Enumclaw Health And Rehabilitation
Inspection Findings
F-Tag F0585
F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
has a history of anxiousness that is triggered by the feeling of being unsafe and the approach of staff or others. In an interview on 09/03/2025 at 3:05 PM, Resident 8 stated they have not received feedback regarding the grievance they submitted a couple weeks prior.Review of August 2025 Grievance Log showed no entry for a grievance filed by Resident 8 on 08/18/2025 related to a staff member constantly standing outside their door, creeping them out, and attempted to remove Resident 8's comforter to take their vital signs.Review of 08/18/2025 Grievance form filed by Resident 8 showed incomplete resolution, actions, recommendations, or notification to Resident.Resident <4> According to the 07/09/2025 admission MDS Resident 4 had clear speech, understood, understands others, and is alert and oriented.
Resident 4 requires partial/moderate assistance for toileting, transfers and required substantial/maximal assistance with perineal hygiene.According to the 07/03/2025 Baseline Plan of Care CP showed assistance needed with toileting and hygiene.In an interview on 09/03/2025 at 11:55 AM Resident 4 stated the grievance had not been discussed with them yet and they are worried about getting a rash or infection in
the groin area.Review of August 2025 Grievance Log showed no entry for a grievance filed by Resident 4
on 08/18/2025 related to a staff member who does not clean them properly.Review of 08/18/2025 Grievance form filed by Resident 4 showed incomplete resolution, actions, recommendations, or notification to Resident.Similar findings of grievance not entered on log, no resolution, recommendations, or notification to Residents 5, 6, 7.REFERENCE: WAC 388-97-0460.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/23/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Enumclaw Health and Rehabilitation
2323 Jensen Street Enumclaw, WA 98022
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0677
F 0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Level of Harm - Minimal harm or potential for actual harm
Based on observation, interview, and record review the facility failed to ensure residents who were dependent on staff for assistance with Activities of Daily Living (ADLs - i.e. grooming, bathing, eating, etc.) received the assistance they required for 1 of 4 sample residents (Resident 1) reviewed for ADLs. The failure to provide ADL assistance to dependent residents as required left residents at risk for poor hygiene, diminished feelings of self-worth, and other negative health outcomes.According to a 07/25/2025 Quarterly MDS, Resident 1 had clear speech, was able to understand, and be understood by others. This MDS showed Resident 1 was dependent on staff for bathing and required partial/moderate assistance from staff for personal hygiene, showers, transfers and mobility.Review of a revised 08/11/2025 Baseline Plan of Care (CP) showed directions to staff for Resident 1 to have a shower twice weekly and the resident required substantial maximum support from staff for bathing and dependent on 1 person assist with hair care and personal hygiene.During observations and interviews on 08/22/205 at 08:50 AM, 09/03/2025 at 4:50 PM, and 09/11/205 at 11:05 AM, Resident 1 was seen lying in bed, on their back, with unkempt hair. Resident 1 stated they requested 2 showers a week, they were supposed to happen on Mondays and Thursdays, but
they do not they seem to be random. Resident stated their hair was so matted in the beginning a staff member had to cut it out. During an interview on 09/03/2025 at 2:10 PM Staff C stated they would expect
the staff to follow the CP and give the two showers a week as written.During an interview on 09/11/2025 at 11:17 AM Staff A stated the shower aides are pulled to the floor occasionally, we try to get the shifts covered.During an interview on 09/11/2025 at 12:30 PM Staff D, Certified Nursing Assistant/Shower Aide (CNA) stated they get pulled from showers to work the floor on occasion.Review of Task Shower Sheets dated 08/18/2025-09/04/25 showed 2 bed bathes given, and 3 Resident Refusals over 18 days. Additional shower sheets for the remainder of the 30 days requested, none provided. No other refusals of showers documented.Reference: WAC 388-97-1060(2)(c).
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/23/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Enumclaw Health and Rehabilitation
2323 Jensen Street Enumclaw, WA 98022
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0825
F 0825
Provide or get specialized rehabilitative services as required for a resident.
Level of Harm - Minimal harm or potential for actual harm
Based on observation, interview, and record review the facility failed to ensure specialized rehabilitative services were provided as determined by the physician's orders for 1 (Resident 53) of 2 residents who were reviewed for position/mobility. This failure placed residents at risk for decline in physical and functional mobility, and a diminished quality of life.According to 07/25/2025 Quarterly MDS, Resident 1 had multiple diagnoses considered Medically Complex Conditions. This MDS showed Resident 1 required substantial/maximal assistance with upper and lower body dressing, rolling from side to side, sitting to lying, lying to sitting, toilet transfers, and wheelchair mobility. The MDS showed Resident 1 did not attempt to walk due to medical conditions or safety concerns.Review of a revised 08/11/2025 Baseline Plan of Care (CP) showed Resident 1 to ambulate with therapy only, dependent on 2 person staff for all mobility.During
observations and interviews on 08/22/205 at 08:50 AM, 09/03/2025 at 4:50 PM, and 09/11/205 at 11:05 AM, Resident 1 was seen lying in bed, on their back, working on leg exercises while lying in bed. Resident 1 stated they missed some therapy sessions related to dialysis appointments in beginning of stay but did not understand why sometimes the therapists just didn't show up.During an interview on 09/11/2025 at 11:35 AM Staff A stated they would expect the therapy staff to treat as ordered and can't answer if therapy was short or not.During an interview on 09/11/2025 at 12:40 PM Staff E, Therapy Director stated they missed therapy sessions, they should have been documented why they were missed or refused but they did not see those entries. Staff E stated therapy provided 5 treatments weekly. When asked for the additional documented refusals of treatments, none were provided.Review of Occupational Therapy (OT) Evaluation and Plan of Treatment dated 06/06/2025 showed OT was ordered 5 times a week.Review of the Physical Therapy (PT) Evaluation and Plan of Treatment dated 06/06/2025 showed PT was ordered 3 times a week.Review of a therapy calendar provided by Staff A showed Resident 1 received PT 2x/week and OT 3xweek for week of 06/23/2025-06/27/2025. OT 4xweek and PT 2xweek for week of 07/07/2025-07/11/2025, OT 3xweek for week 07/28/2025-08/01/2025, OT 3xweek for week of 08/11/2025-08/15/2025, OT 4xweek for week of 08/25/2025-08/29/2025 REFERENCE: WAC 388-97-1280 (1)(a-b), (3)(a-b).
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Enumclaw Health and Rehabilitation in ENUMCLAW, 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 ENUMCLAW, 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 Enumclaw Health and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.