Regulators find “immediate jeopardy” to patient safety that posed a “high risk of serious harm, injury and death.”
Rosemary Torgesen
Day 1
March 22, 2018Rosemary Torgesen is admitted to Smokey Point on a court order after refusing to eat, drink and take medications for her schizophrenia
April 3, 2018
April 3, 2018
Smokey Point sends Rosemary to Providence Regional Medical Center’s emergency room for “abnormal labs”
April 6, 2018
April 6, 2018
A Smokey Point staff member recommends Rosemary “be sent to a more medical psych unit”
Day 30
April 20, 2018
April 24, 2018
April 24, 2018
Smokey Point sends her to Providence’s emergency room for the second time for refusing to eat, drink and take medications
Patient attempts suicide by overdose
Patient taken to ER with “intractable headache” a week after doctor had ordered CT scan that was never scheduled
Patient punches nurse in head and face
Patient arrested after punching another patient in head and face
May 8, 2018
May 8, 2018
Smokey Point sends Rosemary to Northwest Hospital to be evaluated for admission, but she is returned that day after being medically cleared
Patient complains to DOH of understaffing and "extreme amount of violence by patients."
Day 60
May 20, 2018
May 28, 2018
May 28, 2018
Smokey Point sends her to Providence’s ER for the third time for abnormal labs
Patient taken to ER after overdose
Christina Perry, a nurse, resigns citing understaffing and unsafe conditions
Hospital error results in giving patient medication meant for another, requiring medical follow-up
A patient with cornea scarring told Department of Health he hadn't seen an opthamologist despite a doctor’s order more than two weeks before
Alfie Alvarado-Ramos, director of state Department of Veterans Affairs, emcees ceremony for new military unit at Smokey Point
Regulators return to inspect Smokey Point and find serious violations “resulted in an unsafe environment for patients”
June 16, 2018
June 16, 2018
Rosemary falls at Smokey Point and is taken to the emergency room at Cascade Valley Hospital, where she is diagnosed with a broken arm
June 19, 2018
June 19, 2018
Smokey Point sends her to Providence’s ER for the fourth time for refusing to drink any fluids
Day 90
June 20, 2018Smokey Point records refer to her as being “bedbound”
June 24, 2018
June 24, 2018
Smokey Point records show she has developed a bed sore
June 28, 2018
June 28, 2018
Smokey Point sends her to Providence’s ER for the fifth time for refusing to eat, drink or take medication
Day 99
June 29, 2018Smokey Point sends her to Providence a sixth time and refuses to accept her back
Regulators return to inspect Smokey Point and find serious violations “resulted in an unsafe environment for patients”
July 18, 2018
July 18, 2018
Providence physicians discover she has a broken right hip, apparently from a fall four weeks earlier
US HealthVest CEO pitches a third psychiatric hospital in Washington, pledging to boost the region’s mental-health workforce and saying Smokey Point “demonstrates our strategies are successful.”
Day 120
July 20, 2018Rosemary Torgesen dies, with malnutrition given as the primary cause on her death certificate
Smokey Point Behavioral Hospital
(Selected events)
April 15, 2018
- INSPECTION VIOLATIONS
March 15, 2018
- INSPECTION VIOLATIONS
Regulators find “immediate jeopardy” to patient safety that posed a “high risk of serious harm, injury and death.”
Rosemary Torgesen is admitted to Smokey Point on a court order after refusing to eat, drink and take medications for her schizophrenia Rosemary Torgesen is admitted to Smokey Point on a court order after refusing to eat, drink and take medications for her schizophrenia Rosemary Torgesen is admitted to Smokey Point on a court order after refusing to eat, drink and take medications for her schizophrenia
Smokey Point sends Rosemary to Providence Regional Medical Center’s emergency room for “abnormal labs”
A Smokey Point staff member recommends Rosemary “be sent to a more medical psych unit”
Smokey Point sends her to Providence’s emergency
April 27, 2018
- 911 CALL
April 27, 2018
- 911 CALL
Patient attempts suicide by overdose
April 30, 2018
- SAFETY CONCERN
April 30, 2018
- SAFETY CONCERN
Patient taken to ER with “intractable headache” a week after doctor had ordered CT scan that was never scheduled
May 5, 2018
- 911 CALL
May 5, 2018
- 911 CALL
Patient punches nurse in head and face
May 6, 2018
- 911 CALL
May 6, 2018
- 911 CALL
Patient arrested after punching another patient in head and face
Smokey Point sends Rosemary to Northwest Hospital to be evaluated for admission,
May 9, 2018
- COMPLAINT
May 9, 2018
- COMPLAINT
Patient complains to DOH of understaffing and "extreme amount of violence by patients."
May 30, 2018
- 911 CALL
May 30, 2018
- 911 CALL
Patient taken to ER after overdose
May 31, 2018
- SAFETY CONCERN
May 31, 2018
- SAFETY CONCERN
Christina Perry, a nurse, resigns citing understaffing and unsafe conditions
June 4, 2018
- MEDICATION ERROR
June 4, 2018
- MEDICATION ERROR
Hospital error results in giving patient medication meant for another, requiring medical follow-up
June 5, 2018
- SAFETY CONCERN
June 5, 2018
- SAFETY CONCERN
A patient with cornea scarring told Department of Health he hadn't seen an opthamologist despite a doctor’s order more than two weeks before
June 6, 2018
- OFFICIAL VISIT
June 6, 2018
- OFFICIAL VISIT
Alfie Alvarado-Ramos, director of state Department of Veterans Affairs, emcees ceremony for new military unit at Smokey Point
June 7, 2018
- INSPECTION VIOLATION
June 7, 2018
- INSPECTION VIOLATION
Regulators return to inspect Smokey Point and find serious violations “resulted in an unsafe environment for patients”
Rosemary falls at Smokey Point and is taken to the emergency room at Cascade Valley Hospital, where she is diagnosed with a broken arm
June 19, 2018
- COMPLAINT
June 19, 2018
- COMPLAINT
Former Smokey Point pharmacist files complaint to DOH about lack of staffing
Smokey Point records refer to her as being “bedbound”
Smokey Point records show she has developed a bed sore
Smokey Point sends her to Providence’s ER for the fifth time for refusing to eat, drink or take medication
Smokey Point sends her to Providence a sixth time and refuses to accept her back Smokey Point sends her to Providence a sixth time Smokey Point sends her to Providence a sixth time and refuses to accept her back
July 17, 2018
- INSPECTION VIOLATION
July 17, 2018
- INSPECTION VIOLATION
Regulators return to inspect Smokey Point and find serious violations “resulted in an unsafe environment for patients”
July 19, 2018
- REGULATORY
July 19, 2018
- REGULATORY
US HealthVest CEO pitches a third psychiatric hospital in Washington, pledging to boost the region’s mental-health workforce and saying Smokey Point “demonstrates our strategies are successful.”
Rosemary Torgesen dies, with malnutrition given as the primary cause on her death certificate
