Shelton Health And Rehabilitation
Shelton Health and Rehabilitation in SHELTON, WA — inspection on March 19, 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 .
1) Resident 163 was admitted to the facility on [DATE].
The Admission Minimum Data Set (MDS, an assessment tool), dated 03/09/2025, documented the resident was moderately cognitively impaired and needed substantial to maximal assistance with showers, bathing, and personal hygiene.
On 03/10/2025 at 10:25 AM, Resident 163 stated, I have not had a shower yet, I have been nine days, I requested one today.
Resident 163's care plan interventions, initiated on 03/03/2025 documented resident wanted a shower two times a week on Wednesday and Saturday evenings.
A review of the Point of Care (nursing assistant task documentation) response history for 30 days, the task Bathing - Shower, two times weekly on Wednesday and Saturday evenings documented on 03/08/2025 as not applicable and there was no other documentation listed.
On 03/14/2025 at 10:19 AM, Staff C, Resident Care Manager (RCM)/Registered Nurse, said while looking at Resident 163's Electronic Health Record (EHR) that he did not see a shower documented in the system and his expectation was for the staff to follow the resident's admission orders.
At 2:02 PM, Staff B, Director of Nursing Services (DNS), said she could not find documentation of Resident 163 receiving a shower and her expectation was for the staff to provide resident showers unless they refused.
37044
2) Resident 51 admitted to the facility on [DATE].
Review of the Admission MDS, dated [DATE], showed the resident was cognitively intact and required substantial to maximal assistance with bathing/showering.
On 03/10/2025 at 3:19 PM, Resident 51 reported they were supposed to be bathed every Monday and Thursday, but staff don't show up.
Review of Resident 51's bathing flowsheet showed the resident was scheduled to be bathed every Thursday and Sunday on evening shift.
Review of the bathing record showed for the 30-day period from 02/13/2025 - 03/13/2025, showed the resident was offered/provided bathing 02/23/2025, 03/02/2025 and 03/09/2025.
505507
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 505507 B.
Wing 03/19/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Shelton Health & Rehab Center 153 Johns Court Shelton, WA 98584
Findings included .
<Resident 53>
Resident 53 was admitted to the facility on [DATE], with diagnoses that included Major Depressive Disorder (MDD, a mood disorder that causes a persistent feeling of sadness and loss of interest and can interfere with your daily life), Unspecified Psychosis (is a diagnosis used when a person experiences symptoms of psychosis but does not meet the full criteria for a specific psychotic disorder) and Post Traumatic Stress Disorder (PTSD, a mental health condition that's caused by an extremely stressful or terrifying events).
The Quarterly, Minimum Data Set, (MDS, an assessment tool), dated 02/04/2025, documented Resident 53 was cognitively intact.
Resident 53's PASRR Level I, dated 12/05/2024, documented Resident 53 was diagnosed with PTSD. No other diagnoses were included on the PASRR Level I.
On 03/17/2025 at 2:38 PM, Staff D, Resident Care Manager (RCM), with Staff C, RCM, present, said Resident 53's mental health diagnoses included PTSD, Unspecified Psychosis, Insomnia, & MDD.
When asked to review Resident 53's PASRR, Staff D said the Unspecified Psychosis & MDD were missing from the form.
Staff D said that should have been caught.
On 03/18/2025 at 12:53 PM, Staff B, Director of Nursing Services (DNS), with Staff E, Divisional Director/Regional Registered Nurse present, said Resident 53's mental health diagnoses included PTSD, Psychosis, Insomnia & MDD.
After reviewing the PASRR Level I, Staff B, said the PASRR was incorrect and should have been corrected.
37044
<Resident 49>
Resident 49 admitted to the facility on [DATE].
Review of the Admission MDS, dated [DATE], showed the resident's diagnoses included non-Alzheimer's dementia, psychotic disorder (severe mental illness that causes abnormal thinking and perceptions) and depression, and the resident was treated with antipsychotic and antidepressant medication during the assessment period.
Review of Resident 49's Level I PASRR, dated 02/04/2025, showed the resident had a diagnosis of major depressive disorder, but not a diagnosis of psychotic disorder.
The assessment determined Level II PASRR evaluation for serious mental illness (SMI) was not indicated.
505507
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 505507 B.
Wing 03/19/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Shelton Health & Rehab Center 153 Johns Court Shelton, WA 98584