Avista Senior Living Spokane

Missing documentation for annual fire wall inspection; last report from 7/17/23.

Commercial kitchen hood not cleaned or inspected in the last 6 months.

Loose sprinkler escutcheon in the ceiling outside resident rooms 105/106.

Multiple electrical outlet covers missing and exposed wiring in the kitchen by the back door.

Incomplete fire drill documentation; multiple quarters and shifts missing drills; simulated drills without alarm activation.

Missing documentation for monthly carbon monoxide detector maintenance.

Missing records for monthly 30-second activation tests for emergency lights from May 2024 to May 2025.

No carbon monoxide detection provided in the kitchen near fuel-burning water heaters.

Missing records for annual 90-minute power test for emergency lights from May 2024 to May 2025.

Unapproved multiplug adapter in use in resident room 138.

Missing documentation for annual fire alarm testing, single station alarms exceeding 10 years of service, and lack of records for monthly alarm testing from May 2024 to May 2025.

The facility lacked a care plan or written agreement for a video monitoring system in a resident room; documentation was completed during the inspection.

The facility lacked a written plan for a resident whose family member assisted with medications; a plan was put in place during the inspection.

Facility failed to document investigative actions and findings for a resident fall on 08/19/2024.

Negotiated service agreement failed to indicate a history of falls or identify assistive devices for Resident 1.

Facility failed to ensure negotiated service agreements were signed annually by the resident or their representative.

Facility failed to conduct complete preadmission assessments including medical history and health professional diagnosis.

Facility failed to ensure preadmission assessment included medical history and diagnoses for Resident 1.

Facility failed to provide written notice of discharge to Resident 1 and failed to reasonably accommodate the resident's needs which could have been managed by hospice.

Facility failed to ensure Negotiated Service Agreements were signed by residents or representatives for 2 of 2 residents (Residents 1 and 2).

Facility failed to protect resident rights regarding discharge and reasonable accommodation.

Facility failed to follow proper transfer and discharge procedures, including lack of reasonable attempts to avoid discharge and failure to provide required 30-day notice.

The kitchen mechanical-room fire door was propped open with a wedge.

In room 131, an extension cord was daisy-chained into a power strip.

The kitchen pantry-room fire door was coming apart and required maintenance or replacement.

The facility could not provide documentation of fall/winter 2025 semiannual kitchen suppression-system servicing.

Documentation was missing for third-quarter 2025 swing and day shifts, fourth-quarter 2025 swing and day shifts, and first-quarter 2026 swing and night/NOC shifts.

The facility could not provide documentation for the annual fire alarm system testing and maintenance.

The facility could not provide documentation for the required smoke detector sensitivity testing. A replacement fire alarm control panel had been installed and acceptance-tested on 2026-02-12, requiring sensitivity testing within one year.

Fire extinguishers numbers 3 and 4 had not received monthly inspections since April 2026.

The facility could not initially provide documentation for the annual backflow forward-flow test required by NFPA 25.

The facility could not initially provide documentation for the monthly 30-second activation test of emergency lights.