Ashley Pointe Senior Living

The licensee failed to implement infection control measures to prevent infectious respiratory disease for one outbreak; staff were not properly assessed for N95 respirators.

The facility failed to ensure staff providing direct care were fit-tested for N95 respirators during a respiratory outbreak, a recurring deficiency.

Two 12 inch by 36 inch holes in the basement ceiling where a leak was repaired remain unrepaired.

Facility unable to provide documentation for monthly carbon monoxide alarm testing including a list of alarms tested.

Two water hoses were hanging on the sprinkler piping in the basement.

Facility unable to provide documentation for the annual 90 minute power test for emergency lights.

Facility unable to provide documentation for monthly single station smoke alarm testing.

Multiple staff members lacked required orientation, safety, basic, dementia specialty, CPR/first aid, and continuing education training, as well as necessary DOH credentials.

Failed to ensure 4 of 6 staff members obtained food worker cards within 14 days of hire.

Water temperatures in resident apartments and common bathrooms exceeded the 120 degrees Fahrenheit limit, ranging up to 145.7 degrees.

Failed to ensure 3 of 6 staff had national fingerprint checks and 2 of 6 had valid WA name and DOB checks.

Failed to ensure 6 of 6 staff members completed the required two-step TB testing within the mandated timeframe.

Facility failed to provide housekeeping and laundry services, resulting in unsanitary conditions for 2 residents.

Facility failed to respond to call pendant/pull cord alerts in a reasonable time, with delays ranging from 30 minutes to over 37 hours.

Facility failed to ensure written family assistance plans were in place for Residents 8 and 12 regarding medication and colostomy care management.

Facility failed to have signed Negotiated Services Agreements for 3 sampled residents.

Facility failed to obtain and include sufficient information to assess capabilities, needs, and preferences for 3 sampled residents.

Facility failed to investigate and document actions/findings for alleged abuse or neglect for 2 residents (falls and medication errors).

Facility failed to ensure safe medication services for 2 residents, including medication errors and misplaced medications.

Failure to document assessments and care plans for Resident 1 (leg swelling management), Resident 7 (dietary preferences and medication management), and Resident 11 (motorized wheelchair usage and oxygen therapy safety).

Facility failed to ensure 4 of 4 staff members were properly N95 fit tested while providing direct care to residents who tested positive for COVID-19 during an outbreak.

Facility unable to provide documentation for annual fire alarm system testing and monthly single station smoke alarm testing.

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

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

Facility unable to provide documentation for 3-year dry system full flow trip test.

Facility failed to follow COVID-19 infection control practices: no outbreak signs posted, failed to use isolation carts/PPE, staff not wearing N95 masks, failed to clean rooms of positive residents.

Facility failed to report a COVID-19 outbreak to the department when 7 of 9 sampled residents tested positive.