Aegis Living of West Seattle

Facility failed to provide documentation/logs for emergency evacuation drills.

Annual 90-minute battery-powered emergency lighting test not performed or documented.

Facility failed to provide monthly inspection logs for fire extinguishers.

Missing detector near fireplace; lack of detailed documentation and maps for CO detector locations.

Facility failed to provide weekly inspection logs and monthly 30-minute full load tests for the generator.

Unprotected penetration found in 2nd floor electrical room South Hall.

Gas-fired cooking appliances on casters lacked required restraining devices.

Corrected

Corrected

The facility was unable to provide a weekly inspection log of generator.

Corrected

Corrected

Corrected

Corrected

Facility failed to ensure 2 of 3 sampled staff had undergone national fingerprint background checks within 120 days of hire.

Facility failed to ensure 3 of 5 sampled staff members had TB screening within three days of hire.

Facility failed to notify physician and evaluate outcomes when 3 of 3 sampled residents refused medications.

Facility failed to implement policy to consistently monitor and document food temperatures in the Memory Care Unit.

Facility failed to ensure 2 of 3 sampled staff had TB screening within three days of being hired.

Facility failed to ensure 1 of 3 sampled staff members completed the required TB screening within three days of hire.

Facility failed to secure toxic chemicals in an area accessible to residents.

Failed to ensure Staff B completed required TB screening within three days of hire date.

Facility failed to ensure 2 of 3 sampled staff had TB screening within three days of being hired.

Facility failed to ensure 2 of 3 sampled staff had undergone a national fingerprint background check within 120 days of hire.

Failed to implement policy to consistently monitor and document food temperatures in the Memory Care Unit, placing 28 residents at risk.

Failed to secure toxic chemicals in an unlocked Salon room, placing 25 residents at risk of ingestion.

Failed to notify physician and evaluate negative outcomes for 3 of 3 sampled residents (2, 8, and 9) who refused medications.

Licensee failed to ensure two staff had undergone a national fingerprint background check within 120 days of hire; recurring deficiency.

Licensee failed to ensure two staff members had Tuberculosis screening within three days of being hired; uncorrected deficiency.

Power strip plugged into another power strip in electrical room by resident room 232 and DTV room.

Emergency evacuation drills need to be initiated by activating fire alarm system and held at unexpected times.

Electrical rooms throughout buildings need inspection and resolution of penetrations.

Stairwell exiting from rooftop was being used for storage.

Portable fire extinguisher found under counter in pizza oven area, not on provided hanger.

Fire doors in resident rooms 121, 116, and double doors on level LN by resident room N14 did not close/latch properly.

4 oxygen cylinders found stored in resident room 120, not in designated holder.

Kitchen hood needs heat serval for fusible links (pizza oven hood and kitchen hood).

Fire door annual inspection paperwork missing; Left fire rated door into DTV room has been cut open.

Second semi-annual service documentation not provided.

Extension cord found in DTV room.

Facility failed fire and life safety inspection by the State Fire Marshal. Issues included storage in stairwells, uninspected electrical room penetrations, improper fire extinguisher storage, missing fire door inspection documentation, and a damaged fire-rated door.

Failed to ensure 3 of 12 sampled kitchen staff had valid food handler's permits on file.

Failed to ensure 3 of 6 sampled staff completed required CPR training and 2 of 6 sampled staff had required specialized Dementia training.

Failed to ensure 7 of 9 sampled staff completed the required two-step tuberculin skin test within three days of employment.

Failed to ensure a National fingerprint background check was completed within 120 days of hire for 1 of 6 sampled staff.

Failed to implement policy to initiate a wound observation record for a resident with a pressure injury/deep-tissue injury wound.