Gencare Lifestyle Tacoma at Point Ruston.

—: WA DSHS report: Inspections (04/2026)

This document was prepared by Residential Care Services for the Locator website. STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEAL TH SERVICES AGING AND LONG-TERM SUPPORT ADMINISTRATION PO Box 99250, Lakewood, WA 98496 HSRE-PMB II TRS, LLC GenCare Lifestyle Tacoma at Point Ruston 4970 Main St Tacoma, WA 98407 RE: GenCare Lifestyle Tacoma at Point Ruston License# 2557 Dear Administrator: This letter addresses Compliance Determination(s) 45598 (Completion Date 08/13/2024) and 41747 (Completion Date 06/25/2024). The Department completed a follow-up inspection of your Assisted Living Facility on 08/13/2024 and found no deficiencies. Your facility meets the Assisted Living Facility licensing requirements. The Department found that deficiencies for the following licensing laws and regulations were corrected: WAC 388-78A-2410-9, WAC 388-78A-2410-10 The Department staff who did the on-site verification: Kathy Heinz, Long Term Care Surveyor If you have any questions, please contact me at (253)442-3013. Sincerely, Manfay Chan, Field Manager Region 3, Unit D Residential Care Services Residential Care Services Investigation Summary Report Provider/Facility: GenCare Lifestyle Tacoma Provider Type: Assisted Living Facility at Point Ruston License/Cert.#: 2557 Intake ID: 117939 Compliance Determination #: 41747 Region/Unit #: RCS Region 3 / Unit D Investigator: Kathy Heinz Investigation Date(s): 05/23/2024 through 06/25/2024 Complainant Contact Date(s): 05/23/2024 Allegation(s): Identified Resident (IR) did not receive timely medical care. Investigation Methods: Sample: Total residents: 84 Resident sample size: 2 Closed records sample size: 1 Observations: Resident rooms Staff to resident interactions Residents Interviews: Wellness Director Licensed Staff Memory Care Director Record Reviews: Physician Orders Medical records Personnel files Lab results Care plans Progress Notes Treatment Records Medication Administration Records Investigation Summary: Based on interview and record reviews, the facility failed to document in the resident record, staff interventions and well being of one of three Residents. A citation was written under 388- 78A- 2410. Conclusion / Action: Failed Provider Practice Identified / Citation(s) Written Failed Provider Practice Not Identified / No Citation Written This document was prepared by Residential Care Services for the Locator website. N/A This document was prepared by Residential Care Services for the Locator website. D This document was prepared by Residential Care Services for the Locator website. STATE OF WASHINGTON DEPARTMENT OF SOCIAL AI\JD HEALTH SERVICES AGING AND LONG-TERM SUPPORT ADMINISTRATION PO Box 99250, Lakewoocl, WA 9B4fJ6 Statement of Deficienc1e s License #:. 2557 Compliance Determination # 417 47 Plan of C onection GenCare Lifestyle Tacoma at Pornt Ruston Completion Date Pag,e 1 o.f 3 Licensee: HSRE-PMB Iii TRS, lLC 06/25/2024 You are required ta be in compliance at all times v,Jith all :licensing laws and regulations to maintain your Assisted Llving Facility license. The department completed data collection for an unannounced on-site complaint investigation on 05/23/2024, 05/24/2024, 06/17/2024, 06/25/2024 and 08/2512024 of: GenCare Lifestyle Tacoma at Point Ruston 4970 Main St Tacoma, WA 98407 This document references the following complaint number(.s): 117939 The fol.lowing sample was selected for review during the unannounced an-site visit: 2 of 84 current residents and 1 former residents. The department staff that investigated the Assisted Living Facility:. Kathy He.inz, Long Term Care Surveyor From: DSHS, Aging: and Long-Term Support Administration Residential Care Services, Region 3 , Unit D PO Box 99250 Lakewood, WA 98496 As a result of the on-site visit(s), the department found that you are not in compliance with the licensing laws and regulations as stated in the cited deficiencies .in the en dosed report. 07/01/2024 Residential Care Services Date I understand that to maintain an Assisted Living 1::-:acility license, the facility must be in compliance with all the licensing laws and regulations at all times. This document was prepared by Residential Care Services for the Locator website. Statement of Deficiencies License #. 2557 Compliance Determination # 417 47 Plan of Correction GenCare Lifestyle Tacoma at Point Ruston Completion Date Page 2 of 3 Licensee: HSRE-PMB II TRS, LLC 06/25/2024 WAC 388-78A-2410 Content of resident records. The assisted living facility must organize and maintain resident records in a format that the assisted living facility determines to be useful and functional to enable the effective provision of care and services to each resident. Active resident records must include the following: (9) Documentation consistent with VI/AC 38H-78A-2120 Monitoring resident well-being. (10) Staff interventions or responses to subsection (9) of this section, including any modifications made to the resident's negotiated service agreement. This requirement was not met as evidenced by: Based on interviews and records revievv', the facility failed to document staff interventions and the wellbeing for 1 of 3 Residents (Resident 1) when a physician ordered two diagnostic tests to be completed. This failure placed Resident 1 at risk for decline in their health status. Findings included ... Test 1 During an interview on 06/1 1/2024 at 1: 00 Ptv1, CC1 said they had concerns Resident 1 (R1 ), did not get a urinalysis ( a common test that analyzes the specimens in your urine, UA) completed in a, timely manner. CC 1 asked staff to get a UA because R1 's urine smelled ttpungent.~ CC 1 said staff did not respond to her request and CC1 requested the order for the UA from the physician. Revie1N of a facsimile (FAX) dated 12/05/2023 showed R1 's physician ordered a UA. Staff D, Licensed Nurse, documented on 12/13/2023, the urine was collected and sent to a laboratory (lab) for analysis. Revievv of the UA from the I ab, dated 12/15/2023, showed the urine was collected on 12/12/2023 (seven days after the order was written), received by the lab oratory on 12/14 /2023, re suited on 12/14/2023, and the report was prepared on 12/15/2023 _T he results of the report showed R 1 had a urinary tract infection (an infection in any part of the urinary system, UTI}. Staff B, Wellness Director, noted the results. Review of R 1' s Me di cation Administration Record {MAR) dated December 2 024, showed a physician order for Nitrofurantoin {antibiotic used to treat a UTI) with a start date of This document was prepared by Residential Care Services for the Locator website. Statement of Deficiencies License#. 2557 C ornpliance Determination# 41 i 47 Plan of Corre ct ion Gene are Lifestyle Tacoma at Point Ruston Completion Date Page 3 of 3 Licensee: HSRE-PMB 11 TRS, LLC 06/25/2024 12/15/2023. R1 received one dose of the antibiotic before she was sent out to a local hospital for evaluation. Staff D , Licensed Practical ~~urse (LPN) was interviewed on 05/25/2024 at 12:00 PM. Staff D said there were no notes documenting staff attempted to collect urine between 12/05/2023 and 12/12 12023. Test 2 CC1 said during an interview on 06/11/2024 at 1: ()0 PM, families were allowed to visit in the memory care unit following a closure of the unit for C0\/10 on 12/12/2023. CC1 said R1 appeared very ill. CC 1 requested an order for a chest x-ray from Rl 's physician. Review of a FAX sent to the facility dated '12/12/2023 showed R 1' s physician ordered a chest x-ray to be completed urgently_R eview of a FAX dated 12/12/2023 sh owed the results of the chest x-ray. On 12/13/2023, R1 's physician ordered Levofloxacin (antibiotic used to treat infection and Furosemide (diuretic for water retention). There was no documentation related to the infection in RI 's progress notes or treatment record on 12/12/2023 and 12/13 /2023 _ CC1 said on 06/11/2024 R1 was hospitalized on /2023 and had UTI and pneumonia. Plan/Attestation Statement I hereby certify that I have reviewed this report and have taken or will take active measures to correct this deficiency. By taking this action, GenCare Lifestyle Tacoma at Point Ruston is or \1\11II be in compliance with this law and / or regulation on (Date) 'b I 9 \ 2-1 . In addition, I will implement a system to monitor and ensure continued compliance with c:~ - thisre~ / 71 \1-A °t -~1/ Ad~i:fiirstrato{Jo(Ee.f:lfesentative) Date /~ This document was prepared by Residential Care Services for the Locator website. ~-~ GENCARE LIFESTYLE TN Plan of Correction GenCare Lifestyle Tacoma at Point Ruston License # 2557 Statement of Deficiencies Completion Date August 9, 2024 Citation #1 WAC 388-78A-2410 Content of resident records. The assisted living facility must organize and maintain resident records in a form that the assisted living facility determines to be useful and functional to enable the effective provision of care and services to each resident. Active resident records must include the following: (9) Documentation consistent with WAC 388-78A-2120 Monitoring resident well-being. (10) Staff interventions or responses to subsection (9) of this section, including any modifications made to the resident's negotiated service agreement. Correction: ' (a) Wellness Director created a new treatment order and temporary care plan to ensure tracking of new lab work requests to ensure documentation of interventions. (Attached) (b) Wellness Director performed In-Service training with the Wellness Nurses to ensure their understanding of the new order and temporary care plan. (Attached) Monitoring: During weeklyclinical meetings, the Wellness Nurses will discuss the progress of lab work requests with the team. The Wellness Director will add this new topic to the agenda of the clinical meetings.

This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website.