Providence Mount St Vincent
PROVIDENCE MOUNT ST VINCENT in SEATTLE, WA — inspection on January 10, 2025.
Found 5 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
Findings included .
<Facility Policy>
According to the 06/2022 revised Medication Storage and Disposal facility policy, facility would provide proper disposal of medications.
<300 South/Resident 89>
According to the 11/05/2024 Quarterly Minimum Data Set (MDS - an assessment tool) Resident 89 was assessed with severely impaired memory.
The MDS showed Resident 89 had a chronic respiratory disease.
Observation on 01/02/2025 at 11:24 AM in the 300 South dining room showed three residents seated at a table.
One resident pointed at a respiratory inhaler placed on the table, pointed at Resident 89, and stated that's her medicine.
The inhaler was not in a box or labeled in anyway. At 11:34 AM a nurse's aide served water to the residents at the table and did not identify the unsecured inhaler
On 01/02/2025 at 11:54 AM Staff QQ (License Practical Nurse - LPN) appeared on the unit.
Staff QQ stated they were the nurse on duty, and just returned from a break.
Staff QQ stated they gave Resident 89 the inhaler.
Staff QQ stated they did not know if Resident 89 had intact memory or was assessed to able to administer their own medications prior to giving it to them.
Staff QQ stated they should have but did not verify if Resident 89 was able to administer their inhaler before leaving it with the resident unsupervised.
Staff QQ stated it was their first day working that unit.
47836
<5 North Medication Room>
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
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
F-F686-Treatment to Prevent Pressure Ulcer
REFERENCE: WAC 388-97-1320(1)(c), (2)(b).
.
505182
Findings included .
<Resident 428>
According to a 12/30/2024 Admission Minimum Data Set (MDS - an assessment tool) Resident 428 admitted to the facility on [DATE].
The MDS showed Resident 428 was frequently incontinent of bowels.
Review of Resident 428's 12/30/2024 9:10 AM Infection Prevention & Control progress note Resident 428 admitted on [DATE] and was on enteric precautions (infection control measure designed to prevent transmission of pathogens through the fecal-oral route) at the hospital for diarrhea their entire hospital stay.
The note showed the hospital ruled out any infectious origin, but Resident 428 was still experiencing diarrhea since admission to the facility.
In an interview on 01/03/2025 at 8:55 AM Resident 428 stated they had frequent diarrhea which required an antidiarrheal medication for management. Resident 428 stated they were normally continent of bowels but were now frequently incontinent of stool since this hospitalization due to the diarrhea coming on quickly and without warning.
During this interview Resident 428 pressed the call light to call for toileting assistance but in less than a minute was unable to wait and was incontinent of diarrhea.
Review of Resident 428's CP showed no documentation of the unmanaged diarrhea.
In an interview on 01/09/2025 at 9:40 AM Staff C (Infection Preventionist) stated Resident 428 was on enteric precautions their entire stay at the hospital but was ruled out as infectious so was removed from the precautions.
Staff C stated Resident 428 still had issues with diarrhea but did not have a CP developed directing staff on how to care for this issue but should have.
Staff C stated it was important to develop a CP for the frequent diarrhea to ensure Resident 428 stayed hydrated and to avoid skin breakdown.
43642
<Resident 93>
According to a 12/26/2024 Annual MDS, Resident 93 was at risk for pressure ulcers and had no rejection of care.
This MDS showed staff assessed Resident 93 used a walker for mobility, required supervision for transfers from bed, and was dependent on staff for dressing, putting on/taking off footwear, and personal hygiene.
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
Findings included .
<Facility Policy>
According to the revised 01/2025 Cleaning and Disinfection of Environment Surfaces policy, all chemicals would remain out of reach of residents and stored behind locked doors to ensure safety.
<2 North Unit>
Observation on 01/02/2025 at 8:43 AM showed the clean utility room on the 2 North unit was unlocked.
Eight blood collection kits with needles were observed uncontained on a shelf at waist height. A towel warmer device was present and in use in the utility room.
The towel warmer was easily opened and not secured/locked.
In an interview on 01/02/2025 at 9:44 AM, Staff V (Licensed Practical Nurse - LPN) confirmed the eight blood collection kits in the unlocked utility room and stated they should be secured from residents.
Staff V observed the utility room door and confirmed there was no locking mechanism on the utility room door.
Staff V stated they did not have a key to lock the utility room.
In an interview on 01/10/2025 at 12:42 PM, Staff B (Director of Nursing) stated it was their expectation that needles/sharps be secured and out of resident reach.
50511
<4 South Unit>
Observation on 01/02/2025 at 9:39 AM showed the door to clean utility room was unlocked on the 4 South unit.
The door opened freely and allowed access to bottles of shaving cream, body wash, and barrier incontinent creams stocked in utility room.
Observation on 01/02/2025 at 9:43 AM showed the spa room door was propped open on the 4 South unit.
One bottle of disinfectant cleaner deodorant with warning label on bottle of disinfectant to keep out of reach of children and a caution warning to avoid contact with eyes and skin was observed in the spa.
In an interview on 01/10/2025 at 10:42 AM Staff K (Manager, Long Term Care Registered Nurse) stated the spa/tub room should be locked for safety reasons but was not.
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