Trustwell Living at Ridgeview Place.

WAC 388-78A-2660: The facility failed to provide meal service that enhanced residents' dignity and respect for 3 of 4 residents reviewed, resulting in extended wait times (15-30 minutes) for meal service and placing residents at risk of decreased quality of life. WAC 388-78A-2474: The facility failed to ensure one staff member (Staff C) completed orientation and safety training prior to providing resident care, with training completed 405 days after hire date despite the staff member having worked 11 days providing care. WAC 388-78A-2474: The facility failed to ensure one staff member (Staff D) maintained a valid Cardiopulmonary Resuscitation and first-aid card, with the staff member's certification expired as of 11/14/2025 while continuing to provide resident care. WAC 388-78A-2474: The facility failed to ensure two staff members (Staff D and F) completed required continuing education hours, with Staff D having no documented CE credits and Staff F having only 6.75 hours instead of the required 12 hours for the applicable period. WAC 388-78A-2690: The facility failed to obtain written consent from 2 of 2 residents (Residents 1 and 3) who had video monitoring equipment installed in their private rooms, resulting in residents not being afforded the opportunity to provide consent or decline monitoring.

WAC 388-78A-2466(1)(a)(b): The facility failed to ensure a current Washington state name and date of birth background check was on file for one caregiver (Staff B). The staff member's background check had expired and was not renewed within the required two-year period, placing residents at risk of receiving care from potentially disqualified staff.

WAC 388-78A-2130(3)(a)(b): The facility failed to update a resident's negotiated service agreement following a change in condition after a resident-to-resident altercation on 11/11/2025. The resident experienced a significant change in physical and emotional functioning, confining themselves to their room and refusing to leave for meals or activities, but no updates were made to address these changes or provide appropriate interventions.

WAC 388-78A-2610(1)(2)(c)(d): The facility failed to ensure that infection control interventions were implemented during a COVID outbreak. Three staff members (Staff C, D, and E) were observed wearing surgical masks instead of recommended N95 respirators while providing care to residents with confirmed COVID-19, including in common areas where positive residents could not be isolated due to cognitive status. Staff had not been fit-tested for N95 respirators despite facility policy requiring their use.

WAC 388-78A-2464(1)(2): A caregiver (Staff B) worked unsupervised with residents for 3 weeks without completing a Department background authorization form or having any background information on file, putting residents at risk of exposure to an unvetted staff member.