Inspection Reports for Spring Creek Inn Memory Care Community

The inspection was conducted as a complaint investigation following concerns related to resident care and treatment at Spring Creek Inn Memory Care Community.

The report details a failure in timely medical treatment and monitoring of a resident with swelling, edema, and a urinary tract infection, resulting in delayed antibiotic administration and eventual resident hospitalization and death.

Complaint inspection triggered by concerns over resident care; the resident experienced worsening symptoms and delayed treatment, ultimately leading to hospitalization and death.

The inspection was a Provisional Status Inspection conducted to review compliance with minimum standards for health care facilities, including disaster plan documentation and food service temperature logs.

The facility's disaster plan had an outdated off-site evacuation agreement last updated on 10/28/21, and the facility failed to maintain temperature logs for any of the fridges and freezers.

The inspection was conducted as a complaint investigation at Spring Creek Inn Memory Care Community to assess compliance with health care and assisted living facility standards.

The inspection revealed multiple deficiencies including unclean and unmade resident rooms, inadequate response to call systems, poor personal care of residents, improper oxygen use, insufficient bathing of residents, persistent odors of urine and bowel movements, and lack of proper housekeeping training in infection control.

The inspection was triggered by a complaint and focused on multiple care and facility deficiencies including personal care, staffing response, and environmental cleanliness.

The inspection was conducted as a complaint investigation to review concerns related to facility incident reports, staffing adequacy, resident safety, and care practices at Spring Creek Inn Memory Care Community.

The investigation found a lack of documentation of corrective actions for falls, inadequate staffing to meet resident needs, high rates of resident falls and incontinence, improper use of restrictive toileting clothing, locked resident rooms without proper assessment or documentation, and insufficient privacy screens for semi-private rooms.

The visit was complaint-related, focusing on issues such as incident report documentation, staffing shortages, resident safety concerns including falls and locked rooms, and use of restrictive clothing. No substantiation status was explicitly stated.

The inspection was conducted as a complaint investigation triggered by concerns regarding an incident involving Resident #1 and other residents related to involuntary discharge criteria and personal care services.

The investigation found that Resident #1 had two sexual encounters over approximately six months, with no indication of repeated or substantial interference with other residents' rights or safety. The facility issued a 30-day discharge notice without adequate reason, and failed to respect the privacy and decision-making rights of Residents #1 and #3.

The complaint investigation focused on an incident where Resident #1 was found inappropriately touching other residents and subsequent discharge notice. The investigation concluded that the incidents involved seemingly consenting adults and no further action was necessary. The discharge notice lacked adequate justification.

The inspection was conducted as a renewal inspection of the Spring Creek Inn Memory Care Community facility.

The inspection identified issues including the presence of an 'Abuse of Vulnerable Adults' document referencing Washington State regulations in resident files, and undated health care plans for several residents, making it unclear if they were completed within 21 days of admission.

The inspection was conducted as a complaint investigation following reports of incidents involving two residents at the facility.

The investigation found that incident reports regarding inappropriate contact between Resident #1 and Resident #2 were incomplete and lacked documentation of review by the facility Administrator. Additionally, the facility failed to document provider notification, response, and family contact related to the incidents on 10/1/2014 and 10/7/2014.

The complaint investigation was triggered by reports of inappropriate contact between two residents. The complaint was substantiated by findings of incomplete incident reporting and lack of required notifications and documentation.

The inspection was conducted as a renewal inspection of the Spring Creek Inn Memory Care Community facility license.

The inspection identified deficiencies including lack of documentation for quarterly review of Health Care Plans for residents and incomplete Medication Administration Records that do not include reasons for scheduled medication use.