM, a Collateral Contact from the local health department

time for the facility to have their residents and staff to have up-to date vaccines.

During an interview on 01/10/2025 at 8:52 AM, Staff B the Director of Nursing Services, stated they knew the Infection control/vaccine system was broken and needed to be assessed and updated.

Reference WAC 388-97-1340 (1), (2), (3)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

During an interview on 01/10/2025 at 11:00 AM, Staff F, Maintenance Director, stated the facility was old and in need of many repairs.

There werenot any repairs on their list at this time.

During an interview on 01/14/2025 at 1:07 PM, staff V stated the facility floors were to have the wax striped and removed yearly but it had been over a year since the last removal.

The facility floors were to be waxed every two months, but it had not been done.

During an interview on 01/13/2025 at 2:05 PM, Staff A, Administrator, stated their expectation was to maintain a clean comfortable environment for the residents to live in.

Reference WAC 388-97--3220 (1)

505263 01/14/2025

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

Review of the facility's policy titled, Abuse-Screening, Training, Identification, Investigation, Reporting, and Protection, dated 08/01/2024, showed the eight components included .Identify types of abuse .Investigate allegations of abuse .Report allegations of abuse to appropriate reporting authority .Protect our resident from abuse .

Additionally, the policy showed that all resident allegation of abuse would be thoroughly investigated/reported, and that staff involved in the allegation of abuse would be immediately removed from the center until a thorough investigation can be completed.

<Resident 41>

Review of the medical record showed the resident was admitted on [DATE] with diagnoses including multiple heart complications and a spinal infection.

The 10/20/2024 comprehensive assessment showed the resident was cognitively intact and able to make their needs known.

Record review of a grievance (a compliant over something believed to be wrong or unfair)/concern form, dated 11/08/2024, showed, Procedure: If problem reported is potential abuse or neglect immediately notify Administrator, Director of Nursing Services (DNS), or Licensed Nurse .

The form showed Resident 41 stated Staff F, Licensed Practical Nurse (LPN), had come into their room around 5:45 AM, yelled to wake them, demanded the resident's cigarettes/lighter and .Later on when the resident confronted (Staff F) to ask (Staff F) to not speak or yell at (Resident 41) so rudely the nurse started to yell at (Resident 41) again.

The record showed that on 12/04/2024 Resident 41 was interviewed (26 days after the grievance was submitted).

505263

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 505263 B.

Wing 01/14/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926

Findings included .

Observations on 01/08/2025 at 10:47 AM no daily staffing roster noted anywhere in the front of the nursing home or by the nursing desk area, on 01/09/2025 at 10:02 AM, no daily staffing roster posted where the surveyor could find it, in the front where visitors could visualize it, or at the nursing desk area, and on 01/13/2025 at 9:06 AM, no daily nurse staffing posting that included the facility name, date, census, and the total number and actual hours worked per shift for Registered Nursed, Licensed Practical Nurses, and Nursing Assistants who would have been responsible for the resident's care.

During a concurrent observation and interview on 01/13/2025 at 10:21 AM, Staff C, Assistant Director of Nursing Services, showed the surveyor a staffing schedule binder at the nursing station, which did not include the required nurse staffing information that was to be readily accessible to residents/visitors.

Staff C stated they had not seen any other nurse staffing information that was available for residents or visitors.

During an interview on 01/13/2025 at 12:13 PM, Staff B, Director of Nursing Services, stated they did not have a nurse staffing information document being posted daily, in a place readily accessible to residents/visitors.

Staff B stated that night shift staff used to completed it, but it was taken out of commission and they did not know why.

Staff B stated that resident and visitors should have access to the staffing data information, and they were not following the correct process.

Reference: WAC 388-97-1620(2)(b)(i)

505263

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 505263 B.

Wing 01/14/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Mountain View Post Acute 1050 E Mountain View Ellensburg, WA 98926