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Complaint Investigation

Providence Mount St Vincent

January 10, 2025 · Seattle, WA · 4831 35th Avenue Southwest
Citations 1
CMS Rating 3/5
Beds 215
Provider ID 505182
Healthcare Facility
Providence Mount St Vincent
Seattle, WA  ·  View full profile →
Inspection Summary

PROVIDENCE MOUNT ST VINCENT in SEATTLE, WA — inspection on January 10, 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

FF610
TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 42203 Few prohibition and prevention of abuse for 2 of 5 residents (Residents 110 and 95) reviewed for abuse and one affected

Findings included .

<Facility Policy>

The facility's Abuse Prohibition and Prevention policy dated 01/2024, defined sexual abuse as non-consensual sexual contact of any kind.

The policy showed when a resident made an allegation of suspected or alleged abuse, a thorough investigation would be completed.

The policy showed a thorough investigation would include interviews with any witnesses and document details of the alleged event.

The policy showed the facility would document the details of the occurrence in the record of all affected residents, including immediate interventions.

<Resident 110>

According to the Admission Minimum Data Set (MDS - an assessment tool) dated 11/14/2024, Resident 110 had intact memory and experienced social isolation on rare occasions.

The assessment showed Resident 110 required partial to moderate assistance with transferring from a chair to a bed and supervision/touching assistance for moving in bed.

The MDS showed Resident 110 had a fractured right hip.

In an interview on 01/02/2025 at 9:41 AM, Resident 110 was asked if they had any concerns with their care at the facility. Resident 110 immediately directed the conversation to a specific incident that occurred before Christmas the prior month (10 days prior). Resident 110 stated a facility caregiver kissed them and tried to climb into their bed.

Review of the facility's investigation into this allegation showed the incident was reported to the facility on [DATE] and took place on 12/24/2024.

The investigation substantiated Resident 110's allegation that they were touched inappropriately by Staff I (Certified Nursing Assistant) who was immediately dismissed.

The investigation included Staff I's CNA credentials but did not include a background check to show if Staff I had any disqualifying history that should have prevented them from working at the facility.

The investigation showed Staff B (Director of Nursing) interviewed Staff I via telephone and included a statement from Staff D (Social Services Director).

The investigation did not include any interviews with any other potential witnesses or victims, neither facility staff nor residents.

The investigation did not show if Staff I had worked on any other units and did not include a screening of other potentially affected residents.

The investigation showed it was completed by Staff T (Unit Manager, Registered Nurse) who worked at a sister facility but was acting as interim unit manager, and signed off by Staff B.

505182

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 505182 B.

Wing 01/10/2025

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

Providence Mount St Vincent 4831 35th Avenue Southwest Seattle, WA 98126

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 SEATTLE, 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 PROVIDENCE MOUNT ST VINCENT or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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