Ashley Pointe Senior Living

An electrical outlet in the basement hallway near the exit was missing a faceplate, exposing the inner electrical fixture.

A fire extinguisher in the basement near the rear exit was not mounted according to the manufacturer's installation instructions.

The emergency egress light near the activities room did not illuminate when the test button was pressed.

A sprinkler head in the CRD office was painted.

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

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

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.

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

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

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

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

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.

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

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

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

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

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

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

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 resistance rated construction material inspection.

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

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.