Inspection Reports for
Bonaventure of Puyallup

All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.

The inspection was complaint-driven, investigating allegations related to an unexpected death and failure to notify resident representatives. The investigation found failed provider practices including lack of policies to account for residents and failure to notify families of resident deaths.

The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies under WAC 388-78A-2600-2-i and WAC 388-78A-2640-1-c were corrected. The facility meets the Assisted Living Facility licensing requirements.

The complaint investigation (Complaint #147350) found that a resident was discharged without a written notice as required. Interviews and record reviews confirmed the lack of documentation and notice. Citations were written for failure to comply with discharge notice requirements.

The follow-up inspection found no deficiencies and confirmed that the previously cited deficiencies regarding written discharge notices were corrected.

The follow-up inspection found no deficiencies and confirmed that all previously cited licensing law deficiencies were corrected.

The facility was fined $300 for failing to ensure four staff members received timely tuberculosis skin testing as required. This deficiency was uncorrected and previously cited on November 14, 2023.

The complaint investigation involved a resident who had a delay in care and CPR performed despite a DNR status. Interviews and record reviews revealed staff hesitated to intervene during the emergency, were uncertain of the resident's code status, and failed to provide timely care. Multiple staff statements confirmed the delay and inadequate response. The facility's policy on locating DNR paperwork was also noted. The complaint number is 105826.

The facility failed to provide timely and appropriate care during an emergency for one resident, resulting in a delay in care and a less than pleasant death with dignity. The investigation found failed provider practices and citations were written.

The complaint investigation included allegations of resident falls during transfer, missed pain medications, wound care, personal hygiene, room conditions, and food service. The investigation found failed provider practices related to falls during Hoyer lift transfers, missed pain medications, failure to provide showers as agreed, and unqualified staff performing delegated tasks without proper training. Some allegations were not substantiated.

The follow-up inspection found no deficiencies and the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

The complaint investigation (Compliance Determination #8268) was conducted from 05/05/2022 through 11/02/2022 regarding allegations that a resident went without medication and that laundry and dining services were not received. The investigation found failed provider practice related to medication administration but insufficient information to support or refute the laundry and dining services allegation.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

The facility was cited for multiple uncorrected deficiencies related to staff training, failure to provide agreed-upon showers, and lack of proper nurse delegation training. These violations placed residents at risk and resulted in civil fines totaling $1,200.

This was a complaint investigation conducted on June 20, 2023. The licensee was cited for failure to cooperate with the department by not providing requested records. The deficiency was recurring from a prior citation dated July 01, 2022.

The investigation found that the licensee failed to cooperate by not providing requested records, resulting in a civil fine. This deficiency was recurring from a previous citation.

The licensee failed to ensure two residents received their medications as prescribed and failed to ensure availability of medications, resulting in civil fines. Both deficiencies were uncorrected from a previous citation dated November 2, 2022.

The licensee failed to provide showers as agreed upon in the Negotiated Service Agreement for one resident, placing the resident at risk for skin-related infections and decreased quality of life. This deficiency is recurring and resulted in a $300 civil fine.

The complaint investigation was triggered by an allegation that the facility was not enforcing COVID-19 screening or mask requirements for non-residents entering the facility. The investigation found the facility failed to implement infection control practices, including screening and mask use, placing residents and staff at risk. Citations were written as a result.

The follow-up inspection on 11/02/2022 found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.