Inspection Reports for Kadie Glen Assisted Living

The complaint investigation was triggered by conflicting physician notifications about a resident's ability to manage medications. The investigation found the facility failed to prevent the resident from self-administering medications unsafely, leading to missing doses and the resident's hospitalization and psychiatric evaluation. Failed provider practice was identified and citations were written.

The follow-up inspection found no deficiencies, confirming that previously cited medication service deficiencies were corrected. The prior complaint investigation identified failed practices related to unsafe medication management by a resident, resulting in missing doses and hospitalization.

The complaint investigation was triggered by allegations that a named resident had a staff to resident interaction and that the facility used portable heaters to warm resident rooms. The investigation found a failed provider practice related to the use of portable heaters.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. However, a prior deficiency was cited for failure to prohibit portable space heaters in resident rooms, placing residents, staff, and visitors at risk of harm.

After review, the citation WAC 388-78A-2630 from the SOD was deleted and will be removed from the DSHS locator.

Multiple fire safety violations were observed including combustible storage near ceilings, electrical hazards such as open junction boxes and blocked electrical panels, lack of documentation for fire-resistance inspections, sprinkler system maintenance, fire alarm system service, and kitchen hood inspections. Most violations were corrected on site or noted as corrected.

The complaint involved two allegations: 1) named residents were issued discharge notices, and 2) HIPAA rights were violated. The investigation substantiated the second allegation with a failed practice identified and citation written.

The investigation found that the named residents were appropriately issued discharge notices and the facility accommodated their needs to avoid discharge. However, it was determined that an unauthorized individual received private information about a resident, constituting a failed practice and violation of privacy rights.

The complaint investigation was triggered by allegations including improper discharge, poor hygiene assistance, ant infestation, refusal of food, and failure to report a missing resident. The investigation found failed provider practices related to discharge procedures, resident supervision, and care planning.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to multiple WAC regulations were corrected.

Complaint investigation completed on February 22, 2024, substantiating violations related to resident rights and abuse.

The investigation found that the licensee failed to protect residents from mental abuse and did not honor dietary needs and preferences for three residents, resulting in intimidation, humiliation, and being yelled at. Additionally, the licensee failed to implement policies related to suspected abuse for two residents, leading to ongoing mental abuse.

The complaint involved allegations that a staff member took food away from a resident, made another resident cry, refused to accommodate meal preferences, and other issues including privacy, discharge difficulties, and staff behavior. The investigation concluded with citations for failed provider practices.

The investigation found multiple failures including inadequate investigation of abuse allegations, failure to accommodate residents' food preferences, failure to report abuse to the Department of Social and Health Services, and failure to protect residents from abuse and neglect. Several citations were written for these deficiencies.

The complaint investigation addressed allegations including insufficient food, staff laughing at residents, unresponsiveness to care needs, lack of showers, unanswered call lights, lack of physician visits, and no menu provided. The investigation concluded with a failed provider practice identified and citations written.

The investigation found that most allegations were unsubstantiated, including adequate food, staff responsiveness, and menu availability. However, a failed provider practice was identified related to maintenance and housekeeping, specifically unsanitary conditions due to urine odor and a leaking toilet, placing residents at risk.

The complaint investigation was triggered by an unexpected death of a named resident. The investigation concluded with a failed provider practice identified and citation(s) written.

The facility failed to implement its 'Medical Emergencies' policy, causing a delay in summoning EMS and initiating CPR for a resident found unresponsive. A deficient practice was identified and a citation was written for WAC 388-78A-2600 (2)(d)(f).