Linden Grove Health Care Center
Inspection Findings
F-Tag F0686
F 0686 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
had, anxiousness, as evident by rolling in bed, restlessness, verbalizing [the] pain and discomfort.An SBAR (Situation Background Assessment Recommendation form used as a provider communication tool), dated 09/23/2025 at 7:17 PM, documented Resident 1 had a change in condition related to fever and pain (uncontrolled). The Pain Status Evaluation area of the SBAR documented Resident 1 had pain at the Genitourinary (includes the penis) area. Review showed there was no physical assessment documentation related to Resident 1's Foley Catheter included. Resident 1 was sent to the hospital for further evaluation.An ER triage note, dated 09/23/2025 at 5:32 PM, documented Resident 1 reported penile pain at the Foley catheter insertion site.A hospital provider note, dated 09/23/2025 at 8:55 PM, documented Resident 1 reported having pain at the Foley catheter insertion site since the insertion occurred.An Urology provider note, dated 09/24/2025 at 7:49 PM, documented the following: Upon admission [to the hospital] Resident 1's Foley catheter was exchanged. This led to resolution of the penile pain he had been dealing with. Today's examination findings show a significant meatal erosion (a breakdown of the outer layers of skin around the opening that leads to the bladder to the to the right and to the left).On 09/25/2025 at 8:00 AM, CC 13, a hospital wound nurse, documented wound care orders that included daily cleansing with normal saline, soap, water, and leaving the wound open to air due to Pressure injury stage Mucosal Membrane (MMPI).During an interview 10/09/2025 at 1:43 PM, Staff A, Registered Nurse & Director of Nursing, said she would expect Resident 1 to have provider Foley catheter care and monitoring orders on Resident 1's eTAR and a Foley catheter care plan that included care and monitoring interventions. Staff A said she would expect ensuring catheter tubing was relaxed, not pulling and as needed cleansing around
the insertion site to be included in the orders and on the care plan. After reviewing Resident 1's records, Staff A said there were no Foley catheter care or monitoring care planned interventions and Foley catheter care and monitoring was not included on Resident 1's September 2025 eTAR.Reference WAC 388-97-1060-1
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LINDEN GROVE HEALTH CARE CENTER in PUYALLUP, 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 PUYALLUP, 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 LINDEN GROVE HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.