Aegis Living Bellevue Overlake

The facility failed to complete a Washington State name and date of birth background check every two years for 3 of 3 sampled staff.

The facility failed to ensure a culinary staff member had a valid food worker card.

The facility failed to assess a resident for their ability to safely use medical devices (transfer poles) in their apartment.

The facility failed to ensure culinary staff obtained a food worker card as required.

The facility failed to evaluate a resident's need for electronic monitoring and failed to obtain signed, written consent for the device.

Facility failed to ensure follow-up procedures (chest X-ray, symptom evaluation, health care provider recommendations) for 1 of 1 sampled staff (Staff C) who tested positive for TB.

Facility failed to implement prescribed medical orders for Resident 4 (thicken liquids), resulting in the resident receiving un-thickened water.

Facility failed to update the Individual Service Plan (ISP) for 6 of 12 sampled residents (Residents 1, 2, 4, 5, 10, and 12) regarding medical needs and equipment (cushions, medications, catheters, dialysis, side rails).

Facility failed to ensure 1 of 1 sampled staff (Staff B) was tested for tuberculosis upon rehire.

Facility failed to post the most recent full inspection report (November 2022) in a conspicuous place.

Facility failed to assess Resident 12 for the use of bed side rails.

The licensee failed to ensure that two staff met all their training requirements needed to provide resident care.

The licensee failed to ensure that two staff met all their training requirements needed to provide resident care.

The licensee failed to ensure that two staff met all their training requirements needed to provide resident care.

The facility failed to complete a required biennial Washington State name and date of birth background check for 1 of 1 sampled staff members; the check was 46 days past due.

Facility failed to follow accepted standards of infection control by failing to implement a Respiratory Protection Program for 34 of 41 staff who have direct contact with residents.

Facility failed to complete new staff orientation for 2 of 6 sampled staff (Staff B and Staff D).

Unapproved multi-plug adapter found behind the TV in room 218.

Extension cord in use in the Director of Resident Wellness office by Adventure room.

Open junction boxes in Electrical rooms by 419 (4th floor) and 306 (3rd floor).

Unable to provide record of annual fire wall inspection and/or repairs.

Open conduits in multiple locations (Electrical 518, 419; IDF 315, 219, 1st floor) and wall penetrations (IDF 219, 1st floor).

Fire doors in Resident room 323 and Salon electrical room did not close/latch properly due to missing hardware.

2022 inspection showed 7 failed dampers; no documentation provided showing repairs.

Escutcheon ring out of wall and resting on sprinkler head in IDF room by 219.

No documentation for quarterly sprinkler inspections.

Heat survey required for commercial hood; mixed 450 and 500 degree links installed.

No carbon monoxide alarms in 2nd floor and basement laundry rooms with gas appliances.

No documentation of monthly CO detector testing in past 12 months.

Unsecured nitrogen bottles in kitchen and loading dock area.

Failed to identify and label fire doors.