Aegis Living Kirkland

Facility failed two separate Fire Marshal inspections (08/12/2025 and 10/27/2025) and failed to meet required fire safety regulations.

Courtyard side emergency door has dead bolt on door; bolt found on kitchen exit door.

Facility unable to provide 5-Year Internal Test documentation and Quarterly sprinkler system documentation.

Adapter without overcurrent protection found in Activity room behind TV and in room 203.

Facility unable to provide documentation that the Fire Department Connection has been hydro tested in accordance with NFPA 25.

Hydraulic Calculation Plate missing required information in accordance to NFPA 13.

Extension cord used as substitute for permanent wiring in Marketing Director's office.

Emergency egress light in the kitchen and near 202 would not illuminate when tested.

Courtyard side emergency door requires excessive force to open and gate drags on sidewalk.

Gas kitchen appliance on wheels was not tethered to wall.

Missing delayed egress door signs near memory care courtyard and activity room.

Both fire rated doors to the kitchen were propped open using jugs of oil.

Resident rooms with forced air gas heating system towards the front of the building does not have carbon monoxide detection.

Fire rated door to front entry dining room will not close and latch from the fully open position.

Facility unable to provide documentation for the required smoke detector sensitivity testing.

Egress blocked by outdoor furniture when exiting memory care activity room.

Facility failed to implement nurse delegation for medication administration for 1 resident (Resident 5), placing them at risk of medication errors.

Facility failed to follow proper sanitation and hygiene procedures in the main kitchen regarding hair restraints and handwashing between handling dirty and clean dishes.

Facility failed to update the service plan for 5 of 8 sampled residents (Residents 1, 2, 5, 6, and 8) to accurately reflect current needs and code status.

The facility failed to ensure 3 of 14 sampled staff had TB tests within 3 days of hire; failed to complete 1 staff member's second TB test as required; and failed to obtain valid chest X-ray result documentation for 2 staff members who required them.

Facility failed to submit the Washington state name and date of birth background inquiry for 1 contracted staff (Staff P) within one business day of their start date.

Facility failed to complete background inquiries every two years for 2 sampled staff (Staff E and Staff H).

Facility failed to complete TB skin tests or obtain chest X-ray results for several sampled staff members as required.

The licensee failed to follow required sanitation procedures for one kitchen, placing 37 residents at risk of consuming contaminated food and contracting food borne illnesses.

The licensee failed to follow required sanitation procedures for one kitchen, placing 37 residents at risk of consuming contaminated food and contracting food borne illnesses.

The licensee failed to update the service plans for two residents, placing them at risk for unmet care needs and diminished quality of life.

The licensee failed to follow required sanitation procedures for one kitchen, placing 37 residents at risk of consuming contaminated food and contracting food borne illnesses.

The licensee failed to follow required sanitation procedures for one kitchen, placing 37 residents at risk of consuming contaminated food and contracting food borne illnesses.

Fire extinguisher in the 2nd floor Mechanical room is mounted above the 5-foot requirement.

The facility's kitchen suppression report shows deficiencies.

Facility unable to provide documentation for 30-second monthly emergency lighting testing for the last 12 months.

The dining room on the first floor has a sprinkler head that is capped.

Facility unable to provide documentation showing monthly testing of CO detectors performed in the past 12 months.

Fire damper showed 3 failures; facility unable to provide a correction report.

Facility unable to provide documentation for 90-minute annual emergency lighting testing for the last 12 months.

Resident room 208 has 3 unsecured gas cylinders; kitchen has unsecured carbon dioxide cylinders.

Emergency exit door in Memory Care back dining room was concealed with a sheet (Corrected at time of inspection).

Lack of annual fire door inspection/repair records; multiple doors have painted labels or fail to close/latch properly.

The emergency light in the 2nd floor Mechanical room did not operate when tested.

Facility unable to provide documentation for 3-year full flow trip test, forward flow test, and quarterly sprinkler inspections.

Facility unable to provide documentation for their last smoke detector sensitivity test report.

Facility is missing several quarterly fire drills across various shifts (1st quarter NOC, 2nd quarter Day/NOC, 3rd quarter Swing).

Memory Care dining back exit door and Memory Care exit by room 111 were obstructed (Corrected at time of inspection).

Facility failed to ensure residents resided in a safe environment approved by the State Fire Marshal, following failed fire inspections.

Missing in resident laundry on the 2nd floor.

Missing documentation: schedule for inspection of fire-rated construction and proof of annual inspection.

Sensitivity testing records not provided.

Facility needs a heat survey for the kitchen hood; currently has 450-degree links installed.

Soiled utility fire door not latching on the 2nd floor.

Missing schedule and records for annual fire door inspections.

Exit sign issues by stairway (2nd floor room 227) and outside kitchen (1st floor).

Alarm system found in supervisor/silent status; smoke detector missing in resident room 104.

Quarterly inspection records not provided.

Penetration found in resident laundry on the 2nd floor.

Emergency light broken in kitchen area.

Missing records for semi-annual servicing and annual replacement of fusible links/sprinkler heads.

Facility failed to post a weekly menu or deliver a written menu to residents one week in advance.

Facility failed to perform initial TB skin tests within three days of hire for 2 of 7 sampled staff and failed to perform a second-step TB test for 1 of 3 focused sampled staff.

Facility failed to implement its Respiratory Protection Program policy for 38 of 54 staff members, lacking required medical evaluations and fit testing.

Facility failed to provide a lockable, secure space measuring at least one-half cubic foot in 2 of 7 sampled residents' apartments.

Facility failed to administer a one-step TB skin test to 2 of 3 sampled staff members upon hire despite having a previous documented negative result.

Staff member failed to provide documentation of completed CPR training including a hands-on demonstration of skills.

Facility failed to ensure first-aid kits were readily available, unlocked, clearly marked, and movable; only one kit existed in a locked medication room.

Facility failed to maintain a sanitary and well-maintained environment: a commercial washer was out of order, a common restroom air vent was not working, and one resident's kitchen faucet was leaking.

Facility failed to document appropriate safety plans and interventions for 6 of 7 sampled residents, specifically regarding medical equipment use and blood thinner monitoring.