SCRIBER GARDENS LLC.

WAC 388-78A-2320: The facility failed to develop and implement a safe intermittent nursing service system related to nurse delegation services for 4 of 7 sampled residents (Residents 1, 2, 4, and 6). This failure placed residents at risk for medication-related complications and compromised health status.

WAC 388-78A-2090(6)(d): The Assisted Living Facility failed to include in their assessment that the named resident was able to leave the facility on their own unsupervised. This omission in the full assessment topics contributed to the resident leaving the facility and going missing.

WAC 388-78A-2630(1)(a): The facility failed to report to the department's Complaint Resolution Unit hotline when one resident had five unwitnessed falls, four of which resulted in injuries. This pattern of frequent falls with injuries placed the resident at risk for continued falls and was not reported as required.

WAC 388-78A-2610(2)(a): The facility failed to develop and implement a system to identify and manage infections. Specifically, the facility did not determine whether 4 of 5 residents displaying signs of sickness had a communicable disease after another resident and staff member tested positive for COVID-19. WAC 388-78A-2610(2)(f): The facility failed to report communicable diseases in accordance with WAC 246-100. The facility did not report positive COVID-19 cases to the local health department or the Department of Social and Health Services hotline despite having a resident test positive for COVID-19 at the hospital.

WAC 388-78A-2930(1)(b)(i): The assisted living facility had nonfunctioning call pendants that failed to transmit alerts to staff pagers, resulting in residents experiencing long wait times for assistance. Two of three sampled residents had intermittently nonfunctioning call pendants, and testing showed 2 of the call pendants were not transmitting alerts properly.