Olympic View Post Acute
Olympic View Post Acute in PORT ANGELES, WA — inspection on May 13, 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 .
1) Resident 127 admitted to the facility on [DATE] with orders for intravenous (IV) cefazolin (antibiotic) every eight hours at 8:00 AM, 4:00 PM and midnight.
Review of Resident 127's Admission Minimum Data Set (MDS, an assessment tool), showed the resident was cognitively intact, had diagnoses of pneumonia (infection in lungs) and sepsis (infection in blood), and received IV antibiotics via Peripherally Inserted Central Catheter (PICC - long, flexible, thin tube inserted into a vein in your arm, usually the upper arm, and threaded up to a larger vein near your heart).
Review of Resident 127's April and May 2025 Medication Administration Records (MAR) showed Resident 127's midnight dose of IV cefazolin was not consistently administered at the ordered time/intervals:
- On 04/25/2025 the midnight dose was administered at 2:53 AM, 3 hours late.
- On 04/27/2025 the midnight dose was administered at 6:27 AM, 6.5 hours late.
- On 04/28/2025 the midnight dose was administered at 5:31 AM, 5.5 hours late.
- On 04/30/2025 the midnight dose was administered at 5:35 AM, 5.5 hours late.
- On 05/02/2025 the midnight dose was administered at 4:50 AM, 5 hours late.
- On 05/05/2025 the midnight dose was administered at 4:23 AM, 4.5 hours late.
On 05/09/2025 at 11:33 AM, Staff C, Resident Care Manager (RCM), said facility nurses failed to administer Resident 127's IV cefazolin in accordance with the physician's order or professional standards of practice.
Review of the April and May 2025 MAR and TAR showed Resident 127 had an order to change the PICC dressing every 72 hours, with instruction to measure the external length catheter and resident's arm circumference with each dresing change.
The MAR/TAR did not provide a place for staff to record the measurements.
Review of the Electronic Health Record (EHR) showed no PICC external catheter length or resident's arm circumference measurements were documented, upon admission or with the 72-hour dressing changes as ordered.
505185
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 505185 B.
Wing 05/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Olympic View Care 1116 E Lauridsen Boulevard Port Angeles, WA 98362
Findings included .
Review of the facility's policy titled, Management of Constipation, revised 11/2023, showed the facility monitored bowel movements through point of care documentation (computer charting system used most frequently by nursing assitants) and clinical alerts.
After 64 hours of no/small bowel movement, the nurse would assess and determine if the bowel protocol would be initiated and document findings, and interventions would be documented on the clinical alert.
The standard bowel protocol would be as follows:
1.
Milk of Magnesia (MOM) after 8 shifts of no bowel movement
2.
Bisacodyl suppository if no results from the MOM
3.
Fleets Enema if no results from the Bisacodyl suppository
1) Resident 56 was admitted to the facility on [DATE].
The Significant Change Minimum Data Set Assessment (MDS), dated [DATE], showed Resident 56 was able to be understood and understands.
During an interview on 05/05/2025 at 4:05 PM, Resident 56 reported they had both constipation and diarrhea.
Review of Resident 56's orders showed three bowel stimulation orders:
1.
Dulcolax suppository (Bisacodyl), insert 1 suppository rectally every 24 hours as needed for constipation if no results from MOM after 12 hours
2.
Senna oral tablet, give 2 tablets by mouth every 6 hours as needed for constipation
3.
MiraLax oral packet, give 1 packet by mouth one time a day for constipation hold for loose stool
Review of the previous 30 days of bowel movements, showed Resident 56 had no documented bowel movements from 04/19/2025 to 04/24/2025 (6 days).
Review of the electronic health record (EHR) showed no bowel medications were given during those dates.
505185
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 505185 B.
Wing 05/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Olympic View Care 1116 E Lauridsen Boulevard Port Angeles, WA 98362