Premier Washington Rehabilitation and Nursing Ctr

Inspectors wroteBased on review of facility policies, observations, and staff interview, it determined the facility failed to maintain sanitary conditions in the Main Kitchen, which created the potential for cross contamination and food borne illness.

Inspectors wroteBased on a review of facility documentation, cited deficiencies from a previous survey, review of plans of correction documentation, and staff interview, it was determined that the facility's Quality Assurance and Performance Improvement (QAPI) program failed to correct previously cited deficiencies.

Inspectors wroteBased on staff interviews it was determined that the facility failed to employ a qualified Food Service Director to manage the daily operations of the Dietary Department for 12 of 12 months (May 2025 through April 24, 2026).

Inspectors wroteBased on a review of facility policy, facility documents ( five months of Resident Council Meeting Minutes and Food Council Meeting Minutes and six months of Grievances), Resident Council Meeting onsite, resident interviews, staff interviews and observations, it was determined the facility failed to provide the residents with food and drink that is at a safe and appetizing temperatures on six of six nursing units (1 South, 1 West, 2 South, 2 East, 3 South and 3 East nursing units).

Inspectors wroteBased on facility policy, resident interviews, observations and staff interviews, it was determined that the facility failed to provide food for a resident in a form to meet the resident's individual needs for 13 of 26 residents reviewed (Residents R81, R55, R1, R142, R2, R203, R26, R45, R175, R106, R224, R29 and R120).

Inspectors wroteBased on observations, and staff interviews, it was determined that the facility failed to maintain sanitary conditions to prevent the potential for cross-contamination or foodborne illness in the main kitchen (Main Kitchen).

Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to ensure the dish machine was in proper working order in the Main Kitchen and staff had proper education to maintain the dish machine to provide documentation of temperature levels and sanitation levels.

Inspectors wroteBased on review of facility policy, resident council documents, resident group interview, and staff interview it was determined that the facility failed to respond to or address concerns from resident council, food committee, and grievances in a timely manner for five out of six months.

Inspectors wroteBased on review of facility policy, observation and resident and staff interviews, it was determined that the facility failed to provide a safe, clean, comfortable, and homelike environment for four of six nursing units and in the therapy gym as required (2 South, 3 South, 3 East and 1 [NAME] nursing units and the therapy gym).

Inspectors wroteBased on a review of clinical record reviews, resident interviews and observations, and staff interviews, it was determined that the facility failed to provide Activity of Daily Living (ADL) assistance for seven of twelve residents (Confidential Resident R500, R501 and Residents R2, R7, R13, R16, and R104). Findings Include: Review of the facility ADL Care - Bathing (Shower, Tub, Bed, Perineal) dated 1/6/26, indicated it is the policy of the facility to shower residents at least weekly, based on resident preference. During an interview on 4/20/26, at 1:44 p.m. Confidential Resident R500 stated that not all aides do their job, and some only do it halfway. Confidential Resident R500 stated, They can't bathe you because there are only two aides working. [...]

Inspectors wroteBased on review of facility policy, clinical records, observations, and staff interviews, it was determined that the facility failed to provide appropriate respiratory care and maintain oxygen equipment for four of eight sampled residents (Residents R13, R80, R159, and R256).

Inspectors wroteBased on a review of facility policy, clinical records, and staff interview, it was determined that the facility failed to make certain that residents are free of significant medication errors for one of five residents (Resident R7).

Inspectors wroteBased on review of facility policy, facility documentation, observations, resident and staff interviews it was determined that the facility failed to maintain a homelike environment throughout the facility (resident bathrooms) for one of four nursing units observed (3 South).

Inspectors wroteBased on review of facility policy, observations, and staff interview, it was determined that the facility failed maintain sanitary conditions to prevent the potential for cross-contamination or foodborne illness in the main kitchen (Main Kitchen).

Inspectors wroteBased on observations and interview, the facility failed to store medications in a safe and sanitary manner for three of four medication carts reviewed (Three South front cart, Three East front cart, and Two East back cart).

Inspectors wroteBased on review of facility policy, observations, and staff interview, it was determined that the facility failed to make certain that medications and biologicals were properly disposed of in one of six medication rooms (Unit 1 [NAME] medication room).

Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to post contact information for Adult Protective Services (APS) as required, in the building.

Inspectors wroteBased on review of facility documents, meal delivery observations, resident interview, and staff interviews it was determined that the facility failed to ensure that meals were served at regularly scheduled times for one of seven nursing units (1 [NAME] nursing unit)

Inspectors wroteBased on resident and staff observations, and staff interviews, it was determined that the facility failed to have sufficient dietary staff to perform essential kitchen duties in the Main Kitchen.

Inspectors wroteBased on review of facility documents, meal delivery observations, resident interviews, and staff interviews it was determined that the facility failed to ensure that meals were served at regularly scheduled times for three of three days identified (7/20/24, 7/21/24 and 7/23/24).

Inspectors wroteBased on observation, clinical record review, observation, resident and staff interview, it was determined that the facility failed to respect residents' rights in the handling and protection of their personal property and clothing for eleven of thirteen residents interviewed (Residents R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, and R11).

Inspectors wroteBased on observations, review of facility menu, resident interviews, and staff interviews it was determined that the facility failed to follow the displayed menu for one of three observed meals (lunch meal 7/23/24), and failed to provide residents with their preferred dietary choices for three of three residents identified (Residents R100, R101, R102).

Inspectors wroteBased on observations, resident and resident family interviews and staff interviews, it was determined that the facility failed to maintain a clean, homelike environment on five of six nursing units (1 South, 1 West, 2 South, 3 South and 3 East nursing units). Failed to provide a clean, comfortable, homelike environment for 33 of 52 residents (R1, R6, R7, R8, R9. R10, R11, R12, R13, R14, R15, R16, R17, R18, R19, R20, R21, R22, R23, R24, R25, R26, R27, R28, R29, R30, R31, R32, R33, R34, R35, R36 and R37).

Inspectors wroteBased on review of facility policies, observations, and staff interviews, it was determined that the facility failed to store medications and biologicals properly and securely in three of six medications carts (One [NAME] Front Hall, Three East Back Hall and Three South Front Hall).

Inspectors wroteBased on clinical record review, staff interview, and observation, it was determined that the facility failed to provide an environment and care to promote dignity during medication administration for each resident's quality of life for five of nine residents observed (R226, R178, R119, R131, and R214).

Inspectors wroteBased on review of clinical records, facility policy, manufacture instruction, observation, and staff interview, it was determined that the facility failed to make certain the services provided or arranged by the facility meet professional standards of quality for one of five residents (Resident R214)

Inspectors wroteBased on review of facility policy, clinical records, and staff interviews, it was determined that the facility failed to notify physicians of increased and decreased Capillary Blood Glucose (CBG) levels and failed to assess residents for hyperglycemia (high blood glucose) and hypoglycemia (low blood glucose), for two of five residents reviewed (Residents R14, and R229).

Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to provide a clean homelike environment for one of five nursing units (1 [NAME] Nursing Unit)