Yakima Valley School
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Resident 1 appeared asleep. Staff D then went to the front of the cottage to wash their hands and chart.
When done washing their hands, they heard a noise in the back of the cottage and found Resident 1 bleeding from their forehead, while standing in the hallway.Review of statements included in the 07/31/2025 facility investigation showed that Staff C, Licensed Practical Nurse, was the nurse on duty when Resident 1 was found with a laceration on their forehead. They reported they had not released Resident 1 from sedation observation and were not notified prior to the resident's transfer to bed.Review of the 07/31/2025 facility investigation conclusion showed Staff D failed to follow the sedation protocols to maintain line of sight of the resident.Review of a 07/29/2025 at 2:49 PM progress note showed Staff C was called to attend Resident 1 at 1:14 PM after staff heard a loud thud in the back hall. Resident 1 was standing near their bedroom door with a bleeding laceration to their forehead. The laceration was measured 10 cm long by 2 cm wide and 0.5 cm deep. Pressure was applied and the resident was transported by ambulance to the hospital.During a telephone interview on 08/18/2025 at 12:45 PM, Resident 1's Representative (RR) stated
the facility reached them by phone by the time Resident 1 was in transport to the hospital. The staff stated
they thought Resident 1 fell in the back hall and hit their head on a hard surface. The RR stated, the wound was horrific and was very upset this happened. The RR stated after returning home, they took Resident 1 to
the hospital on [DATE REDACTED] to have the staples removed. The RR stated the hospital staff instructed them to clean the wound two to three times a day and it would take a while to heal. The RR stated Resident 1 was very resistant to having the wound cleaned and it had become a fight.During an interview on 08/18/2025 at 1:20 PM, Staff D stated they knew Resident 1 was LOS 3 and thought they could leave the resident's bedside after they fell asleep. Staff D stated they did not know that LOS 3 with sedation required continuous line of sight until the nurse released the resident from monitoring. Staff D stated they should not have left Resident 1 alone in their room.During an interview on 08/20/2025 at 10:15 AM, Staff A, Superintendent/NH Administrator, stated their investigation showed Staff C was new to day shift and had not been trained on
the sedation protocol. We should have done a better job to protect [Resident 1].Reference: WAC 388-97-1060 (3)(g)This is a repeat citation from the Statement of Deficiencies dated 05/28/2025.
Event ID:
Facility ID:
50A261
If continuation sheet
YAKIMA VALLEY SCHOOL in SELAH, WA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 SELAH, 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 YAKIMA VALLEY SCHOOL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.