Inspection Reports for
Mt. Baker Care Center

The complaint investigation focused on allegations of unnecessary psychotropic medication use, incomplete care plans, inadequate pressure ulcer prevention, failure to monitor high-risk medications, and infection control lapses. Multiple residents were reviewed with findings substantiating these issues.

The facility was found deficient in multiple areas including failure to ensure residents were free from unnecessary psychotropic medications, incomplete care plans for edema management, discharge planning, and dementia care, inadequate pressure ulcer prevention interventions, lack of monitoring for high-risk medications such as anticoagulants and diuretics, and failure to follow infection control precautions for residents with chronic wounds. All deficiencies were cited with minimal harm and residents affected were few.

No health deficiencies were found during this survey.

The facility was found to have multiple deficiencies including failure to identify significant changes in resident status, incomplete care plans, inadequate assistance with activities of daily living, insufficient nutritional monitoring leading to weight loss, lack of trauma-informed and culturally competent care, and lapses in infection control practices during wound care. All deficiencies were cited with minimal harm or potential for actual harm to residents.

The complaint investigation focused on medication errors involving Resident 1, who was administered a sulfa antibiotic despite a documented allergy. The error was substantiated based on record review and interviews with nursing staff.

The facility failed to prevent significant medication errors for one of three sampled residents by administering two doses of an antibiotic to which the resident was allergic. The medication error was identified and corrected after notification from the pharmacy, but the error placed the resident and others at risk.

The complaint investigation focused on Resident 1 who was found without oxygen after care on 02/09/2024, resulting in hypoxia. Staff interviews confirmed the oxygen was not replaced due to staff error. The facility acknowledged unintentional neglect and planned corrective actions including staff education and adding oxygen-related standards to nursing assistant care plans.

The facility failed to ensure Resident 1's oxygen was replaced after care, resulting in hypoxia and risk to other residents. The investigation confirmed unintentional neglect by staff, and the facility plans to improve education and standards of care related to oxygen use.

No health deficiencies were found during the survey at MT Baker Care Center.

The complaint investigation identified multiple issues including inaccurate resident dental assessments, medication administration errors, failure to provide dental services, unqualified dietary management, and food safety violations. Each deficiency was supported by observations, interviews, and record reviews.

The facility was found to have multiple deficiencies including failure to accurately assess a resident's dental status, improper insulin administration technique, failure to provide timely dental services, unqualified dietary management staff, and unsafe food storage and sanitation practices. All deficiencies were documented with minimal harm potential and affected few to many residents.