Ballard Landmark

Need to provide fire alarm sensitivity test.

Gas-fired kitchen appliances need to be tethered per manufacturer's instructions.

Need to provide report showing annual 1.5 hour power test for exit signs and emergency lights.

Wall penetrations at AC door near room 516 and AC units on ground floor. 3rd floor electrical room by room 306 missing fire blocking in wire conduit. Ceiling penetration in A/V storage room by GW Gym.

Missing documentation: annual forward flow test for backflow, 5-year fire department connection hydrostatic test. Deficiency in control valve noted on 1-9-25.

Electrical wires exposed located in garage ceiling by elevator.

Exit in GW Gym room entrance did not work when tested.

Kitchen dry storage room handle is broken and door does not latch.

Ground floor nursing office, microwave plugged into power strip. Assistant Executive Director's office had a heater plugged into a power strip.

Fire alarm report from 1-3-25 indicates several units have bad audible devices.

Facility failed to assess mobility device (bed rail) safety and associated risks for 1 of 7 residents.

Facility failed to ensure 1 of 3 newly hired staff completed the required two-step TB testing process.

Facility failed to maintain veterinary records (immunizations/disease certification) for 3 of 3 sampled pets.

Corridor doors to mezzanine have gaps; dining room exit access door failed to close/latch.

Missing documentation for fusible link ratings and commercial hood heat survey.

Unmounted fire extinguisher in pool pump room.

Unable to provide final service report for fire/smoke damper inspection/testing in past four years.

Missing fire sprinkler system documentation (forward flow, standpipe, FDC tests); storage in walk-in freezer blocking sprinkler head clearance.

Multiple exit sign visibility and obstruction issues throughout the facility.

Broken tamper seal/pin on extinguisher by Rm 411; monthly inspections missed since July 2024.

Mobility scooters stored/charged in exit corridors near 324 and 128 compromising means of egress.

Hood exhaust ducting is inaccessible; quarterly hood cleaning required due to heavy grease.

Excessive grease build-up and scorch marks on kitchen equipment; grease traps not cleaned daily; annual servicing required.

No documentation of 90-minute annual battery testing for emergency lighting/exit signs.

Exit signs by Rm 411 and 323 failed to illuminate or partially illuminated.

Unable to provide last annual inspection of fire-resistant-rated construction assemblies.

Storage found blocking electrical panel RT5.1.

Lack of maintained firestop systems in 3rd floor and 2nd floor electrical rooms.

Fire/smoke damper 4-year inspection not performed and documented.

Missing fire-resistance-rated construction inspection schedule and annual inspection records.

Annual 90 minute power test for emergency lighting not provided.

Second Semi-Annual Hood Cleaning paperwork not provided.

Multiple doors on various floors failed to latch; one door requires adjustment for easier opening.

Monthly 30-minute full load test or annual 4-hour load test records not provided.

Blocked egress by stairwell A outside of break room.

Carbon Monoxide Alarms and Detectors testing and maintenance documentation not provided.

Failed to identify and document clearly defined roles and responsibilities of family medication assistance and private caregivers for residents, or failed to document safety plan interventions.

Failed to ensure 2 staff members were screened for TB within three days of employment.

Failed to ensure evaluation, agreed duration, or signed consent was completed for a resident with a video camera in her apartment.

Failed to ensure national fingerprint background check (NFBC) for 2 of 6 sampled staff (Staff E and F).

Failed to complete Preadmission Assessment for 3 residents before they moved in.

Emergency preparedness plan was incomplete; lacked staff responsibilities, utility shutoff locations, and alternative resident accommodations.

Failed to complete assessments addressing safe use and risks of side rails for 3 residents; failed to perform full assessment within 14 days of move-in for 1 resident.

Failed to ensure 3 of 6 sampled staff (Staff A, B and D) had necessary specialized training (dementia and mental health).

Failed to complete an ongoing assessment for a new skin issue for 1 of 9 residents and failed to update 1 of 9 residents' annual assessment.

Failed to protect privacy of former residents by displaying a confidential list of names in a public binder.

The facility failed to have a safe medication delivery system, specifically using pre-poured medication pouches for multiple residents, which resulted in a medication error where a resident received another resident's medication, leading to hospitalization.