Inspection Reports for Washington Gardens Memory Care
9000 SW 91st Ave, Tigard, OR 97223, United States, OR, 97223
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Inspection Report
Capacity: 48
Deficiencies: 23
Mar 1, 2024
Visit Reason
State-compiled facility profile showing 4 inspections from 2022-10 to 2024-03 with deficiency history and enforcement notices
Findings
Across multiple inspections, the facility was found to have numerous deficiencies related to resident care, infection control, staffing, service plan accuracy, and compliance with food sanitation and fire safety rules. Several deficiencies were repeated or not corrected at revisit.
Complaint Details
Complaint investigations conducted on 2023-05-23 and 2022-10-27 identified multiple deficiencies related to licensing compliance and RN delegation.
Deficiencies (23)
| Description |
|---|
| C0000 - Comment: Findings related to kitchen inspection and re-licensure surveys |
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to ensure kitchen cleanliness and proper food handling practices |
| Z0142 - Administration Compliance: Failed to follow licensing rules for Residential Care and Assisted Living Facilities |
| C0010 - Licensing Complaint Investigation: Deficiencies identified during complaint investigations |
| C0282 - Rn Delegation and Teaching: Deficiencies identified during complaint investigations |
| C0160 - Reasonable Precautions: Failed to implement effective infection control methods |
| C0231 - Reporting & Investigating Abuse-Other Action: Failed to conduct thorough investigations and report injuries of unknown cause |
| C0252 - Resident Move-In and Eval: Res Evaluation: Failed to ensure move-in and quarterly evaluations were comprehensive and reflective |
| C0260 - Service Plan: General: Service plans not reflective, not available, or not followed for sampled residents |
| C0262 - Service Plan: Service Planning Team: Failed to ensure service plans were developed by required team |
| C0270 - Change of Condition and Monitoring: Failed to evaluate and monitor resident changes of condition |
| C0280 - Resident Health Services: Failed to assess significant changes of condition by RN |
| C0290 - Res Hlth Srvc: On- and Off-Site Health Srvc: Failed to coordinate care and document outside provider visits |
| C0303 - Systems: Treatment Orders: Failed to carry out physician orders as prescribed |
| C0360 - Staffing Requirements and Training: Staffing: Insufficient caregivers to meet resident needs and medication pass delays |
| C0361 - Acuity-Based Staffing Tool: Failed to use acuity-based staffing tool to develop and update staffing plan |
| C0420 - Fire and Life Safety: Safety: Failed to conduct fire drills and provide fire safety instruction as required |
| C0422 - Fire and Life Safety: Training For Residents: Failed to provide fire safety training to residents at admission and annually |
| C0455 - Inspections and Investigation: Insp Interval: Failed to implement and satisfy plan of correction |
| Z0162 - Compliance With Rules Health Care: Failed to provide health care services in accordance with licensing rules (repeat citation) |
| Z0163 - Nutrition and Hydration: Failed to develop and follow individualized nutrition and hydration plans |
| Z0164 - Activities: Failed to evaluate and develop individualized activity plans |
| Z0165 - Behavior: Failed to provide individualized behavior plans for residents with behavioral symptoms |
Report Facts
Inspections on page: 4
Total deficiencies: 24
Total licensing violations: 10
Total notices: 2
Licensed beds: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tamara Wright | Administrator | Named as facility administrator in facility information |
| Staff 1 | Executive Director | Named in multiple findings related to inspections and deficiencies |
| Staff 2 | Regional Director / Executive Chef | Named in findings related to kitchen and staffing deficiencies |
| Staff 3 | Health Service Director / RN | Named in findings related to abuse investigations and health services |
| Staff 4 | Resident Care Coordinator | Named in findings related to service plans and resident care |
| Staff 8 | Environmental Services Director / Executive Chef | Named in findings related to kitchen and fire safety |
| Staff 16 | Medication Technician | Named in findings related to catheter care and resident behaviors |
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