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Complaint Investigation

Emerald Care

January 30, 2026 · Wapato, WA · 209 North Ahtanum Avenue
Citations 3
CMS Rating 4/5
Beds 82
Provider ID 505265
Healthcare Facility
Emerald Care
Wapato, WA  ·  View full profile →
Inspection Summary

EMERALD CARE in WAPATO, WA — inspection on January 30, 2026.

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.

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Inspection Findings

FF0607
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Based on interview and record review, the facility failed to implement 4 of 8 components (identify, protect, report, and investigate), of their abuse/neglect policy/procedure for 3 of 3 residents (Residents 9, 35, and 40) reviewed for allegations of abuse/neglect.

This failure placed the residents at risk for unrecognized abuse and unmet care needs.

Findings included .Review of a 01/2026 policy titled Abuse, Neglect and Exploitation, showed the facility would prohibit and prevent abuse, neglect, and.of residents. with ongoing oversight and supervision of staff to ensure policies were being implemented.

Review of the grievance (a formal or informal complaint about care or living conditions) log, dated 07/01/2025 through 01/25/2026, showed allegations of abuse and/or neglect that had not been identified, reported, or investigated as allegations of abuse and/or neglect, nor were the resident's provided protection from further abuse and/or neglect.

The logs showed: On 12/23/2025 a staff concern issue was logged for Resident 9 regarding lack of assistance/care was provided from Staff M, Licensed Practical Nurse when asked.

The log showed a completed date of 01/30/2026 (seven days after concern was reported). On 12/15/2025 a staff concern issue was logged for Resident 40 regarding a verbal confrontation with Staff N, Nursing Assistant.

The log showed a completed date of 12/22/2025 (seven days after concern was reported). On 12/22/2025 a staff concern issue was logged for Resident 35; the concern was made by the Resident's Representative (RR).

The issue showed Resident 35 was left with a soiled face, clothing, and their brief was so wet with urine that they dripped urine all the way down the hallway.

The log showed no completion date.

Review of the reporting log (a record used to document incidents that may involve abuse, neglect, or mistreatment of residents), dated 07/01/2025 through 01/25/2026, showed none of the grievances for Residents 9, 35, and 40 had been logged or thoroughly investigated to rule out abuse or neglect.

Therefore, Residents 9, 35, and 40 were not protected from the possibility of ongoing abuse or neglect.

During an interview on 01/30/2026, Staff A, Administrator, along with Staff B, Director of Nursing Services, stated there was some confusion with what concerns should be put on the grievance log versus the Reporting log and the policies needed updated.

Staff A stated the nursing staff should have been logging allegations of not receiving appropriate care concerns on the incident log, and not on the grievance log.

Staff A and Staff B both stated the grievance log concerns of Residents 9, 35, and 40 were not identified as allegations of abuse and/or neglect and should have been thoroughly investigated as allegations of abuse and neglect.

Reference: WAC 388-97-0640 (2)(a)(b)

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

01/30/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Emerald Care

209 North Ahtanum Avenue Wapato, WA 98951

SUMMARY STATEMENT OF DEFICIENCIES

Reference: WAC 388-97-0640 (5)(a)

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

01/30/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Emerald Care

209 North Ahtanum Avenue Wapato, WA 98951

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 01/28/2026 at 11:13 AM, Resident 40 stated they reported an incident involving Staff N.

The resident stated Staff N accused them of locking the shared bathroom door when they last used the bathroom and didn't unlock it when they were finished.

The resident, who became tearful during this interview, stated it upset them because Staff N had spoken to them as if they were being scolded and when they attempted to explain to staff N that they had not used the restroom that day, Staff N made them feel as if they were lying, threw their hands up in the air, and walked out of the room while they were talking to them. Resident 40 stated Staff N was removed from their room but then a few days later came back in their room again, where they had an exchange of words again.

Review of the Reporting Incident Log from 07/01/2025 through 01/25/2026 showed no allegations of abuse or neglect had been reported for Resident 9, 35 or Resident 40's allegations.

During an interview on 01/30/2026 at 2:09 PM, Staff A, Administrator, along with Staff B, stated there was some staff confusion with what should be reported on the grievance log and what should be on the reporting log.

Staff A stated they needed to review and revise the grievance policy to ensure they were protecting the residents involved right away and thoroughly investigating allegations of abuse and/or neglect.

Reference: WAC 388-97-0640 (6)(a)(b)

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WAPATO, WA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from EMERALD CARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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