Alderwood Manor
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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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ALDERWOOD MANOR in SPOKANE, 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 SPOKANE, 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 ALDERWOOD MANOR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.