Colonial Vista Post-acute & Rehab Center

Federal health inspectors cited COLONIAL VISTA POST-ACUTE & REHAB CENTER in WENATCHEE, WA for a deficiency under regulatory tag F-F0554 during a standard health inspection conducted on 2025-08-22.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Allow residents to self-administer drugs if determined clinically appropriate.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of COLONIAL VISTA POST-ACUTE & REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited COLONIAL VISTA POST-ACUTE & REHAB CENTER in WENATCHEE, WA for a deficiency under regulatory tag F-F0557 during a standard health inspection conducted on 2025-08-22.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of COLONIAL VISTA POST-ACUTE & REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited COLONIAL VISTA POST-ACUTE & REHAB CENTER in WENATCHEE, WA for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2025-08-22.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of COLONIAL VISTA POST-ACUTE & REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited COLONIAL VISTA POST-ACUTE & REHAB CENTER in WENATCHEE, WA for a deficiency under regulatory tag F-F0645 during a standard health inspection conducted on 2025-08-22.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of COLONIAL VISTA POST-ACUTE & REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited COLONIAL VISTA POST-ACUTE & REHAB CENTER in WENATCHEE, WA for a deficiency under regulatory tag F-F0679 during a standard health inspection conducted on 2025-08-22.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide activities to meet all resident's needs.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of COLONIAL VISTA POST-ACUTE & REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Findings included. Resident 15 ?

Review of the resident's medical record showed they were admitted to the facility with diagnoses which included cerebral palsy (a disease due to abnormal brain development which causes disorders of movement, muscle tone and posture), and dysphagia (difficulty swallowing).

Review of the comprehensive assessment dated [DATE] showed the Resident 15 was cognitively intact and dependent on staff for dressing, grooming and personal hygiene however they were able to eat independently after their meal was set up. ? Review of a physician order dated 08/20/2025 showed Resident 15's diet was regular texture with soft bite sized pieces served with gravy or sauce to decrease choking risk and thin liquids with straws to maintain swallowing precautions.?? ? Resident 15's care plan updated on 08/12/2025 showed the resident had identified choking risks related to their diagnosis of dysphagia.

The intervention outlined in their care plan was to provide monitoring and supervision during meals for choking, coughing and/or holding food in their mouth without swallowing.? ? During an observation on 08/18/2025 at 12:36 PM, showed Resident 15 was sitting at a table in the activity room with another resident eating their meals.

The residents were eating alone with no staff providing any monitoring or supervision during the meal.? ? During an interview on 08/18/2025 at 12:50 PM, Resident 15 stated they ate most of their meals with the unidentified resident in the activity room as they enjoyed each other's company and were good friends. Resident 15 stated they needed the other resident when they ate because they were afraid of choking on their food and further stated the nursing staff did not monitor them or provide them with supervision during their meals. ? During additional observations of Resident 15's meals showed on 08/19/2025 from 12:18 PM to 12:51 PM no staff supervision, on 08/20/2025 from 8:10 AM to 9:00 AM no staff supervision and on 08/20/2025 from 12:17 PM to 12:55 PM there was no staff in the activity room providing supervision or monitoring Resident 15 for choking during their meals.

During an interview on 08/20/2025 at 12:14 PM, Staff L, Nursing Assistant, (NA), stated the nursing staff did not provide supervision for Resident 15 during meals as they were not aware they had swallowing precautions.

During an interview on 08/21/2025 at 10:20 AM, Staff K, Regional Nurse, stated nursing staff should be providing supervision for Resident 15 during meals as they had dysphagia and were at risk for choking when they ate.

Reference WAC388-97-1060(3)(g) ? ? ? ? ?

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

08/22/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Colonial Vista Post-Acute & Rehab Center

625 Okanogan Ave Wenatchee, WA 98801

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited COLONIAL VISTA POST-ACUTE & REHAB CENTER in WENATCHEE, WA for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-08-22.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of COLONIAL VISTA POST-ACUTE & REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

During an interview on 08/20/2025 at 2:02 PM, Staff K, Regional Nurse, stated they were not aware there were additional residents who tested COVID-19 positive and if they had been made aware the facility should have continued COVID-19 testing per the guidelines.

PICC

Review of the medical record showed Resident 79 was admitted with diagnoses including endocarditis (a serious infection of the heart lining), and a PICC line for antibiotic therapy.

The 07/24/2025 comprehensive assessment showed Resident 79 required substantial/set-up assistance of one to two staff for activities for daily living and had an intact cognition.

During an observation and concurrent interview on 08/21/2025 at 4:27 PM, Staff H, Registered Nurse, prepared to perform a PICC dressing change on Resident 79.

Staff H performed hand hygiene, donned (put on) gloves and used a disinfecting wipe and cleaned Resident 79's bedside table.

Staff H disposed of the used wipe and gloves and tossed into the trash and without performing hand hygiene, opened the dressing supply package and then washed their hands.

Staff H placed a surgical mask on Resident 79 and themselves and donned gloves.

Staff H removed the sterile drape from the kit and placed it under Resident 79's arm with the PICC line.

Staff H proceeded to remove the used dressing from Resident 79's PICC line, upon removal Staff H tossed the used dressing and their gloves into the trash can.

Staff H without performing hand hygiene, donned sterile gloves, measured the length of the PICC line and the circumference of Resident 79's arm and placed their right hand into their pants pocket and removed a pen and wrote down measurements on the drape and placed pen back into their pocket.

Staff H proceeded to open the antiseptic swab and clean around the PICC opening on Resident 79's arm and outward.

Staff H attached a PICC line holder to Resident 79's arm and placed their right hand back into their pocket and removed the pen and placed onto bedside table.

Staff H proceeded to apply a barrier adhesive and a a clear dressing with a white adhesive bordered edge covering the PICC, used the pen to write the date and their initials on the PICC dressing, put their hand back into their pocket and removed an alcohol swab and removed the old PICC cap access device and attached a new one.

When completed, Staff H gathered all used supplies and tossed them into the trash can and removed their gloves and washed their hands.

Staff H stated they placed their hands into their pockets during the dressing change with their sterile gloves and they should not have.

Staff H stated they were unaware they did not use hand hygiene between glove changes and when they opened the dressing supply package.

During an interview on 08/22/2025 at 11:25 AM, Staff B, Director of Nurses, stated Staff H had not followed the steps for the PICC line dressing change and they were going to provide re-education on the proper technique.

Reference WAC: 388-97-1320(1)(c)(2)(a)(5)(b)

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