Avista Senior Living Ferndale

The licensee failed to ensure five staff members met the long-term care workers training requirements under WAC 388-112A; this is an uncorrected deficiency previously cited on November 17, 2025.

Resident and kitchen staff smoking within 25 feet of entryways.

Extension cord used as permanent wiring in room 107.

K-type kitchen extinguisher not mounted; sitting on the floor.

Power strips daisy-chained in living room and room 135.

Missing hydraulic calculation placard, missing sprinkler escutcheon plates, and lack of annual forward flow test documentation.

Power breaker #23 in panel X for fire alarm system is missing locking device.

Facility failed to ensure resident received prescribed constipation medication; staff marked medication as 'unable to locate' instead of confirming availability, leading to two missed doses and resulting in the resident needing an enema.

Kitchen staff allowed a cake to cool on an open shelf while exposed to dust from a nearby fan.

Electronic Medication Administration Record (EMAR) system provided inaccurate administration instructions for 2 of 7 residents, leading to potential medication errors.

Failed to obtain prescribed medications in a timely manner for 1 of 7 residents, resulting in skipped doses.

Failed to ensure Negotiated Service Agreements (NSA) were signed at least annually for 3 of 7 residents.

Failed to assess 2 of 2 residents (Residents 4 and 5) for their ability to independently and safely self-administer medications.

Failed to maintain a written Respiratory Protection Program and obtain medical clearance for N-95 respirator use for required staff.

Failed to complete national fingerprint background checks upon hire for 4 of 6 sampled staff members.

Failed to ensure 2 of 6 staff members completed required specialized dementia training.

Failed to ensure 2 of 6 staff members completed 12 hours of annual continuing education.

Deficiency previously cited as 39154 was corrected.

Failed to maintain food service facilities in compliance with WAC 246-215 regarding food storage protection.

Failed to notify physicians when 2 of 7 residents consistently refused prescribed medications.

Failed to have a written family assistance plan on file for 2 of 7 residents receiving medication help from family.

Failed to ensure NSAs adequately addressed assessed needs for 2 of 7 residents, resulting in inaccurate care documentation.

Failed to investigate and document incidents (falls) for 2 of 7 residents (Residents 1 and 5).

Failed to ensure 2 of 6 staff members had updated biennial DSHS background checks.

Failed to provide documentation of facility orientation for 2 of 6 staff members.

Failed to ensure 1 of 6 staff members had a valid, non-expired food worker card before handling food.

Failed to ensure 5 of 6 staff members were screened for TB within three days of employment.

The licensee failed to obtain prescribed medications for two residents, resulting in them not receiving their medications as ordered and placing them at risk for medical complications. This was an uncorrected deficiency previously cited on December 22, 2023.

Missing documentation for required 12 planned/unannounced fire drills in the previous 12 months.

Multi-plug adapter without overcurrent protection in use in room 111.

Unable to provide documentation for annual fire-resistance rated construction material inspection.

Wet sprinkler system had deficiencies noted that were not corrected.

Monthly maintenance for portable fire extinguisher in laundry room not completed.

Extension cords utilized as permanent wiring in the maintenance office and room 104.

Unable to provide documentation for annual fire door inspection.

Damaged foil seals on kitchen suppression system and missing documentation for monthly inspections per NFPA 17A.

Portable fire extinguisher near room 130 was obstructed by a chair.

Unable to provide documentation for monthly 30-second emergency light activation test since March 2023.

Exit sign #17 did not illuminate when test button was pushed.

Oxygen cylinders in room #117 and #132 were not secured to prevent falling.