Aegis Senior Inn of Redmond

Facility staff failed to notify the nurse of Resident 3's blood glucose readings when they were outside normal parameters on several occasions in February and April 2025.

The facility failed to ensure a door to the secured memory care outdoor courtyard remained unlocked or accessible, creating a risk of residents being locked out of the facility.

Facility failed to update service plans for Residents 4 and 6 to include necessary medical devices (tilt-in-space wheelchair, wrist brace, and quarter length bed rail).

Facility failed to monitor Resident 3's blood glucose levels and notify the nurse of low readings as required by medical orders.

Facility failed to administer oral and topical medications as prescribed for Resident 4, including failure to hold Metoprolol based on blood pressure/pulse criteria and lack of a measuring device for Diclofenac gel.

Facility could not provide documentation for completion of 12 planned and unannounced fire drills in the previous 12 months.

Carbon Monoxide alarms and detectors testing and maintenance documentation not provided.

Missing documentation for 5-year internal pipe testing, 3-year dry system flow test, annual forward flow test, FDC hydro testing, and quarterly inspections.

No schedule for inspection of fire doors; annual inspection required by end of 2023.

Missing documentation for semi-annual servicing, annual replacement of fusible links/heads, and NAFED certification.

Double doors by room 311, memory care, and electrical room in kitchen not closing and latching automatically.

Missing annual report, sensitivity testing, nuisance log, monthly alarm tests, and NICET/ES/NTS certification.

Improper use of extension cords in laundry room, kitchen director's office, and nurses office (memory care).

4-year fire/smoke damper inspection needed.

Trash can found in stairwell.

No schedule for inspection of Fire-Rated construction; annual inspection needed by end of 2023.

Multiple emergency lights required inspection/maintenance; documentation for 30-second monthly and 90-minute annual tests missing.

Lock needed on Fire Alarm panel breaker.

First and second semi-annual hood cleaning documentation not provided.

Facility unable to provide documentation of annual fire resistance rated construction material inspection.

Gas appliances on casters in the kitchen are not limited by a restraining device.

Emergency egress light near 318 failed to illuminate during test.

Facility unable to provide documentation that the Fire Department Connection has been hydrostatically tested.

Annual maintenance for fire extinguisher in elevator equipment room not completed.

Retractable 'do not enter' ropes obstructing egress near 2nd floor stairwell and living room emergency exit.

Shrubbery is obstructing working clearance around the fire department connection.

Missing documentation for sprinkler system inspections (annual, 3-year dry system full flow, annual dry system trip, annual forward flow); protective cover missing on water flow switch.

Facility unable to provide documentation for annual fire alarm system testing.

Multiple fire doors (rooms 309, 219, 137, memory care dining) do not close and latch; main dining room double doors lack a door coordinator.

Delayed egress door at main entry of memory care unit did not open within 15 seconds.