On Bainbridge Island, many families juggle care across multiple settings—an island facility, a hospital stay in the region, then back to long-term care. That “handoff” period is often where medication problems continue:
- Orders change after discharge, but the new regimen isn’t implemented correctly or promptly.
- Staff fail to reconcile medication lists.
- Monitoring doesn’t match the resident’s new risk level (for example, kidney function changes, confusion, fall risk, or sedation concerns).
When this happens, it’s common for family members to notice a pattern—slower reaction time, unusual sleepiness, new confusion, choking or breathing issues, or falls that don’t fit the resident’s usual baseline. The key is documenting what you saw and pushing for records quickly.


