Avamere Olympic Rehabilitation Of Sequim
AVAMERE OLYMPIC REHABILITATION OF SEQUIM in SEQUIM, WA — inspection on August 12, 2025.
Found 1 citation. 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
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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