Kin On Health Care Center
KIN ON HEALTH CARE CENTER in SEATTLE, WA — inspection on August 11, 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.
Inspection Findings
felt Resident 1 may be in pain and gave Resident 1 pain medication and applied a pain-relieving cream on Resident 1's shoulders, neck, and arm after the transfer.In an interview on 08/11/2025 at 11:02 PM, Staff C, stated that on the night of the fall incident (06/08/2025) they found Resident 1 attempting to transfer themselves into the wheelchair.
Staff C stated that they ran to Resident 1 and assisted them onto the floor as Resident1's legs started buckling.
Staff C stated that as they guided Resident 1 down to the floor, Resident 1 grabbed onto the wheelchair brakes causing the chair to unlock, which then caused the wheelchair to roll back as they held onto it.
Staff C stated that Staff D came into the room after hearing Staff C call for help.
Staff C stated that Staff D and Staff E were on each side of the resident, lifting Resident 1 up as Staff C was behind the resident lifting her bottom and guiding the resident onto the bed.
Staff C stated that they usually use a gait belt but did not have a chance to get one since they had to act fast.
Staff C stated that Resident 1 grimaced during the transfer.
Staff C further stated that Resident 1 was quieter than usual the next day, which indicated to Staff C that Resident 1 was in pain.In an interview on 07/08/2025 at 1:30 PM, Staff B, Director of Nursing, stated that they expected the care staff to follow the residents' care plan on how to transfer residents.
Staff B further stated that staff should have used a gait belt with Resident 1 to help minimize injury.In an interview on 07/08/2025 at 3:19 PM, Staff A, Administrator, stated that they expected the care staff to follow the care plan and use the gait belt.Reference: (WAC) 388-97-1060 (3)(g).
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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.