Inspection Reports for Guardian Angel Homes Liberty Lake

The inspection found that most fire safety requirements were completed or corrected, including sprinkler system maintenance, repair of penetrations, and fire drills. However, some deficiencies were noted in documentation and maintenance records, such as missing annual fire wall inspection documentation, missing ceiling fan/vent cover, and incomplete emergency power system testing records.

The complaint involved an injury of unknown origin. The investigation substantiated that the injury was caused by improper transfers by staff, resulting in bruising and swelling. The facility was cited for failure to document proper transfer assistance in the negotiated service agreement.

The investigation found that the facility failed to clearly document in the resident's negotiated service agreement the plan to assist a resident with transferring from one surface to another, resulting in injuries, discomfort, a hospital trip, and medication changes. The improper transfer was confirmed to be caused by staff transferring the resident alone without a gait belt and pulling on the resident's underarms and waistband.

Complaint related to infection control and a Covid-19 outbreak. The complaint was substantiated with findings of failure to obtain a medical testing site waiver license.

The investigation found that six residents were ill due to a Covid-19 outbreak, but infections had resolved with no hospitalizations. The facility failed to obtain a required medical testing site waiver license to perform on-site Covid-19 testing, placing residents at risk of inaccurate test results. Antiviral medications were ordered and administered appropriately.

The licensee failed to ensure a medication order was processed and administered as prescribed for one resident, resulting in the resident not receiving medication for an extended period and placing the resident at risk of medical complications. This was a recurring deficiency previously cited on March 30, 2023.

The complaint alleged physical abuse by staff. The investigation substantiated failed provider practices with citations issued for deficiencies in specialized dementia training and resident rights.

The investigation found that the facility failed to ensure staff completed required specialized dementia training and failed to provide care consistent with resident dignity, resulting in pain and discomfort for one resident. The facility was cited for deficiencies related to specialized dementia training and resident rights.

The complaint involved a medication error where a resident was given another resident's medication. The allegation was substantiated with failed provider practice identified and citations written.

The facility failed to ensure medications were given to the correct resident during one medication pass, resulting in a medication error that caused hospitalization of Resident 1. The facility took corrective actions and implemented a plan of correction to prevent recurrence.