Avalon Care Center At Northpointe
AVALON CARE CENTER AT NORTHPOINTE in SPOKANE, WA — inspection on February 7, 2025.
Found 3 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 .
Per the [DATE] quarterly assessment, Resident 64 admitted to the facility in [DATE] from the hospital and had diagnoses which included depression and anxiety.
Review of Resident 46's record showed a level I PASARR was completed prior to admission on [DATE] by the hospital, which showed a level II PASARR (a more in-depth screening, to identify whether nursing home services were needed, and if specialized mental health services were required), was needed, due to meeting the guidelines for an exempted hospital stay (meaning the resident was admitted to the facility directly from a hospital after receiving acute inpatient care, and the expected stay at the facility was 30 days or less).
Further record review showed Resident 46 did not discharge from the facility within 30 days or less as expected and was currently still a resident at the facility. A new PASARR was not completed until [DATE], 40 days after the exempted 30-day stay had expired.
In an interview on [DATE] at 1:11 PM, Staff L, Social Service Director, stated the PASARR should have been completed timely and this was important so recommendations could be implemented to care for the resident's mental health.
Reference: WAC [DATE] (1)(2)(a-c)
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 Centers for Medicare and Medicaid Services Long Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual Version 1.19.11 revised October 2024, showed the RAI consisted of three basic components: the Minimum Data Set (MDS), the Care Area Assessment (CAA) and the RAI utilization guidelines.
The utilization of the three components of the RAI yields information about a resident's functional status, strengths, weaknesses, and preferences, as well as offered guidance on further assessment once problems were identified.
The MDS contained data elements that reflect the acuity level of the resident, including diagnoses, treatments, and an evaluation of the resident's functional status. A RAI (MDS, CAA process, and utilization guidelines) assessment must be completed initially and periodically for any resident residing in the facility.
The assessment reference date (ARD) was the end of the resident observation period and served as the reference point for determining the care and services captured on the MDS assessment.
<Resident 3>
According to the 09/28/2024 quarterly assessment, Resident 3 required supervision up to partial assistance to complete most activities of daily living (ADL).
Review of Resident 3's 12/29/2024 quarterly assessment showed the assessment observation end date was 12/29/2024.
The assessment further showed it was not signed as completed as of 02/05/2025.
<Resident 12>
According to the 12/19/2024 quarterly assessment, Resident 12 was able to perform most ADLs independently.
The assessment further showed the observation end date was 12/19/2024 and was signed as completed on 02/04/2025.
Review of the 12/20/2024 discharge assessment showed Resident 12's discharge date was 12/20/2024.
The assessment further showed it was signed as completed on 02/04/2025.
<Resident 39>
According to the 10/13/2024 quarterly assessment, Resident 39 required substantial up to dependent staff assistance to perform most ADLs.
The assessment further showed the observation end date was 10/13/2024 and was signed as completed on 10/25/2024.
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 following Nursing Assistant (NA) personnel files found no documentation that showed a yearly performance evaluation had been completed following:
- Staff Y, Nursing Assistant
- Staff P, Nursing Assistant
In an interview on 02/03/2025 at 1:36 PM, Staff A, Administrator, stated they had not been aware there was not a process in place for completing yearly performance evaluations, and the facility was in the process of getting evaluations started.
Reference (WAC): 388-97-1680 (1), (2)(a-c)
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