The Hampton at Salmon Creek Memory Care Community.

Findings included… The Dear Provider Letter sent to long term care facilities (LTC), dated 09/20/2022, included the following: “To minimize the impact of COVID-19, flu, and pneumonia in your facility/home: 4. Call your local health jurisdiction whenever a resident/client tests positive for COVID-19 or flu, or if you see sudden increase in acute respiratory illness (two or more ill residents/clients within 72hours).” During an investigation on 01/05/2024 at 11:00AM, a review of the facility policy not dated, titled, “Infection Control Standards”, regarding the facility’s plan to mitigate spread of infectious diseases stated to “notify immediately to Upper Management, who in turn will call the local department.” Review of an infectious disease reporting tool, not dated, titled “COVID-19 and/or Influenza-Like Illness Line List Template”, showed the first reported resident with symptomatic illness was on 11/28/2023, the second resident with symptoms was reported on 11/30/2023. The next 72hrs between 12/01/2023 to 12/04/2023 the number of residents reported with related symptoms significantly increased to 30 residents. On 01/19/2024 at 3:11 PM, in an interview with a local health jurisdiction (LHJ) staff, they reported that a local hospital notified LHJ of a COVID-19 related death at the named facility. They reported they called the facility on 12/11/2023 to obtain information of a COVID-19 related death. LHJ investigated to obtain information related to the death and to evaluate a potential infectious disease outbreak at the facility. LHJ Staff stated that the facility did not report the outbreak until they were contacted by LHJ Staff. . . Statement of Deficiencies License #: 2227 Compliance Determination # 34808 Plan of Correction The Hampton at Salmon Creek Memory Care Community Completion Date On 01/05/2024 at 11:00AM in an interview with Staff A, Executive Director, it was reported that one resident tested positive for COVID-19 on 12/02/2023. Community wide testing was conducted, and 25 more residents tested positive. Staff A stated they spoke to the LHJ for the first time on 12/12/2023 when the LHJ called and inquired about the outbreak in the community. Staff A stated they confirmed the outbreak and the LHJ instructed the facility to send over the list of affected residents. Staff A acknowledged that they did not call the LHJ to report the outbreak as required until LHJ Staff A initiated contact with the facility. 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, The Hampton at Salmon Creek Memory Care Community is or will be in compliance with this law and / or regulation on (Date)________________ . In addition, I will implement a system to monitor and ensure continued compliance with this requirement. Administrator (or Representative) Date . The Hampton at Salmon Creek Memory Care Community # 2227 02/08/2024 Region 3, Unit I 800 NE 136th Ave Ste 200 Vancouver, WA 98684 • Complete correction(s) within 45 days, or sooner if directed by the Department, after review of your proposed correction dates. • Have your plan approved by the Department. Consultation(s): In addition, the Department provided consultation on the following deficiency or deficiencies not listed on the enclosed report. WAC 388-78A-2610 Infection control. (1) The assisted living facility must institute appropriate infection control practices in the assisted living facility to prevent and limit the spread of infections. Facility failed to provide fit testing documentation for and N-95 masks per requirement. You Are Not: • Required to submit a plan of correction for the consultation deficiency or deficiencies stated in this letter and not listed on the enclosed report. You May: • Contact me for clarification of the deficiency or deficiencies found. In Addition, You May: • Request an Informal Dispute Resolution (IDR) review within 10 working days after you receive this letter. Your IDR request must include: o What specific deficiency or deficiencies you disagree with; o Why you disagree with each deficiency; and o Whether you want an IDR to occur in-person, by telephone or as a paper review. o Send your request to: IDR Program Manager Department of Social and Health Services Olympia, WA 98504-5600 If You Have Any Questions: • Please contact me at (360)450-1218. Sincerely, . The Hampton at Salmon Creek Memory Care Community # 2227 02/08/2024 Michael Burdick, Field Manager Region 3, Unit I Enclosure .