Life Care Center Of Skagit Valley
LIFE CARE CENTER OF SKAGIT VALLEY in SEDRO WOOLLEY, WA — inspection on September 4, 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
Findings included.Resident 4 was admitted to the facility on [DATE] with diagnoses to include perineal (area between the genitals and the anus) and sacral (area between the bottom of the spine and tailbone) wounds, urinary incontinence, and cognitive impairment.
Review of the Quarterly Minimum Data Set (MDS - an assessment tool) assessment, the resident had no cognitive impairment, was continent of their bowel and bladder, and did not have an indwelling urinary catheter.
Review of Resident 4's discharge CP, date initiated 04/10/2025 and revised on 04/17/2025, showed the goal was to develop and follow full discharge plan with comprehensive assessment (the comprehensive assessment was completed with the admission MDS assessment dated [DATE]).
The intervention was the resident wished to return home.
Review of Resident 4's indwelling urinary catheter CP, revised on 04/28/2025, showed the resident had an indwelling Foley (a medical device that helps drain urine from the bladder) catheter present.
Staff were directed to perform catheter care every shift.
Review of Resident 4's July 2025 Medication Administration Record, showed the indwelling urinary catheter was removed on 07/25/2025.
Review of Resident 4's nursing assistant documentation for the last 30 days, from 08/04/2025 to 09/02/2025, showed the resident was incontinent of bladder and no documentation the resident had an indwelling urinary catheter. In an observation and interview on 09/04/2025 at 8:35 AM, Resident 4 was lying in bed with no indwelling urinary catheter observed.
The resident stated they wanted to go home. At 8:40 AM, Collateral Contact 1 (CC-1) and CC-2, the resident's family members, entered the room.
The resident stated the doctor told them they needed a safe discharge. CC-1 and CC-2 stated the resident could not be discharged to their prior living situation because it was unsafe. In an observation and interview on 09/04/2025 at 10:15 AM, Resident 4 was sitting on the side of the bed with a hospital gown in place.
There was no indwelling urinary catheter observed. In an interview on 09/04/2025 at 3:02 PM, Staff D, Registered Nurse/MDS Coordinator, was asked about Resident 4's continent status.
Staff D stated their most recent MDS assessment showed the resident was continent of bowel and bladder. Resident 4's CP was reviewed with Staff D which showed the resident had an indwelling urinary catheter in place.
Staff D acknowledge the CP should be updated. In an interview on 09/04/2025 at 3:20 PM, Staff I, Social Service Director, was asked about the discharge planning process and the discharge CP.
Staff I stated the initial meeting to discuss the resident's status was done within the first 48 hours of admission and when the discharge CP was started. Resident 4's discharge CP was observed with Staff I.
Staff I acknowledged the CP did not reflect the resident's current discharge goal and should be updated.
Refer to WAC 988-97-1020 (2)(c )(d)(5)(b)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/04/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Life Care Center of Skagit Valley
1462 West State Route 20 Sedro Woolley, WA 98284
SUMMARY STATEMENT OF DEFICIENCIES
Review of Resident 9's weekly skin check dated 06/15/2025 showed they had an open area with no further description.
Review of Resident 9's weekly skin check dated 06/24/2025, 07/01/2025, 07/08/2025, 07/15/2025 showed the same documentation, that they had an open area to their coccyx that measured 1.6cm long and 3cm wide.
Review of Resident 9's care plan showed they had a pressure ulcer and was followed by the wound care clinic, initiated on 06/25/2025.
Review of Resident 9's medical record showed no wound note documentation during the month of June,
- Review of Resident 9's wound note, dated 07/09/2025 showed they had an open wound which had
progressed to a Stage II Pressure Ulcer.
In a joint interview on 09/04/2025 at 3:30 PM, Staff A, Staff B, and Staff C.
Staff C stated their expectation was that if a nurse documented the resident had an open area, it would be documented clearly and measured.
Staff C stated the nurse that documented Resident 9's weekly skin was a brand-new nurse who did not know how to document skin conditions correctly.
Staff C stated they had completed teaching related to skin documentation with that specific nurse due to incorrect documentation.
Staff C stated Resident 9 had MASD and their skin was excoriated and had no wound/pressure ulcer until documented on 07/09/2025.
Staff A stated Resident 9's family had a history of taking the resident to appointments without facility staff knowledge.
Staff C stated the resident did have a wound care referral due to family request of the provider on 06/25/2025 but did not actually have a pressure ulcer at that time.
Staff C stated it was understandable that the documentation related to Resident 9's skin was confusing and inaccurate.
Refer to WAC 388-97-1720 (1)(a)(i-iv)(b) (2)(a-m)
Facility ID: