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Complaint Investigation

Richland Post Acute

January 15, 2025 · Richland, WA · 1745 Pike Avenue
Citations 1
CMS Rating 5/5
Beds 71
Provider ID 505514
Healthcare Facility
Richland Post Acute
Richland, WA  ·  View full profile →
Inspection Summary

Richland Post Acute in RICHLAND, WA — inspection on January 15, 2025.

Found 1 citation. 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.

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Inspection Findings

FF689
Minimal harm or Few Based on interviews and record review, the facility failed to supervise to ensure staff provided care according affected

Findings included .

Review of the facility policy titled, Gait Belt Policy and Procedure, not dated, showed it was the policy of the facility to use a gait belt with any resident that was not independent. If the resident was unsteady with their gait or unable to transfer independently, a gait belt should be used.

<Resident 1>

Review of the medical record showed Resident 1 was admitted to the facility on [DATE] with Parkinson's disease (disorder of the central nervous system that affects movement, often including tremors).

Review of a comprehensive assessment, dated 12/07/2024, showed Resident 1 had severe cognitive loss.

Review of Resident 1's plan of care, dated 12/17/2024, showed Resident 1 required 2 staff to assist with transfers and toileting.

Review of a fall assessment, dated 12/04/2024, showed Resident 1 was at high risk for falls.

Review of Progress Notes, dated 12/26/2024 at 8:37 PM, showed Resident 1 was being transferred from bed to wheelchair by one staff.

The resident's knees buckled and the Nursing Assistant (NA) guided the resident to the floor on their knees.

The resident did not sustain any injuries.

The resident was unable to assist with the transfer at all due to their inability to bear any weight.

Review of the facility investigation report, dated 12/26/2024 at 4:02 PM, showed at approximately 4:00 PM Resident 1 was being assisted from their bed to the wheelchair by Staff A, NA.

The resident was unable to assist with any part of the transfer.

Review of a post-fall assessment for Resident 1's fall on 12/26/2024, dated 12/30/2024, showed the resident was unable to independently come to a standing position, exhibited a loss of balance with standing, required hands-on assistance to move from place to place, and they had a decrease in muscle coordination.

Staff A was transferring the resident alone and they were not strong enough to hold the resident when the resident did not assist with the transfer.

On 01/15/2025 at 9:25 AM, Staff B, Physical Therapist, stated Resident 1 had poor body control with weakness and fatigue.

The resident's head and shoulder would lean to the left side and they required significant assistance to stand.

The resident needed two staff to assist with mobility.

505514

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 505514 B.

Wing 01/15/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Richland Post Acute 1745 Pike Avenue Richland, WA 99354

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 RICHLAND, 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 Richland Post Acute or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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