Lake Ridge Center
Inspection Findings
F-Tag F0690
F 0690 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
transferred to the local hospital for evaluation and treatment due to altered mental status (being slightly confused, sleepy or completely disoriented), low blood sugar and complaints of chest pain.Review of the hospital History and Physical (H & P) document, dated [DATE REDACTED] at 12:03 AM, showed Resident 1 was admitted to the hospital for septic shock (a life-threatening condition that occurs when an infection spreads throughout the body, causing a severe drop in blood pressure and organ failure) from urosepsis (a life-threatening condition where a UTI spreads from the urinary system to the bloodstream, causing the body's response to harm its own organs).During an interview, on [DATE REDACTED] at 4:26 PM, a Resident Representative (RR) stated they did not feel the facility was responding timely or thoroughly to Resident 1's change in condition. The RR stated they had to request Resident 1 to be evaluated at the local hospital on [DATE REDACTED] for the hematuria and on [DATE REDACTED] for Resident 1's altered mental status. The RR stated, I really feel (Resident 1) would have died if I had not come in and demanded they send them to the hospital.During an interview, on [DATE REDACTED] at 2:20PM, Staff C, Physician's Assistant Certified (PA-C) stated Resident 1's facility medical record did not show the C & S results for the UA obtained on [DATE REDACTED], and when they were contacted on [DATE REDACTED] (14 days after collection) regarding the results, Staff C had to extensively look for the lab report in the hospital laboratory database. Staff C stated C & S reports were completed and ready for
review after a few days, and the LNs notified the medical provider once the results were received. Staff C confirmed Resident 1's C & S results should have been received and reviewed sooner than 14 days after collection.During an interview, on [DATE REDACTED] at 3:26 PM, Staff D, Resident Care Manager (RCM), stated they received the telephone order for Resident 1's UA with C & S from the urologist on [DATE REDACTED]. Staff D stated the purpose of the test was to rule out infection due to Resident 1's recent bladder irrigation, catheter placement and cystoscopy (procedures that increased the risk of introducing bacteria into the bladder).
Staff D stated the facility process was for the floor LNs to follow up on lab results-ensuring the results were received, reviewed, and documented.During an interview, on [DATE REDACTED] at 4:00 PM, Staff E, Licensed Practical Nurse (LPN), stated they were aware a UA had been collected for Resident 1 but did not recall receiving
the C & S results. Staff E stated they assumed someone else had received and addressed the results.During an interview, on [DATE REDACTED] at 4:27 PM, Staff B, Director of Nursing Services (DNS), stated they were unaware Resident 1 had a pending UA with C & S from [DATE REDACTED] until a RR contacted them, on [DATE REDACTED], asking about the treatment plan. Staff B stated the RR was contacted by the urology office and was informed that Resident 1 had a UTI. Staff B stated they discussed the results with Staff C, and no antibiotic treatment was ordered due to Resident 1 having no symptoms or change in behavior. Staff B stated they were unsure why it took 14 days for the C & S results to be reviewed.Reference: WAC 388-97-1060(3)(c)
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LAKE RIDGE CENTER in MOSES LAKE, 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 MOSES LAKE, 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 LAKE RIDGE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.