Royal Park Health And Rehabilitation
Royal Park Health and Rehabilitation in SPOKANE, WA — inspection on January 17, 2025.
Found 5 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
speak with the identified staff 1:1, and notify management.
Staff E further stated they would ask the
In an interview on [DATE] at 10:32 AM, Staff T, Social Service Director, explained when an allegation
from providing resident care, start an investigation, and rule out abuse and/or neglect by completing resident and staff interviews.
Staff T acknowledged if a resident reported staff was rude, rough, and pinched their skin, it would be considered a potential allegation that needed to be reported to the State Survey Agency and all steps followed to investigate the potential allegation.
In an interview on [DATE] at 11:38 AM, Staff B, Director of Nursing, stated all staff were mandatory reporters and should follow the appropriate steps when an allegation of abuse was received.
Staff B acknowledged Resident 31's [DATE] grievance of rude staff with rough care and pinched skin should have been reported as an allegation of abuse and investigated as such.
In an interview on [DATE] at 3:56 PM, Staff A, Administrator, stated they reviewed grievances for potential allegations of abuse and/or neglect.
Staff A further stated if a grievance appeared as a potential allegation, then it would be reported and investigated following all the steps in the abuse policy.
In a follow-up interview on [DATE] at 4:01 PM, Staff A, acknowledged if a resident reported staff was rough and pinched their skin, it would be considered an allegation of potential abuse.
Reference WAC 388-97-0640 (2) Refer to F-F585, F-F730, and F-F842 for additional information.
505379 01/17/2025
Royal Park Health and Rehabilitation 7411 North Nevada Spokane, WA 99208
Review of additional information provided by the facility on [DATE] showed a handwritten statement dated [DATE] and signed by Staff MM, Licensed Practical Nurse.
The statement acknowledged Staff MM used their personal mobile phone to take a picture of Resident 98, transmitted the photo to the ME as requested, and immediately deleted the picture from my phone.
Reference WAC 388-97-1720 (1)(b), (5)(a)(b)
505379 01/17/2025
Royal Park Health and Rehabilitation 7411 North Nevada Spokane, WA 99208
was not performed when indicated it could potentially spread germs.
Staff J stated they expected
In an interview on 01/17/2025 at 11:25 AM, Staff B, DNS, stated hand hygiene was using ABHR or
indicated, including during meal service when passing different resident meal trays.
In an interview on 01/17/2025 at 3:53 PM, Staff A, Administrator, stated they expected staff to perform hand hygiene when indicated.
Reference WAC 388-97-1320 (1)(c ), (2)(b)
505379 01/17/2025
Royal Park Health and Rehabilitation 7411 North Nevada Spokane, WA 99208
encouraged the staff to see their primary care provider or pharmacies that offered discounted
offering COVID-19 vaccines.
They stated if staff did not bring in evidence of their vaccine, the facility had no documentation.
Staff J stated they did not keep track of staff education or who had received or declined the COVID-19 vaccine.
Reference: WAC 388-97-1320
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
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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.