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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.