Life Care Center Of Skagit Valley
LIFE CARE CENTER OF SKAGIT VALLEY in SEDRO WOOLLEY, WA — inspection on February 23, 2026.
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
of mattress was brought into the facility by Resident 1's family, the mattress was inspected by
preventative measures were taken to prevent Resident 1 from development of a PU, Staff B stated
body).
Staff B stated Resident 1's care plan interventions included a wheelchair cushion, weekly skin checks, clean and dry skin after incontinent episodes, positioning them correctly with respect to the wheelchair cushion, encouraged repositioning and nutrition.
When asked about the wheelchair cushion Resident 1 used prior to the development of their PU, Staff B stated they would need to locate the information and provide it later.
Staff B stated Resident 1's PU was unavoidable, was not an injury of unknown source, and their age and comorbidities (presence of two or more diseases or medical conditions) resulted in the development of their PU.
Staff B stated Resident 1 was very active within the facility, prior to the development of the PU and used their wheelchair throughout the facility to attend multiple activities and was educated about the importance of offloading. No information was provided with respect the Resident 1's wheelchair cushion prior to the development of their PU.In an interview on 02/20/2026 at 2:50 PM Staff E, Nursing Assistant Certified, stated they were familiar with Resident 1 and their care.
Staff E stated they watched Resident 1 closely, helped them to the toilet and provided pericare.
Staff E stated they had no knowledge of any PU for Resident 1, but if there were concerns about their skin, they would report it to the nurse.
When asked about repositioning Resident 1, Staff E stated they do not reposition them when they are sleeping, but when they were awake, they helped them and kept them clean.In an interview on 02/23/2026 at 9:02 AM Collateral Contact 2 (CC2), Resident 1's family member stated they became aware of the PU on Resident 1's sacrum when they were using the bathroom. CC 2 stated Resident 1 was being assisted in the bathroom by facility staff when they heard Resident 1 complaining of pain to their sacrum. CC 1 stated they asked the facility staff why Resident 1 was in pain and they stated it was due to the PU on their sacrum.In an interview on 02/23/2026 at 11:45 AM Staff F, RN, stated Resident 1 had a pressure ulcer and there were treatment orders in place.
When asked what interventions were put into place for Resident 1 related to their pressure ulcer, Staff F stated there were orders for wound care and dressing changes and the nurses and nursing aids would monitor them to ensure they were not positioned on the PU.
Staff F stated they did not have any charting system to document when they monitored Resident 1's positioning.In an interview on 02/23/2026 at 11:55 AM Staff G, NAC stated Resident 1 had a wound on their sacrum and they complained of pain from it.
Staff G stated they assisted Resident 1 in repositioning with pillows when in bed.
Staff G stated Resident 1 had no refusals to reposition when working with them and if they had they would notify the nurse.
Staff G stated there was no specific charting/documentation for repositioning for Resident 1.
Reference WAC 388-97-1060 (3)(b)
505318 02/23/2026
Life Care Center of Skagit Valley 1462 West State Route 20 Sedro Woolley, WA 98284
and the public.
observation, interview, and record review the facility failed to ensure broken window locking devices
NUMBERS]) reviewed for safe, functional and comfortable environment for residents, staff and the public.
These failures placed residents and the public at risk of potentially avoidable accidents, lack of dignity and diminished quality of life.
Findings included . In an interview on 02/19/2026 at 12:50 PM Collateral Contact 1, (CC1) Resident 1's family member stated there was a concern about the window in Resident 1's room, room [ROOM NUMBER]. CC 1 stated Resident 1 moved into the room on 10/30/2025 and the window locking mechanism on the left window panel was broken and there was no window screen. CC1 stated there was nothing in place to secure the window and posed a safety risk as anyone from inside or outside could push the window to the side to enter or exit Resident 1's room. CC1 stated instead of fixing the window by replacement of a new locking mechanism, the facility placed a screw in the window frame so the window could not be opened all the way, however the window could be tilted in the frame to bypass the screw, which allowed access to enter or exit Resident 1's room and posed the same safety concern. CC1 stated the most recent solution was a placement of a wooden dowel (wooden rod) placed between the sliding windows to prevent any access from outside the building. CC1 stated they had spoken to Staff A, Administrator, several times and had received communication that the window had been fixed.In an observation on 02/23/2026 at 10:48 AM observed the windows in rooms 106, 107 and 108 with the permission of the residents residing in each room.
Observed room [ROOM NUMBER] to have a screw in the left side window frame, no window screens, no locking mechanism for the left side, and a dowel placed between the two windows.
Observed room [ROOM NUMBER] to have window screens and functional locking mechanisms in both the right and left windows.
Observed room [ROOM NUMBER]'s window to have a locking mechanism on the left side of the window, which was intact and functional, however the right side of the window had a locking mechanism which was missing the knob that was used to lift the lock up (open) and down (close).
The window on the right was in a locked position.
The windows had screens in each of the windows, the left window screen with a hole in the bottom left corner.In an electronic communication with Staff A on 02/23/2026 at 11:15 AM documented there were no maintenance requests documented for room [ROOM NUMBER] related to the window and communication was made in person to the maintenance director.Review of an electronic communication received 02/23/2026, documented and email between CC 1 and Staff A dated 11/07/2025 at 6:17 PM documented Resident 1's room, left window has a lock and is secured.In an interview on 02/23/2026 at 12:38 PM Staff H, Maintenance Director, stated they had worked at the facility since June of 2025.
When asked about information they could provide about room [ROOM NUMBER] and the locking mechanism missing from the window.
Staff H stated they had heard about the window locking mechanism missing a few weeks ago and placed a screw in the frame where the locking mechanism would lock into.
When asked if the window could be tilted to bypass the screw and from the inside or outside, the stated essentially yes.
Staff H stated there is now a wooden dowel set between the windows.
Staff H stated there was no documentation or maintenance requests only conversations with nursing staff and Staff A.Reference: WAC 388-97-3220 (1)