Alderwood Manor
ALDERWOOD MANOR in SPOKANE, WA — inspection on September 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
wound nurse was not available.
Staff F stated they had not observed the resident's wound but stated the resident had developed an infection.
Staff F said if there was a concern with a surgical wound, staff contacted the surgeon.On 09/04/2025 at 1:50 PM, Staff C, Director of Nursing (DNS), stated when Resident 1 had their initial surgery and then amputation of their hand, they were being trained as the DNS.
Staff C stated the facility did not do wound observation forms for surgical incisions; the surgeons would be the ones to monitor and follow up on the residents.
Staff C stated the policy had since changed. On 09/12/2025 at 2:30 PM, Staff D, RN stated they had just started to work at the facility when Resident 1 had their hand surgery.
Staff D remembered they were alerted to Resident 1's hand wound when they came to work but could not recall what the wound looked like.
Staff D said they did do wound care on the resident's hand and if there was any abnormality, they would have documented it in the progress notes. On 09/12/2025 at 2:45 PM, Staff E, Licensed Nurse (LN), stated they would do wound care for Resident 1 if it had not been done on dayshift.
Staff E recalled the resident was picky about the wound care if they had a follow up visit to the surgeon the following day.
The resident would refuse the dressing to be changed because they preferred the surgeon do it.
Staff E did not recall the resident had a blister on their hand and could not recall how the resident's wound appeared.
Reference: WAC 388-97-1060(1)
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