Life Care Center Of Kennewick
LIFE CARE CENTER OF KENNEWICK in KENNEWICK, WA — inspection on August 26, 2024.
Found 8 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
During an interview on 08/24/2024 at 1:01 PM, Staff A, Administrator, stated their expectations for any restraint would be for the least restrictive alternative to have been tried first and the four-point restraint should have been the very last resort.
Staff A stated they would expect the restraint to be care planned to include interventions, placement and safety precautions.
Staff A stated they would expect ongoing evaluations, trainings and assessments quarterly, as needed and with any change in condition for the four-point restraint, including a medical diagnosis/symptoms support the use of the restraint.
Staff A further stated their process was not at all followed correctly for Resident 1 and 5.
Reference: WAC 388-97-0620(2)(d),(4)(a)(c),(5)(a)
505080 08/26/2024
Life Care Center of Kennewick 1508 West Seventh Avenue Kennewick, WA 99336
During an observation and concurrent interview on 08/24/2024 at 9:28 AM, Resident 31 was sitting on their bed with their right fingers bent at the knuckle, Resident 31 was unable to straighten their fingers or make a fist. Resident 31 stated they had a glove for the swelling and a splint that helped keep their fingers straight but did not wear it any longer due to them not being able to find the splint or the glove. Resident 31 further stated they would like to work with therapy some more, but it was stopped, and they were unsure why.
During an interview on 08/25/2024 at 2:42 PM, Staff O, Licensed Practical Nurse, stated Resident 31 had not had their right-hand splint on in forever and were unsure why.
During an interview on 08/25/2024 at 3:56PM, Staff A, Administrator, stated they only had one restorative nursing assistant and that would only allow up to ten residents to be on a restorative nursing program.
Staff A further stated they identified during their monthly meeting whether a resident needed to be placed on a restorative program. If there were already ten residents on restorative programs, other residents that also needed that service would have to be placed on a waiting list.
During an interview on 8/26/2024 at 9:00 AM, Staff U, PT stated their process for residents to be placed on a restorative nursing program was after skilled therapies ended, they wrote a restorative program for each resident to maintain their level of functioning.
Long term residents were referred to therapy by nursing staff for restorative nursing programs to be written.
Staff U stated all residents should be on a restorative nursing program to maintain their mobility.
Staff U was not aware there were only ten restorative nursing program positions available.
Staff U further stated as a therapist they felt that was not appropriate.
During an interview on 08/26/2024 at 9:29 AM, Staff V, Occupational Therapist (a health care professional who helps people improve their ability to perform daily tasks), stated it was their expectation that all residents were to be on a restorative nursing program, and it is rare that a resident would not be on a maintenance restorative nursing program unless it was medically unsafe.
Staff V stated they were not aware only ten residents could be on a restorative nursing program at a time.
Staff V stated they would expect staff to assist and monitor for proper use of Resident 31's compression glove and resting right-hand splint.
Staff V further stated they were unaware the compression glove and right hand-splint were missing and had not been being used.
Reference: WAC 338-97-1060 (3)(d)
505080 08/26/2024
Life Care Center of Kennewick 1508 West Seventh Avenue Kennewick, WA 99336
During multiple follow up observations of the PPE carts showed on 08/21/2024 at 10:19 AM, 08/22/2024 at 3:10 PM, 08/23/2024 at 10:46 AM, and 08/24/2024 at 4:30 PM, eight of eight PPE carts had unsecured Sani-Cloth Bleach Germicidal wipes stored on top of the carts in the resident halls.
During an interview on 08/24/2024 at 4:45 PM, Staff B, Director of Nursing, stated all the cleaning agents should be stored in a secured manner such as in locked areas so that the residents were not able to get into contact with them.
Reference: (WAC) 388-97-1060(3)(g)
505080 08/26/2024
Life Care Center of Kennewick 1508 West Seventh Avenue Kennewick, WA 99336
Review of the resident's PN
the 08/10/2024 treatment while at the center.
Additionally, two forms dated 07/17/2024 and 07/22/2024 were sent with the resident to the dialysis center without the facility completing a pre-assessment to communicate the resident's condition prior to their dialysis treatment.
During an interview on 08/24/2024 at 10:28 AM, Staff O, LPN, stated the process for the dialysis pre/post communication form was to complete an assessment at the facility to communicate the resident's condition and send it with them. If the form comes back from dialysis blank, then we call them and document the information in their chart.
During an interview on 08/24/2024 at 3:10 PM, Staff B, Director of Nursing, stated their expectation was that the pre/post dialysis communication form should be started at the facility by the nursing staff and sent with the resident to the dialysis center.
Staff B further stated if the form was returned and incomplete, their expectation was that the unit nurse contacted the dialysis center, obtain the information, and document it in the resident's record to ensure continuity of care.
Reference: WAC 388-97-1900(1)(6)(a-c)
505080 08/26/2024
Life Care Center of Kennewick 1508 West Seventh Avenue Kennewick, WA 99336
Findings included . <Resident 33> Review of the medical record showed Resident 33 was admitted to the facility with diagnoses including a stroke (loss of blood flow to part of the brain, which damages brain tissue), malnutrition (lack of sufficient nutrients in the body), and depression.
The 07/19/2024 comprehensive assessment showed Resident 33 required setup/cleanup assistance of one staff member for oral care and had an intact cognition.
Record review of the care plan dated 10/21/2022, showed Resident 33 was edentulous (lacking teeth), with interventions that included coordinating arrangements for dental care, transportation as needed/as ordered.
During an interview on 08/21/2024 at 11:36 AM, Resident 33 stated they wanted dentures and had not seen a dentist since their admission to the facility. Resident 33 stated it kind of bums you out when you don't have teeth.
During a follow-up interview on 08/22/2024 at 1:23 PM, Resident 33 stated they had told the staff they would like teeth, having teeth would make it easier to eat.
During an interview on 08/22/2024 at 1:35 PM, Staff Q, Social Services Assistant, stated Resident 33 had been seen on 04/04/2024 by the dentist and had received a referral to a denturist.
Staff Q stated they had not scheduled that referral appointment.
Staff Q further stated the process for appointment referrals was to complete the scheduling within one month of receiving the referral.
During an interview on 08/24/2024 at 1:18 PM, Staff A, Administrator, stated they expected a dental referral to be completed sooner than four months.
Reference: WAC 388-97-1060(3)(vii)
505080 08/26/2024
Life Care Center of Kennewick 1508 West Seventh Avenue Kennewick, WA 99336
During an observation and concurrent interview on 08/21/2024 at 8:25 AM, Staff F, Food Service Director, showed the janitor's closet located in the kitchen, which had stored chemicals for disinfection and cleaning, mops and a mop bucket.
During the inspection of the janitor's closet there was an odor of chemical fumes.
When the testing for the exhaust vent for the janitor's closet was done (used a paper towel to see if the exhaust vent had suction/venting to remove chemical vapors) there was no suction and the motor was not working.
Staff F stated they were unaware of the exhaust fan not working and was unaware when it stopped working.
Staff F stated that the kitchen staff were not responsible for periodic inspection of the kitchen's janitor's closet functioning exhaust fan.
Staff F stated if they were aware of the non-functioning fan they would report it to the maintenance department.
During an interview on 08/21/2024 at 12:51 PM, Staff C, Maintenance Director, stated that they did not know the motor was out in the kitchen's janitor's closet and there was no exhaust venting in the closet.
Additionally, they did not regularly inspect the exhaust fan in the kitchen's janitor's closet to ensure the exhaust fan was functioning.
During an interview on 08/25/2024 at 2:00 PM, Staff A, Administrator stated that not having a functional exhaust fan could cause fumes from the cleaning and disinfecting chemicals stored in the kitchen's janitor closet.
Additionally, Staff A stated that a non-functioning exhaust fan could potentially cause problems with inhalation of chemical fumes due to build up of potential gases; it could cause illness or breathing issues.
Reference: WAC 38-97-2100(1)
Findings included .
Record review of a facility policy titled Physical Restraint Use, dated 12/29/2023, showed the following:
An assessment must be completed and show that:
A Least restrictive alternatives was used and not effective, type of device, frequency/duration and medical reason, A physician's order must be in place to include type, condition/medical symptoms.
Where and how to apply and the time and frequency the device should be released.
Care plan must include and be revised quarterly and as needed:
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
505080
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 505080 B.
Wing 08/26/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Life Care Center of Kennewick 1508 West Seventh Avenue Kennewick, WA 99336
Findings included .
Record review of a facility policy titled Food Temperature Control, revised 06/28/2024, showed that food reheated in the microwave should not be served to the resident's above 150 degrees Fahrenheit (a unit of measure).
<Resident 48>
Review of the medical record showed that the resident was admitted to the facility with diagnoses of stroke (a loss of blood flow to part of the brain, which damages brain tissue) and aphasia (a language disorder that makes it difficult for people to communicate effectively with others).
The comprehensive assessment dated [DATE] showed the resident required extensive assistance of one to two staff members for activities of daily living and required partial to moderate assistance with eating.
Record review of Resident 48's care plan, dated 04/22/2024, showed that Resident 48 required assistance with meals.
505080
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 505080 B.
Wing 08/26/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Life Care Center of Kennewick 1508 West Seventh Avenue Kennewick, WA 99336
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.