Bonaventure of Maple Valley LLC

The licensee failed to ensure one staff member completed all required specialty training to perform their job duties and responsibilities.

The licensee failed to ensure one staff member completed all required specialty training to perform their job duties and responsibilities. This is a recurring deficiency.

Facility failed to ensure 3 of 10 sampled residents (or representatives) and a facility representative signed the Resident Service Plan annually.

Deficiency corrected

Deficiency corrected

Deficiency corrected

Deficiency corrected

Deficiency corrected

Deficiency corrected

Deficiency corrected

Deficiency corrected

Deficiency corrected

Facility failed to complete full assessments addressing required components for 9 of 10 sampled residents.

Facility failed to ensure nurse delegation documentation was completed for Resident 2, putting them at risk for receiving services from unqualified staff.

Facility failed to ensure 6 of 6 staff completed required training (Orientation/Safety, Basic, Specialty, CPR/First Aid).

Hot water temperatures in common bathroom sinks were measured below the required 105 degrees Fahrenheit.

Facility failed to ensure 1 of 1 pet (a cat) residing in the facility had current vaccination and examination records.

Facility failed to complete required full assessment components, including MMSE and medication side effects, for 9 of 10 sampled residents.

Facility failed to ensure bed rails for 2 of 2 residents were free of entrapment hazards and were safely installed.

Facility failed to follow safe food practices in the main kitchen, including lack of monitoring for sanitizing solution effectiveness and lack of food temperature logs.

Facility failed to coordinate care with physicians and healthcare providers for residents 2 and 3 regarding changes in conditions and medication refusals.

Facility failed to ensure a staff member completed and submitted a DSHS background authorization form before being employed.

Facility failed to ensure staff were screened for tuberculosis within three days of employment as required.

Facility failed to maintain hot water temperatures between 105F and 120F in 2 of 16 sinks; temperatures measured as low as 71.2F to 87F.

Facility failed to ensure 3 pets had required vaccinations, health exams, and veterinarian certification of being disease-free.

Facility failed to complete full assessments within 14 days of move-in for 3 of 10 sampled residents (Residents 4, 6, and 8).

First aid supplies were not readily available or locked; disaster plan did not document alternative accommodations or emergency contact information.

Facility failed to maintain a written plan for family assistance with medication management for 1 of 1 sampled resident.

Facility failed to ensure nurse delegation documentation was completed for residents 1, 2, and 10, placing them at risk for receiving care from unqualified staff.

Facility failed to maintain resident assessment records for resident 4, including pre-admission and admission assessments.

Facility failed to ensure 6 of 6 staff completed required training including orientation, safety, basic, specialty, and CPR/first aid training.

Facility failed to document written agreement for use, duration, and quarterly reevaluations of electronic monitoring for Resident 8; no signage present in resident's room.

Facility failed to provide 4 of 10 sampled residents/representatives with a copy of the Medicaid acceptance policy with signature and date.

Facility failed to ensure 5 staff members completed state background checks and national fingerprint checks prior to or within required timeframes.

Facility failed to complete required full assessment components (including MMSE and medication side effect documentation) for 9 of 10 sampled residents.

Accessible kitchen appliances and alcohol in a resident activity room posed risks for residents with specific cognitive diagnoses.

Staff F was hired on 08/06/2024 and worked as a Med Aide and Memory Care Director without completing the required 70-hour basic training or Home Care Aide certification within the 200-day requirement.

The facility failed to ensure staff had the necessary training and credentials to provide resident care and services.

The licensee failed to ensure six staff completed all the required training to perform their job duties and responsibilities.

The licensee failed to ensure one pet that resided in the facility was current with vaccinations and examinations.

Failed to complete nine resident assessments that included the required full assessment components.

Failed to ensure one resident's bed rail was safely secured and free of entrapment hazards.

Failed to ensure nurse delegation documentation for one resident was completed as required.

Failed to ensure six staff completed all required training to perform job duties.

Failed to ensure two sinks maintained hot water temperatures between 105 and 120 degrees Fahrenheit.

Failed to ensure one pet in the facility was current with vaccinations and examinations.

Facility unable to provide record of annual fire wall inspection and/or repairs for all fire-resistant-rated construction.

Penetrations in fire-resistance-rated construction found in the electrical room by salon.

No documentation provided to verify facility is conducting the required Fire Door Annual Inspection.

Fire door label missing on the cross corridor door near room 28.

No documentation provided for smoke dampers and their annual inspection.

Post Indicator Valve lacks the required lock/seal.

No documentation provided for annual sprinkler inspection, including trip test and forward flow test.

No documentation provided for kitchen's automatic fire-extinguishing system service.

No documentation provided for maintenance of carbon monoxide alarms and detection systems.

Unsecured CO2 cylinders in storage by sales manager's office and assisted living dining room.