Inspection Reports for
Bonaventure of Salmon Creek

The inspection found multiple recurring deficiencies related to resident assessments, negotiated service agreements, family assistance with medications, tuberculosis testing for staff, and Medicaid policy documentation. Civil fines totaling $2,700 were imposed based on these violations.

The complaint investigation identified two violations: medication errors affecting two residents and abuse/involuntary seclusion of one resident. These violations resulted in civil fines and were substantiated by the investigation.

The investigation found medication administration errors affecting two residents and a failure to protect a resident from abuse and involuntary seclusion. Civil fines totaling $1,800 were imposed based on these violations.

The facility was found to have multiple fire safety violations including storage issues, missing inspection reports, and maintenance failures. The overall approval status was Disapproved, indicating unresolved deficiencies.

All violations noted during previous related inspections have been corrected. The facility is approved with no outstanding deficiencies.

Complaint #210065 concerned a fire alarm heat detector in the kitchen causing false alarms due to proximity to a heat diffuser. The report requested information about the cause of the fire, sprinkler activation, evacuation, injuries, and fire department response.

The fire alarm heat detector in the kitchen was found to be located within 36 inches of a heat diffuser, causing false alarms. The report includes a citation for this violation related to inspection, testing, and maintenance of fire alarm systems.

The inspection found multiple fire safety deficiencies, some of which were corrected on site. The overall approval status was Disapproved, indicating outstanding issues remain.

The inspection found multiple violations related to fire safety and commercial cooking systems that have not been corrected. The facility remains disapproved due to these outstanding issues.

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

The report identifies multiple uncorrected deficiencies related to staff training certification, background checks, incomplete or unsigned negotiated service agreements, inaccurate resident records, incomplete tuberculosis testing, and Medicaid policy documentation. These deficiencies place residents at risk and have resulted in civil fines totaling $2,100. All cited deficiencies remain uncorrected as of the inspection date.

The facility was cited for failure to obtain prescribed medications in a correct and timely manner for three residents, placing them at risk of harm. This recurring deficiency resulted in a civil fine of $1,000.00.

The complaint investigation (Complaint #147867) involved allegations of inappropriate administration and failure to administer antipsychotic medication as ordered. The investigation substantiated a failed facility practice with citations written. The follow-up inspection found all deficiencies corrected.

The investigation substantiated a failed facility practice related to medication administration errors for one resident, resulting in citations. The facility was found not in compliance with medication service regulations. A follow-up inspection on 2025-01-09 found no deficiencies and confirmed correction of the cited issues.

The conditions previously imposed on the facility's license have been officially lifted as of March 10, 2023.

Complaint number 139069 alleged failure to start a resident's prescription medication as ordered. The investigation substantiated this allegation and a citation was written.

The investigation substantiated that the facility failed to administer the resident's prescription medication on the date it was ordered, resulting in a citation for failed provider practice.

The complaint investigation involved two allegations: caregiver verbal abuse and unqualified staff providing personal care. The verbal abuse allegation was unsubstantiated, but the unqualified staff allegation was substantiated with citations issued.

The investigation substantiated a failed provider practice related to unqualified personnel staff but found no substantiation for caregiver verbal abuse. Citations were written for the unqualified staff issue.

The visit was a complaint investigation conducted on April 18, 2024. The deficiency related to medication services was substantiated and resulted in a civil fine.

The investigation found that the licensee failed to ensure residents received medications as prescribed for two residents, resulting in one resident missing medication for 5 days and another for 11 days. This deficiency is recurring and resulted in a civil fine.

The facility failed to correct multiple fire safety deficiencies related to sprinkler system testing, hydrostatic testing, emergency lighting testing, generator inspections, and fire drills. The overall status remains Disapproved.

The complaint investigation (Complaint #111787) focused on an allegation that medication was not given as ordered. The investigation included interviews, observations, and record reviews. The allegation was substantiated with citations written for medication management failures affecting multiple residents.

The investigation substantiated failed facility practice in managing and administration of resident medications. Citations were written for deficiencies related to medication nonavailability and medication services affecting multiple residents.

This was a complaint investigation triggered by a complaint regarding medication nonavailability. The deficiency was substantiated as the licensee failed to obtain prescribed medication for one resident, resulting in a six-day delay in medication administration.

The investigation found that the licensee failed to obtain a prescribed medication for one resident, resulting in the resident not receiving medication as ordered for six days. This deficiency is recurring and resulted in a civil fine.

The follow-up inspection conducted on 11/20/2023 found no deficiencies. The facility meets the Assisted Living Facility licensing requirements and all previously cited deficiencies were corrected.

The complaint investigation referenced complaint number 105036 concerning an allegation of mismanagement of resident medications. The investigation substantiated the allegation with findings that the facility failed to provide prescribed potassium chloride medication to one resident for six consecutive days. Multiple staff interviews confirmed the deficiency, and citations were issued.

The investigation found that the facility failed to obtain a prescribed medication for one resident, resulting in the resident missing medication doses for six days and being placed at risk for health complications. The deficiency was substantiated and citations were written.

The complaint investigation was based on concerns about monitoring residents' well-being, specifically for one resident whose delayed evaluation contributed to increased falls, hospitalization, and worsening urinary tract infection. The deficiency was substantiated and is recurring.

The investigation found a violation of WAC 388-78A-2120(3)(a)(b)(4) related to failure to evaluate and take appropriate action for one resident, resulting in delayed evaluation and adverse health outcomes. This deficiency is recurring and resulted in a civil fine.

The complaint investigation (Complaint Number 96152) involved allegations about quality of care, nursing services, physical environment, and quality of life. The investigation substantiated failures in monitoring and documenting residents' well-being and nursing services, but found no issues with the physical environment. Citations were issued for the substantiated deficiencies.

The investigation substantiated failed provider practices related to monitoring and documenting residents' medical and physical needs as well as nursing services. No failed practice was found regarding the physical environment. Citations were written for the substantiated deficiencies.

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

All violations noted during previous related inspections have been corrected, resulting in an Approved status.

This was a complaint investigation completed on March 31, 2023. The deficiency was a recurring issue previously cited on January 19, 2023. The licensee was fined $300 for failing to report significant changes in residents' conditions.

The investigation found a recurring deficiency where the licensee failed to report significant changes in condition for two residents, placing them at risk. This violation resulted in a civil fine of $300.

The investigation involved multiple complaints including infection control failures such as staff not wearing facemasks and eye protection, unsecured medication carts, and a COVID-19 outbreak. The investigation found failed provider practices and citations were written for these issues.

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

Two complaints were investigated regarding failure to notify the Local Health Jurisdiction of suspected gastrointestinal virus outbreaks. The allegations were substantiated with citations written for failure to report and respond appropriately to the outbreaks.

The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies related to infection control reporting were corrected.

After review, the decision was made not to change the previously issued Statement of Deficiencies. The facility is advised to begin correcting the disputed deficiencies immediately.

The letter outlines the date, time, and type of the IDR meeting and identifies the citations being disputed. It does not contain inspection findings or violations.

The licensee failed to provide safe medication services for one resident, resulting in missed blood pressure checks and medications, placing the resident at risk. This deficiency is recurring and led to a $500 civil fine.

The complaint investigation involved multiple allegations including failure to monitor residents' well-being, failure to encourage eating during illness, infection control concerns, failure to provide showers, failure to negotiate service agreements, failure to provide medications timely, failure to provide record requests timely, and failure to notify residents of charge increases. The investigation substantiated multiple failed provider practices and citations were written.

The investigation found multiple failed provider practices including failure to notify primary care providers of resident illness, failure to implement negotiated service agreements, failure to provide timely record requests, failure to provide 30-day notice of increased charges, failure to monitor residents' blood pressure and weight as prescribed, and failure to provide medications timely. The facility was found not in compliance with licensing laws and regulations.

The complaint investigation included four allegations: infection control, medication errors, discharge notice, and failure to provide records. The first three allegations were unsubstantiated with no concerns found. The fourth allegation was substantiated with a failed practice identified and citations written.

The investigation found no substantiated concerns for infection control, medication errors, or discharge notice issues, but identified a failed practice for not providing requested records timely. Citations were written for the failed provider practice.

The facility must collaborate with the Local Health Jurisdiction to develop and implement an infection control system including PPE training and fit testing for all staff. These conditions are effective immediately and remain until formally lifted.

The licensee failed to obtain prescribed medications for four residents, placing them at risk for health complications. This violation was uncorrected from a previous citation and resulted in a $300 civil fine.

The facility failed to ensure required infection control measures to prevent the spread of COVID-19, including staff not wearing facemasks and failure to document and track fit testing of staff. These deficiencies were uncorrected and recurring, placing all 68 residents, staff, and visitors at risk, resulting in a $900 civil fine and conditions imposed on the license.