Life Care Center Of Kennewick
Inspection Findings
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Based on interview and record review, the facility failed to ensure staff implemented fall prevention interventions identified on the resident's care plan for 1 of 3 residents (Resident 1) reviewed for falls. This failure placed the residents at risk for repeated falls and injuries.Findings included. Review of a policy titled, Person Centered Care Planning, dated 09/05/2024, showed each resident would have a person-centered comprehensive care plan developed and implemented to meet their preferences and goals, that addresses
the resident's medical, physical, mental, and psychosocial needs. The care plan would be developed and implemented to ensure consistency with implementation across all shifts. <Resident 1>Review of the medical record showed Resident 1 was admitted to the facility with diagnoses including a brain injury with loss of consciousness, stroke (damage to the brain from an interruption of blood flow), and history of falling.
The 06/30/2025 comprehensive assessment showed Resident 1 required substantial assistance of one staff member for activities of daily living. The assessment also showed Resident 1 had a memory problem and had a severely impaired cognition. Record review of a Fall Risk Evaluation dated 03/25/2025 showed Resident 1 was identified as high fall risk. Record review of Resident 1's care plan dated 03/25/2025, showed they were at risk for falls, with interventions including anticipating the resident's needs, placing the call light within reach, using a mechanical lift for transfers, and continuing to work with therapy for strength and balance. A care plan revision dated 06/13/2025 showed the nursing assistants (NA) would ensure the resident was kept in supervised areas while they were up in their wheelchair. Record review of a facility investigation dated 06/20/2025, showed a NA found Resident 1 on the floor in their room. The investigation showed the root cause of the fall was due to Staff B, a newly hired NA, that had left Resident 1 up in their wheelchair, unsupervised. During an interview on 08/14/2025 at 1:14 PM, Staff A, Director of Nursing, stated all NAs were trained to review the Kardex (a quick reference tool used by nursing staff to access vital patient information) for directives and updates to resident care. Staff A stated Staff B was newly hired and had just completed their orientation. They stated all new nursing staff received training towards reviewing
the care plan and Kardex during their orientation and while training on the floor with other NAs. Staff A stated Staff B should have reviewed Resident 1's Kardex prior to providing care. Reference: WAC 388-97-1020(3)
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 REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
LIFE CARE CENTER OF KENNEWICK in KENNEWICK, 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 KENNEWICK, 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 LIFE CARE CENTER OF KENNEWICK or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.