Inspection Reports for
Avamere at South Hill

The complaint investigation involved allegations that a resident fell and was injured after leaving the facility unsupervised. The investigation included interviews, observations, and record reviews. The allegation was substantiated as the facility failed to take appropriate action to prevent elopement despite known cognitive decline. A citation was issued.

The investigation found that the facility failed to take appropriate action to protect a resident from elopement after signs of cognitive decline were noted. A citation was written for failure to comply with WAC 388-78A-2120. The facility was not in compliance at the time of the visit.

The complaint numbers 173869 and 173897 involved water damage due to a valve failure in the fire sprinkler system. The investigation included interviews and review of maintenance actions. The complaint was substantiated as the valve was found to be loose and causing water leakage, but corrective actions were taken promptly and no violations remained at the time of inspection.

The valve was tightened and the fire sprinkler system was operational by approximately 3:30 p.m. The fire sprinkler maintenance company and water mitigation company were contacted. An extension was requested for testing and maintenance work, which was completed and approved. The facility was found to be in compliance with no outstanding violations at the time of this inspection.

The inspection included complaint investigations related to chemical restraint and medication errors. Medication errors were substantiated with citations issued under WAC 388-78A-2210 Medication Services.

The follow-up inspection found no deficiencies; all previously cited licensing law violations were corrected.

The complaint investigation involved allegations of no staff response to call lights, failure to assess a resident after falls, and medication administration errors. The call light system was found to be malfunctioning with delayed or no responses documented for multiple residents. The fall assessment and medication allegations were not substantiated.

The investigation found a failed provider practice related to the communication system and call light response, placing residents at risk for delayed assistance. Other allegations regarding fall assessments and medication administration were not substantiated.

The inspection found all cited fire safety deficiencies corrected or completed, resulting in an Approved status.

The facility was fined $200 for failing to complete a fingerprint background check for one staff member, an uncorrected deficiency previously cited on June 13, 2024.

The complaint investigation involved multiple allegations including staff leaving a resident soaked in urine, staff making obscene gestures and derogatory remarks, failure to do monthly skin assessments, improper insulin administration, and a staff stating a resident needed to die due to pain. The investigation substantiated neglect related to incontinence care and failure to report abuse, as well as incomplete fingerprint background checks. Other allegations such as medication administration and skin assessments were not substantiated.

The investigation found failed facility practices including failure to report allegations of neglect and failure to complete required fingerprint background checks for staff. Some allegations such as improper medication administration and skin assessments were not substantiated. The facility terminated the implicated caregiver and documented deficiencies under WAC 388-78A-2630 and WAC 388-78A-2466.