North Point Village, Assisted Living & Memory Care.

WAC 388-78A-2210: The facility failed to ensure that residents received their medications as prescribed. Resident 1 did not have out-of-parameter blood pressure and heart rate measurements reported to the Health & Wellness Specialist as required by physician orders. Resident 2 did not receive the full 5-day course of azithromycin (only 3 days administered). Resident 13 did not start doxycycline until 6 days after being prescribed and did not receive the full prescribed course. WAC 388-78A-2600: The facility failed to follow their fall program policy and procedures for tracking and trending resident falls during the Weekly at Risk Meeting. Six residents (Residents 4, 5, 7, 9, 10, and 12) had falls that were not properly tracked, resulting in falls not being reviewed to decrease further risk.

WAC 388-78A-2470: The facility employed a staff member (Concierge) with a disqualifying criminal conviction who had unsupervised access to residents. Background checks from 03/05/2019 and 03/25/2025 showed a 'disqualify' status, but the staff member was allowed to work with vulnerable adults present in the reception area.

WAC 388-78A-2466(1)(a)(b): A medication technician's Washington state name and date of birth background check was expired, allowing medications to be passed without valid credentials.

WAC 388-78A-2474(a)(b)(c), WAC 388-78A-2462(2)(a), WAC 388-78A-2480(1)(2): Staff lacked required training, background check completion, and TB testing. The facility failed to ensure staff had appropriate Tuberculin screening testing completed within three days of employment for 7 of 15 staff members. WAC 388-78A-2474(2)(a)(b)(c), WAC 388-78A-2480, WAC 388-78A-2305(2): Staff lacked required orientation and credentials. The facility failed to ensure staff had appropriate orientation and training requirements completed. WAC 388-78A-2474(2)(a)(b)(c): Staff were missing orientation training as required by regulation. WAC 388-78A-2462(2)(a): Updated background checks were not completed for staff as required. WAC 388-78A-2480: The facility failed to ensure staff had appropriate Tuberculin screening testing completed within three days of employment for 7 of 15 staff members (Staff F, G, H, J, L, N, O), placing residents at risk of care being provided by staff with potential communicable disease transmission.

WAC 388-78A-2210: The facility failed to ensure medications were administered as prescribed for 2 of 9 residents sampled. Resident 1 did not receive ketoconazole shampoo on five scheduled dates (08/04, 08/14, 08/18, 08/21, and 08/25/2024) due to reasons including being out of timeframe, not being a shower day, and the medication remaining unopened. Resident 4 did not receive pilocarpine tablets on August 1, 2024 because the medication was not ordered from the pharmacy in time. WAC 388-78A-2210: The resident did not receive a requested suppository as ordered, resulting in an emergency room visit for rectal bleeding. Review of the medication administration record showed the resident's medications were not administered as ordered.

WAC 388-78A-2160: The facility failed to ensure care and services listed in the negotiated service agreement were implemented for Resident 1. The resident was scheduled to receive two showers per week with two staff members, but only received two showers in August 2024. Additionally, the facility failed to use pillows to position the resident's heels off the mattress as required, resulting in a pressure sore to the heel. WAC 388-78A-2930: The facility failed to ensure a consistently operational telephone was available for communication between residents, families, and staff. Twelve residents in A Cottage experienced repeated telephone service failures including dropped calls, busy signals, and inability to place or receive calls, preventing contact with family members and placing residents at risk.

WAC 388-78A-2484: The facility failed to ensure that three staff members (Staff AA, BB, and CC) received tuberculosis testing within three days of employment. This is a recurring deficiency previously cited on 12/05/2023 and 01/30/2024. WAC 388-78A-2305: The facility failed to ensure that three food service employees (Staff S, T, and U) had current food worker cards for food sanitation compliance, placing residents at risk of foodborne illnesses.

RCW 70.129.030(2)(a) and WAC 388-78A-2660(1): The facility failed to provide resident records to a resident representative within the required 24-hour timeframe upon request. Records were sent after the initial 24-hour request period had exceeded.

WAC 388-78A-2210(2)(a): The facility failed to ensure medications were administered as prescribed. A medication technician gave one resident another resident's medications without verifying the recipient's identity, resulting in the wrong resident receiving the wrong medication and requiring hospitalization due to dangerous blood pressure changes.