Avamere Rehabilitation Of Shoreline
AVAMERE REHABILITATION OF SHORELINE in SEATTLE, WA — inspection on November 14, 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
documented it in the TAR.On 11/13/2025 at 4:02 PM, Staff C, Resident Care Manager, stated nursing staff should check the physician's orders and have correct documentation after administration of medications.
Staff C stated a treatment dressing should be labeled with the nurse's initials and date and time it was done.
Staff C stated Staff D was not supposed to document Resident 1's treatment administration until it was done.On 11/13/2025 at 4:24 PM, Staff B, Director of Nursing Services, stated they expected nursing staff to follow physician orders, and if something did not seem right to get clarification.
Staff B further stated they expected staff to document after treatment was completed.In a follow-up interview on 11/14/2025 at 11:50 AM, Staff B stated that Staff D should have followed the physician's orders for Resident 1 and checked it off after completing the tasks.Reference: (WAC) 388-97-1620(2)(b)(i)(ii).
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/14/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Avamere Rehabilitation of Shoreline
1250 Northeast 145th Street Seattle, WA 98155
SUMMARY STATEMENT OF DEFICIENCIES
they did not stage any wounds.
Staff E stated that they put their documentation into the wound evaluations.
When asked about the evaluations completed for Resident 2, Staff E stated that they did not stage the wounds, that they followed the previous wound care provider's assessment, and if it basically looked the same then that is what they would document.
Staff E stated they were not wound care certified.
When asked if assessing/evaluating was under an LPN's scope of practice, Staff E stated, I never really thought of that, I am not sure. I will have to get back to you.On 11/14/2025 at 5:00 PM, Staff B, Director of Nursing, stated Staff E had been the facility's wound nurse and that they were not wound care certified.
When asked if Staff E could complete wound assessments, Staff B stated, the company calls them evaluations.
When asked what an evaluation meant, Staff B stated, I don't [do not] know if I have an answer to that, and stated they were aware their software system classified the evaluation as a full assessment.
Staff B stated that an assessment was more specific.
When asked if the Wound Care Specialist's assessment from 06/19/2025, 07/03/2025, and 07/10/2025 contained the same assessment as their AvaWound Evaluation #1-V 2, Staff B stated, they look alike.
Staff B stated that assessing was not under the scope of practice of an LPN and that they could not provide supporting documentation to show that another Wound Care Specialist or RN was with Staff E during the completion of wound care evaluations.
When asked if it was appropriate for Staff E to use the Wound Care Specialist's assessment under their own documentation when they were not present, Staff B stated, no, and that it was not best practice.
When asked what stage Resident 2's wound was at upon discharge, Staff B stated according to their evaluations a Stage 4 and on another note, it stated a superficial wound.
Staff B further stated maybe the documentation was not accurate and that they would expect nursing staff to document accurately.On 11/14/2025 at 6:45 PM, Staff A, Administrator, stated they would expect there to be a competency skills checklist completed for Staff E.
Staff A stated it would be important to complete a competency skills checklist to see if they needed to update their skills set, or if any corrections were needed they could identify and train their staff. On 11/14/2025 at 6:54 PM, Staff F, Human Resources/Payroll, stated they could not find a competency skills checklist completed for Staff E.
Staff F stated Staff E was hired on 07/28/2023, and that they would expect there to be a checklist completed for them.
Staff F stated that they had reached out to their corporate payroll and had not found anything either.Reference: (WAC) 388-97-1680 (2)(a)(b)(i).
Facility ID: