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Complaint Investigation

Olympic View Post Acute

February 26, 2026 · Port Angeles, WA · 1116 E Lauridsen Boulevard
Citations 4
CMS Rating 1/5
Beds 101
Provider ID 505185
Healthcare Facility
Olympic View Post Acute
Port Angeles, WA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Olympic View Post Acute in PORT ANGELES, WA — inspection on February 26, 2026.

Found 4 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

FF0584
Resident Rights Deficiencies

Findings included . Resident 1 admitted to the facility on [DATE].

The quarterly Minimum Data Set (MDS, an assessment tool), showed Resident 1 was moderately cognitively impaired.On 02/04/2026 at 2:55PM, Resident 1's room, 50 bed 2, was observed.

The floor by the window was littered with debris, including ear cleaners, wrappers, and pill containers.

The window seal, blinds, and along the edge of the floor trim had dark yellow brown substances.

The sheet on the bed had food particles and stains of varying shapes and colors. A large disc heater was positioned on the dresser which was located below a large cork board.

The heater was on and was producing a bright orange glow.

The plug in was only halfway into the outlet.

There were piles of clothes, bedding, and personal items all crowded around the heater.On 02/04/2025 at 11:03PM, Staff G, Maintenance Manager, observed the heater.

Staff G said the fire marshal said the heaters were okay in facilities but needed at least 3 feet of clearance from any object.

Staff G said there were too many items close to heater, including the corkboard, which would create a fire hazard.

When asked how staff would know what the regulations were regarding space heaters in resident's rooms, he stated, They should just know.On 02/05/2026 at 11:45, Staff H, Housekeeping Manager, observed Resident 1's room.

Staff H moved Resident 1's bed with their foot.

Brownish yellow liquid could be seen oozing from under the bed frame legs.

Staff H said the room was very dirty and that it was evident the room had not been deep cleaned for a long time.

When asked how important cleaning rooms with potential pathogens (bacteria, virus, or microorganism) was, Staff H said it was very important to decrease the risk of spreading infection. On 02/23/2026 at 1:17PM, Staff A, Administrator, said they had determined Resident 1 would often refuse to have their room cleaned, but that staff should have reported the condition of the room and the refusals to management, especially when there was concern for infectious diseases.

Staff A said the facility would no longer be allowing space heaters due to the risk of fires and burns.

See F-F880, Infection Control

Reference WAC 388-97-0880 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

505185 02/26/2026

Olympic View Post Acute 1116 E Lauridsen Boulevard Port Angeles, WA 98362

same nurse documented Resident 1 had passed away. At 10:02 AM, positive RSV lab results were

02/09/2026 at 10:00 AM, documented a positive RSV lab had been received. On 02/11/2026 at 7:26

Resident 4 was admitted to the facility on [DATE].

The quarterly MDS, dated [DATE] documented Resident 4 was severely cognitively impaired. A nurse's note, dated 02/13/2026 at 3:37 AM, documented Resident 4 was sent to the hospital for respiratory distress and increased temperature. Resident 5 was admitted to the facility on [DATE].

The annual MDS, dated [DATE], documented Resident 5 was severely cognitively impaired. A nurse's note, dated 02/13/2026 at 3:39 AM, documented Resident 5 was sent to the hospital for labored breathing and gurgling chest sounds. On 02/18/2026 at 10:09 AM, Staff D, RNC, said the lack of a comprehensive IPCP, the lack of a credentialed and trained IP, and the lack of infection control training and education for staff all contributed to the outbreak and severity of the RSV infection.

Reference WAC 388-97-1320(1)(a)(2)(a)(2)(b)

505185 02/26/2026

Olympic View Post Acute 1116 E Lauridsen Boulevard Port Angeles, WA 98362

use of antibiotics and reduce the risk of unnecessary antibiotic use, including the development of

with the inappropriate/unnecessary use of antibiotics.

Findings included. On 02/04/2026 at 3:15PM, Staff B, Director of Nursing Services, was asked for the facility's IPCP which would include an antibiotic stewardship portion.

Staff B said they did not know where any of the information for the facility's IPCP was.

Staff B said they were unaware of any system being used to track antibiotic usage in the facility.

Reference WAC 388-97-1620(2)(b)(i)(ii)

505185 02/26/2026

Olympic View Post Acute 1116 E Lauridsen Boulevard Port Angeles, WA 98362

program in the nursing home.

qualified Infection Preventionist (IP) responsible for the facility's Infection Control Program.

This

02/04/2026 at 3:15PM, Staff B, Director of Nursing Services, DNS, said Staff C, Registered Nurse (RN), had been assigned the role of IP since December of 2025.

Staff B was unable to provide any information on the facility's Infection Prevention and Control Program. On 02/04/2026 at 3:37PM, Staff C, RN, said they were assigned two roles, Wound Care Nurse and IP.

Staff C said they had graduated from nursing school just a few months prior and did not have any infection control experience other than nursing school.

Staff C said they were working over 40 hours a week performing wound care and were unable to dedicate the requisite 20 hours per week for the IP role.

Staff C said they had not begun the IP certification program.

Refer to F-F880, Infection ControlWAC reference 388-97-1620(2)(b)(i)(ii)

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 PORT ANGELES, 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 Olympic View Post Acute or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.