Royal Park Health And Rehabilitation
Royal Park Health and Rehabilitation in SPOKANE, WA — inspection on January 17, 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
Findings included .
Review of the facility employee handbook related to use of business equipment showed company telephones, computers, tablets, handheld computers, copiers, supplies, and other equipment were to be used for business use.
Employees were not allowed to use cell phones or smart phones in resident care areas.
Direct care staff were prohibited from using or having their cell phones turned on while on duty and were only to use these items during their meal or break times in non-resident care areas.
The handbook further showed all employees were expected to follow applicable state or federal law or regulations regarding the use of cell phones or smart phones at all times.
According to the [DATE] admission assessment, Resident 98 admitted to the facility on [DATE] with diagnoses including muscle weakness, reduced mobility, lack of coordination, and chronic pain. Resident 98 required touch assistance to transfer onto the toilet and moderate staff assistance to perform toileting hygiene. Resident 98 had severe cognitive impairment.
Review of the admission agreement, consent for medical treatment, showed the resident group authorizes the center to take photographs of the resident which are necessary for identification, medical purposes, or both, at any time during the resident's stay and the section on personal health information disclosure showed the center will not disclose the resident's personal health information, including the resident's medical record, without express written authorization except as permitted by law.
The admission agreement further showed it was electronically signed by the severely cognitively impaired Resident 98, not their legal representative, on [DATE].
Review of a [DATE] facility incident report showed Resident 98 experienced an unanticipated death. Resident 98 was found slumped over on the toilet with a laceration above their left eyebrow.
Review of [DATE] nursing progress notes showed Resident 98 required moderate assistance for toileting. On [DATE], Resident 98 was found sitting on the toilet unresponsive, staff called emergency medical services and initiated cardiopulmonary resuscitation (CPR) per Resident 98's wishes. Resident 98 expired and the medical examiner (ME) was notified of the laceration to the left upper eyebrow.
The progress notes further showed the ME was sent pictures of Resident 98's facial laceration and Resident 98 would need to be picked up for further testing.
Further review of Resident 98's medical record showed no pictures of Resident 98's facial laceration were found.
505379
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 505379 B.
Wing 01/17/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Royal Park Health & Rehabilitation Center 7411 North Nevada Spokane, WA 99208