Avalon Care Center At Northpointe
AVALON CARE CENTER AT NORTHPOINTE in SPOKANE, WA — inspection on February 7, 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 .
<Resident 109>
The 12/26/2024 admission assessment documented Resident 109 was severely cognitively impaired, was dependent on nursing staff for activities of daily living (ADLS) such as toileting and had diagnoses which included medically complex conditions.
Review of the State Agency's reporting database showed a concern had been reported which documented Resident 109 was wheelchair bound and had conditions that required a caregiver to be with them while attending appointments with providers outside the facility.
The report further documented on 01/06/2025, Resident 109 had been dropped off at an appointment without a caregiver and while at the appointment, the resident needed assistance to the bathroom.
Review of the ADL care plan documented Resident 109 required two nursing staff to assist with using the bathroom, and the resident required the use of a mechanical lift for transferring (such as from the wheelchair to the toilet).
A progress note on 01/06/2025 at 4:37 PM documented the facility's transportation driver had been sent to pick up Resident 109 from the appointment with the outside provider due to the resident exhibiting behaviors and screaming.
In an interview on 02/03/2025 at 12:15 PM, Staff O, Nursing Assistant, stated the facility sometimes scheduled a nursing assistant to go to appointments with a resident and reached out to family also to see if they could attend with the resident.
In an interview on 02/05/2025 at 1:37 PM, Staff B, Director of Nursing, confirmed Resident 109 should have had a staff member and/or family member with them at the appointment due to needing assistance for ADLS.
<Resident 54>
In an interview on 01/28/2025 at 10:53 AM, Resident 54's representative stated the resident was not getting bathed as care planned and was told they had no one to bathe them or the facility had not hired anyone to do bathing.
According to the 10/22/2024 quarterly assessment, Resident 54 was cognitively intact and needed assistance from staff for activities of daily living, such as bathing.
505496
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 505496 B.
Wing 02/07/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Avalon Care Center at Northpointe 9827 North Nevada Spokane, WA 99218
Findings included .
Review of the facility policy titled, Freedom from Abuse, Neglect and Exploitation revised November 2017, showed staff would conduct a thorough investigation of allegations.
<Resident 83>
In an interview and observation on 01/28/2025 at 2:49 PM, Resident 83 stated a week or two ago a nursing assistant was rough when they repositioned them and bumped their arm on the tray table.
The resident stated they did not think staff liked them because they had to call for things because they could not get out of the bed.
The resident was lying in bed and had a scab similar in size to a sunflower seed on their right forearm.
Per the 09/26/2024 quarterly assessment, Resident 83 had diagnoses of stroke with hemiplegia (paralysis that affected one side of the body) and anxiety. Resident 83 had severe cognitive impairments and was not able to make their needs known.
The 06/20/2024 care plan stated the resident had an activity of daily living performance deficit and required substantial to maximal assistance with repositioning in bed.
Review of the 01/28/2025 facility investigation showed Resident 83 had an older scab, a light purple/pink discoloration and a dark blue bruise to their right forearm.
According to the investigation, Resident 83 was cognitively intact, and never stated someone was rough with them.
The resident used their forearms to scoot and adjust themselves which would explain the bruising and scabbed areas.
There were no staff interviews included in the investigation. It was determined that no abuse or neglect occurred.
During an interview on 02/06/2025 at 1:01 PM, Staff L, Social Service Director, stated they asked Resident 83 how they got the scab, and the resident stated they got it from a girl.
Staff L stated the resident was more cognizant since medications changes had been made.
505496
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 505496 B.
Wing 02/07/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Avalon Care Center at Northpointe 9827 North Nevada Spokane, WA 99218