Laurel Cove Community.

WAC 388-78A-2100: The facility failed to complete an updated assessment and Negotiated Service Agreement to include the Named Resident's aggressive behaviors during care.

WAC 388-78A-2210: The ALF failed to correctly transcribe the physician's orders, resulting in a resident receiving the wrong dose of medication. WAC 388-78A-2210: The ALF failed to administer the correct doses of medications to a resident, who was subsequently hospitalized. Named staff incorrectly transcribed physician's orders resulting in additional doses. WAC 388-78A-2260: The ALF failed to administer the correct doses of medications to a resident, who was subsequently hospitalized. Named staff incorrectly transcribed physician's orders resulting in additional doses. WAC 388-78A-2210: The ALF failed to administer the correct doses of medications to a resident, who was subsequently hospitalized. Named staff incorrectly transcribed physician's orders resulting in additional doses. WAC 388-78A-2260: The ALF failed to administer the correct doses of medications to a resident, who was subsequently hospitalized. Named staff incorrectly transcribed physician's orders resulting in additional doses. WAC 388-78A-2640: The ALF staff failed to notify the resident's family member when there was a change of condition, including injuries, infections, or new medications.

WAC 388-78A-2610: The assisted living facility failed to notify the King County Communicable Disease Department (local health jurisdiction) of a communicable disease outbreak when 22 residents developed signs and symptoms of gastrointestinal illness including diarrhea, nausea, and vomiting between November 22 and December 11, 2024. The facility did not report the outbreak until December 10, 2024, which was 18 days after the initial onset, placing all 75 residents at risk for continued spread of communicable disease.

—: The ALF failed to coordinate care by not obtaining a diagnostic test ordered by the physician or notifying the ordering physician that the diagnostic test was not obtained.

—: The facility failed to assess and care plan for a resident's sexual behaviors, placing the resident and other memory care residents at risk for sexual assault. The facility also failed to notify family representatives about the incident. —: The facility discharged a hospitalized resident without providing a written discharge notice to the resident or representative explaining the reason for discharge and relocation, causing the resident to be displaced and remain hospitalized longer.

WAC 388-78A-2350(7)(a): The facility failed to integrate relevant information from an external home health provider regarding a resident's heel pressure area into the resident's Assessment and Negotiated Service Agreement. The facility did not document the wound or home health care instructions in the resident's service plan, placing the resident at risk for unmet care needs. WAC 388-78A-2600(1)(b)(2)(p): The facility failed to implement its own policies regarding skin breakdown and coordination of care for a resident with a developing pressure area. The facility did not complete a Skin Observation Tool as required by policy, did not update the Service Plan to reflect the unstageable pressure area or home health involvement, and did not properly monitor and document wound status, potentially contributing to worsening skin breakdown.