Avista Senior Living Ellensburg

Failed to ensure chemical storage rooms had functional mechanical ventilation to the outside for 2 of 2 storage rooms.

Failed to ensure staff had a valid Washington state background check completed every two years for 1 of 3 staff (Staff A).

Failed to ensure that a fingerprint background check was completed within 120 days for 1 of 3 staff (Staff B).

Failed to submit a Washington state name and date of birth background check within one business day of hire for 1 of 3 staff (Staff D).

Failed to ensure TB screening was completed within three days of employment for 4 of 4 staff (Staff A, B, C, and D).

Oven mitts and towels were left on top of the stove oven in the kitchen.

Facility failed to provide documentation of the first semi-annual hood suppression cleaning within the past twelve months.

Failed to provide documentation for third quarter fire sprinkler inspections and kitchen sprinkler head was loaded with debris.

The fire extinguisher in the laundry room had not been serviced within the past twelve months.

Failed to provide documentation of monthly carbon monoxide testing within the past twelve months.

The exit door in the Dining room exceeded 15lbs of pressure when opened from the closed position.

Failed to provide documentation of the 90-minute annual power test of emergency lighting within the past twelve months.

The Fire Sprinkler Riser room sign located above the exterior riser room was faded and illegible.

Facility failed to provide documentation of the fire-resistance-rated construction inspection within the past twelve months.

Failed to provide documentation of the first semi-annual kitchen hood suppression service within the past twelve months.

Failed to provide documentation of monthly smoke alarm testing within the past twelve months.

The exit door near Room 126 was blocked by a garbage can on the exterior.

Failed to provide documentation of 30-second activation testing of emergency exit lighting for the past twelve months.

The facility failed to return multiple Plans of Correction (POC) to the department within the required ten calendar days after receiving the statement of deficiency for four separate citations (1, 2, 3, and 4).

The facility failed to complete assessments of residents' ability to leave the facility unsupervised for 3 of 4 residents (Resident 1, 2, and 3), failing to assess risk for individuals with dementia, memory loss, or wandering behaviors.

The facility failed to investigate and determine the circumstances of an allegation of missing money ($300.00) and missing food for a resident.

The facility failed to timely obtain and administer prescribed medications for a new resident, putting them at risk for health complications.

The facility failed to implement safety check/alert charting policies for a new resident, who was subsequently found unresponsive without a pulse shortly after admission.

Facility failed to complete a full Negotiated Service Agreement within 30 days of move-in for 3 of 3 residents sampled.

The facility failed to develop and document Negotiated Service Agreements (NSAs) for residents or failed to include required information regarding resident needs, risks, and health support services for residents 1, 3, 4, and 5.

The facility failed to ensure that a nursing visit assessment was completed by the Registered Nurse (RN) delegator for Resident 4, who required delegation of nursing tasks.

Facility failed to ensure 1 of 1 staff (Staff C) completed all components of basic training.

Facility failed to ensure 2 of 5 staff (Staff A, D) completed the required 12 hours of annual continuing education.

Facility failed to ensure TB screening was completed within three days of hire for 3 of 4 new staff (Staff C, D, F).

Failed to implement a Respiratory Protection Program (RPP) including respirator mask fit-testing for 3 of 3 staff members reviewed.

Failed to notify resident's representative and physician regarding fall incidents involving changes in condition.

Failed to inform residents in writing every twenty-four months regarding facility operations and available services.

Failed to maintain facility carpet and walls in clean condition and good repair.

Facility failed to complete full assessments within 14 days of move-in for 2 of 3 residents, and failed to assess residents' ability to leave facility unescorted or safely use medical devices for residents observed.

The facility failed to ensure residents received prescribed medications and supplements in a timely manner, resulting in missed doses for residents 1, 2, and 3 due to supply issues or administrative errors.

Facility failed to ensure valid Washington state name and date of birth background check was submitted every two years for 1 of 2 staff (Staff E).

Facility failed to ensure 1 of 6 staff (Staff C) completed Dementia and Mental health training.

Facility failed to ensure valid CPR and first-aid certificates were maintained for 2 of 6 staff (Staff A, F).

Facility failed to implement a Respiratory Protection Program (RPP) including respirator mask fit testing for 3 of 3 staff (Staff B, C, D).

Failed to notify Construction Review Services of planned construction to repair water damage in a laundry room and administrative office.

Failed to inform residents in writing, at least every twenty-four months, of services, items, and activities available in the facility.

Failed to have a separate Medicaid policy in the proper format signed by residents.

Failed to provide documentation of fire drills for various shifts/quarters (observed 3/19/2024); marked corrected 4/25/2024.

Electrical panel in medication room blocked by document holder (observed 3/19/2024); marked corrected 4/25/2024.

Appliances/power strips plugged into unfused adapters or extension cords in Break Room, Business Manager's office, and Executive Director's office (observed 3/19/2024); marked corrected 4/25/2024.

Unable to provide documentation of rated wall inspections (observed 3/19/2024); marked corrected 4/25/2024.

Cross corridor doors near Med Room would not latch (observed 3/19/2024); marked corrected 4/25/2024.

Fire extinguishers obstructed in kitchen (observed 3/19/2024); corrected during initial inspection.

Manual fire alarm boxes obstructed in kitchen and dining room (observed 3/19/2024); corrected during initial inspection.

Storage maintained less than required clearance in rooms 135 and 118 closets (observed 3/19/2024); marked corrected 4/25/2024.

Open junction box in break room (observed 3/19/2024); marked corrected 4/25/2024.

Unfused multiplug adapter plugged into another in Activities Office (observed 3/19/2024); marked corrected 4/25/2024.

Exposed wiring/damaged covers on exterior lights at north exit/patio (observed 3/19/2024); marked corrected 4/25/2024.

Unable to provide documentation of rated door annual inspection (observed 3/19/2024); marked corrected 4/25/2024.

Missing documentation for backflow test, quick response head testing, and excessive particulate on kitchen heads (observed 3/19/2024); marked corrected 4/25/2024 (service scheduled).

Missing documentation for monthly testing; resident room smoke alarms exceeding 10 years (observed 3/19/2024); marked corrected 4/25/2024.