Enumclaw Health And Rehabilitation
Enumclaw Health and Rehabilitation in ENUMCLAW, WA — inspection on September 23, 2025.
Found 3 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
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/23/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Enumclaw Health and Rehabilitation
2323 Jensen Street Enumclaw, WA 98022
SUMMARY STATEMENT OF DEFICIENCIES
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).
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/23/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Enumclaw Health and Rehabilitation
2323 Jensen Street Enumclaw, WA 98022
SUMMARY STATEMENT OF DEFICIENCIES
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).
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