Alderwood Post Acute & Rehabilitation
ALDERWOOD POST ACUTE & REHABILITATION in LYNNWOOD, WA — inspection on March 30, 2026.
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
Review of Resident 2's Kardex, as of 03/25/2026,
confirmed there was no instruction for getting the resident out of bed. in their Kardex. In an interview
NAC obtained care instruction from Kardex before their work.
Staff I confirmed that the care instruction for getting the resident up/out of bed was not in their care plan and Kardex and could be updated in the care plan. <PRECAUTION>In observations on 03/24/2026 at 10:22 AM and 03/30/2026 at 10:02 AM, observed a contact precaution signage posted outside of Resident 2's door.
Review of a progress note dated 03/10/2026 at 9:01 AM, documented Resident 2 was placed on contact precaution.
Review of Resident 2's care plan, initiated 01/05/2025, documented Resident 2 required Enhanced Barrier precautions for isolation.
Review of Resident 2's Kardex, as of 03/25/2026, there was no care instruction of contact precaution. In an interview and record review on 03/30/2026 at 11:54 AM, Staff I confirmed that Resident 2 was on contact precautions and the care plan was not updated. In an interview and record review on 03/30/2026 at 1:08 PM, Staff J, LPN/Infection Preventionist, stated Resident 2 was placed on contact precautions and the care plan and Kardex should be updated. <RESIDENT 3>Resident 3 was admitted to the facility on [DATE] and discharged on 03/02/2026.
Review of a progress note dated 02/23/2026 at 4:53 PM, documented Resident 3 had a pressure ulcer and repositioning the resident as tolerated.
Review of Resident 3' s March MAR/TAR, documented an order for reposition every two hours to maintain skin integrity and relieve pressure off at coccyx area, initiated on 02/19/2026.
Review of Resident 3's care plan, initiated on 02/23/2026, the focus under skin impairment documented the resident had moisture associated skin damage at coccyx.
However, there was no intervention of repositioning the resident every two hours. In an interview and record review on 03/30/2026 at 1:08 PM, Staff J, stated there was an order of repositioning the resident every two hours which was not updated in the care plan and Kardex. In a joint interview on 03/30/2026 at 4:10 PM, Staff A, Interim Administrator, and Staff B, Director of Nursing, stated the expectation was for the interdisciplinary team to update care plans timely to ensure all residents' needs and physician orders were accurately reflected.
Reference WAC 388-97-1020 (2)(a)(5)(b)
505319 03/30/2026
Alderwood Post Acute & Rehabilitation 3701 188th Street Southwest Lynnwood, WA 98037
Review of Occupational Therapy OT Evaluation and Plan of Treatment, dated and signed on 10/27/2025 at 5:22 PM, documented Resident 1 had left upper extremity range of motion impairment and a left-hand contracture, and the resident was wearing left orthotic to manage flexion tone prior to admission.Review of Occupational Therapy OT Discharge Summary, dated and signed on 11/26/2025 at 9:29 AM, documented a discharge recommendation for Restorative care and assistance with donning/doffing orthotic wear.Review of Physical Therapy PT Discharge Summary, dated and cosigned on 11/25/2025 at 4:37 PM, documented showed a recommendation for restorative programs if the resident did not continue with Medicaid Part B services.In an interview on 03/25/2026 at 11:01 AM, Staff C confirmed Resident 2 discontinued therapy services on 11/26/2025 and did not continue with Medicaid Part B services.
Staff C stated they recommended the resident be on restorative nursing programs after their therapy services were discontinued. In an interview and record review on 03/25/2026 at 12:02 PM, Staff E stated that Resident 2 had no restorative nursing programs since readmission in October.
Staff E stated the therapists needed to re-evaluate the resident after hospitalization and initiate new restorative programs recommendations into EHR.
Staff E confirmed that they were not aware of the recommendations and there was no referral documentation in the system.In an interview on 03/25/2026 at 12:13 PM, Staff C stated they could not find any restorative program referrals from the therapists in the EHR after readmission in October.In a joint interview 03/30/2026 at 4:10 PM, Staff A, Interim Administrator and Staff B, Director of Nursing, stated they the expectation was for all residents to receive recommended restorative nursing programs.
Staff B stated that once therapists discharged a resident, they should initiate the recommended restorative programs in the EHR for MDS Coordinator to follow up and implement.
Reference WAC 388-97-1060(3)(d)(j)(ix) .
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 LYNNWOOD, 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 ALDERWOOD POST ACUTE & REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.