Life Care Center Of Federal Way
LIFE CARE CENTER OF FEDERAL WAY in FEDERAL WAY, WA — inspection on March 18, 2025.
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 80>
According to the 01/28/2025 Admission Minimum Data Set (MDS - an assessment tool) Resident 80 had diagnoses including depression, a cognitive communication deficit, and failure to thrive and received an antidepressant medication.
Review of the 02/04/2025 Antidepressant Care Plan (CP) showed staff were to report changes in behavior and mood.
Review of a 01/24/2025 physician order showed staff were to monitor Resident 80's exhibited behavior including verbal abuse.
Staff were to redirect the resident and provide one-on-one services and chart in the progress notes.
Review of the progress notes showed nursing staff documented on 03/04/2025, 03/09/2025 and 03/11/2025 that Resident 80 demonstrated refusals of care.
Review of March 2025 care staff task sheet showed on 03/09/2025, 03/11/2025, 03/12/2025, 03/15/2025 Resident 80 was agitated. On 03/01/2025, 03/04/2025, 03/08/2025, 03/09/2025, 03/10/2025, 03/11/2025, 03/12/2025, 03/14/2025 and 03/15/2025, staff documented Resident 80 refused to eat.
Record reviewed showed no evidence the facility assessed Resident 80's refusals of care, agitation, and refusals to eat, or notified the provider of behavior changes.
In an interview on 03/11/2025 at 2:40 PM Resident 80 stated the facility would not let their dog visit anymore and stated they were upset with the facility. Resident 80 stated even though they were hungry they did not want to eat.
Observation on 03/13/2025 at 10:39 AM showed Resident 80 lying in their bed, the room was dark, and the lights were off. Resident 80 stated I am not doing very good but declined to say what was bothering them.
In an interview on 03/18/2025 at 10:02 AM, Staff E (Social Services Assistant) stated if they knew about Resident 80's refusals they would have called the family to report the refusals of care and work on a plan to correct the behaviors.
505188
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 505188 B.
Wing 03/18/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Life Care Center of Federal Way 1045 South 308th Street Federal Way, WA 98003
Findings included .
<Policy>
According to a facility policy titled, Language Access Services and Effective Communication, revised 01/07/2025, the facility would ensure residents, where English was not their primary language, would have access to interpreters/translators and other aides needed without cost.
<Resident 77>
According to an 11/05/2024 Admission Minimum Data Set (MDS - an assessment tool) Resident 77 admitted to the facility on [DATE].
The MDS showed Resident 77's preferred language was their primary language.
The assessment showed Resident 77 needed an interpreter to communicate with the doctor and health care staff.
Review of an 11/08/2024 communication problem related to language barrier .
Care Plan (CP) Resident 77 spoke limited English, and their primary language was birth language.
The CP showed staff would observe for effectiveness of assistive devices for communication.
The CP showed the translators phone number would be posted in Resident 77's room.
The CP showed staff were to provide translation services to communicate with Resident 77 so the resident would be able to make their basic needs known.
Observation and interview on 03/11/2025 at 1:53 PM Resident 77 stated their primary language was not English. Resident 77 stated they would ask staff for help sometimes and when the staff didn't understand them, they would walk away and not respond to their request. Resident 77 stated they were unaware of translation assistance or devices to assist them in communication with staff.
Observation at this time showed no communication assistive devices in Resident 77's room and no translator services phone number posted for the resident. Resident 77 opened all drawers in room to show they had not received any communication assistive devices.
In an interview on 03/17/2025 at 8:28 AM Staff F (Unit Care Coordinator) stated they had not provided Resident 77 with communication boards or the translators phone number as the CP instructed but should have.
Staff F stated it was important to provide residents communication assistive devices when English was a second language to ensure they could make themselves understood and understand others.
505188
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 505188 B.
Wing 03/18/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Life Care Center of Federal Way 1045 South 308th Street Federal Way, WA 98003