Avamere Olympic Rehabilitation Of Sequim
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
allegation was placed on a grievance form, and they were handled differently. On 08/12/2025 at 1:12 pm, Staff D, Medical Records Director, said she was the manager on duty for the weekend of 07/19/2020 and 07/20/2025.Staff D said she recalled Staff E asking her for a grievance form, she recalled Staff E telling her what she needed it for but did not recognize what they said as an allegation of neglect. Staff D said she did not read the form after it was filled out. Staff D said she was under the impression Staff E was also working with the unit nurse on duty. Staff D was not aware of any staff who were suspended from duty that weekend. On 08/12/2025 at 1:20pm, Staff B, RN, Director of Nursing, said not changing a resident, providing incontinence care, or repositioning a resident would be considered neglect. If staff suspected neglect, they should notify their supervisor and they should in turn notify the DNS or administrator. Staff B said residents would be protected by removing staff members who were alleged to have neglected the residents, until the investigation was completed. Staff B said residents would be assessed for injuries or psychosocial harm as soon as they were notified, and it would be documented in the resident record in the progress notes. Staff B said on 07/19/2025 a dayshift NAC found a lot of residents who appeared they had not been provided adequate care during the night shift. That staff member (Staff E) filled out a grievance form and placed it under her and Staff A's doors. Staff B said she was not sure why Staff E placed it on grievance form. Staff B was not sure if/when the alleged staff members were suspended. Staff B said she was not involved in that investigation. Staff B said she would have expected Staff E and H to have identified
the allegation as neglect, and she would have expected Staff F and G to have been suspended. On 08/12/2025 at 1:48pm, Staff A said not taking care of resident needs, such as not changing them, would be considered neglect. The process of investigating an allegation of neglect would be to protect the residents, and report to the state agency in a timely manner. Staff A said alleged staff would be removed from care and residents would be assessed right away. Staff A said that staff had filled out a grievance form and placed it under his door. Staff A said alleged staff were suspended when they received the form (Monday
the 21st) the investigation was started that Wednesday (the 23rd). While reviewing the schedule and payroll records with Staff A, they were not aware that Staff F had worked two additional shifts after the allegation was documented on the grievance form. Staff A confirmed the investigation was initiated on the 23rd, four days after the allegation was documented on the grievance form. Staff A said, It was delayed and should have been started sooner, per regulation.Reference WAC 388-97-0640 (1), (6)(a)(b) .
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AVAMERE OLYMPIC REHABILITATION OF SEQUIM in SEQUIM, 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 SEQUIM, 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 AVAMERE OLYMPIC REHABILITATION OF SEQUIM or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.