F0609

D

Failure to Report Alleged Neglect to State Agency

Kirkland, Washington Survey Completed on 03-23-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to report an allegation of neglect to the State Agency within the required timeframe. A grievance form dated 02/01/2026 documented that Resident 1 reported being left in a wet brief from morning until approximately 5:00 PM, and the February 2026 incident log recorded this concern as alleged neglect. The facility’s own policy on Abuse, Neglect and Exploitation required that all alleged violations of mistreatment, exploitation, neglect, or abuse, including injuries of unknown origin and misappropriation of resident property, be reported to proper authorities within prescribed timeframes, and the Nursing Home Guidelines (Purple Book) defined neglect as a pattern of conduct or inaction, or an act or omission, that fails to maintain a vulnerable adult’s physical or mental health or avoid harm.

Resident 1 later stated in an interview that on weekends there were fewer staff members, that they needed to be changed, and that the CNA did not come the whole day despite being asked a couple of times; the resident reported that the CNA said she was busy and needed to take her break and later apologized. Staff C, the Assistant DON, acknowledged receiving the grievance, speaking with the resident, and documenting the incident as alleged neglect in the incident log, but did not report the allegation to the State Agency, citing inconsistency between the grievance form and the resident’s follow-up statement and the belief that the resident had been seen during a 2:30 PM round, for which there was no documentation. Staff B, the DON, and Staff A, the Executive Director, both stated that the allegation of neglect should have been reported to the State Agency, confirming that the required reporting did not occur.