Bonaventure of Salmon Creek

Deep fat dryer failed to strain protection connected.

Fire extinguisher in memory care covered by paper for painting.

Exit signs in memory care found covered with paper for painting.

Hole found in main electrical room ceiling.

Smoke detectors in memory care covered due to painting.

Storage found in electrical room around electrical panels.

Facility failed to provide semi-annual hood system inspection report.

Facility failed to provide fire drill for day shift for the fourth quarter.

Facility failed to provide conductance testing on generator battery.

Heat detector in kitchen found too close to heat diffuser, causing false alarms due to rapid temperature rise.

Heat detector in kitchen found too close to heat diffuser.

Kitchen strain protection not maintained for commercial cooking appliances on casters.

Annual fire door inspection missing; need to include gap measurements and remove items on fire door in excess of 5%.

Missing or improper signage indicating appliances under the hood system.

Dirty fire sprinkler heads in kitchen and fridge area.

Kitchen strain protection must be maintained for kitchen cooking appliance.

Annual fire door inspection, including gap measurements and corrections, is required. Items on fire door in excess of 5% must be removed.

Required signage indicating appliances from left to right must be durable, with approved size, color, and lettering.

Dirty fire sprinkler heads in kitchen and fridge.

Facility failed to ensure nurse delegation requirements; delegator failed to obtain written consent for 1 resident and failed to delegate nursing tasks for 5 of 7 medication aides.

Facility failed to monitor a recurring physical condition (wounds) for 1 of 12 residents.

Facility failed to complete or document state and national background checks for 5 of 5 sampled staff.

Facility failed to obtain prescribed medications in a correct and timely manner for 3 residents (6, 8, and 9). Deficiency is recurring.

Facility failed to coordinate services with external providers for 1 resident (Resident 12) regarding documented medication discrepancies.

Facility failed to document accurate and complete Negotiated Service Agreements (NSA) for 7 residents (2, 3, 4, 5, 7, 9, 10), omitting services like hospice, bed rails, wound care, and specific diets.

Facility failed to complete full assessments within 14 days of admission for 3 of 5 sampled residents (R5, R6, R11).

Facility failed to ensure NSAs were signed at least annually or within a reasonable timeframe for 4 of 12 sampled residents (R1, R4, R6, R10).

Facility failed to complete TB testing within three days of hire for 2 of 3 sampled staff.

Facility failed to have the Medicaid policy on a separate page and signed by 4 of 9 sampled residents.

Facility failed to implement systems for safe medication service; 3 of 3 medication carts contained expired medications and opened items (inhalers, creams, eyedrops, insulin) without dates of opening.

Facility failed to ensure 3 of 3 sampled staff had required training documentation (orientation, basic training, CPR/first aid) or HCA certification.

Facility failed to complete/document Washington state and/or national fingerprint background checks for 5 staff members (C, D, E, F, G).

Facility failed to notify the physician of repeated medication refusals for 1 resident (Resident 3) in August 2024.

Facility failed to complete required annual full assessments or change of condition assessments for 2 residents (Residents 2 and 7).

Facility failed to maintain an accurate resident characteristics roster for 5 of 12 sampled residents, missing documentation of services like hospice, diabetes, and medical devices.

Facility failed to complete Negotiated Service Agreements (NSA) within 30 days of admission for 2 of 5 sampled residents (R5, R11).

Facility failed to obtain a required written plan for family assistance with medications for 1 of 2 residents (R5).

Facility failed to ensure 2 of 3 pets had regular exams, immunizations, and vet certification of being disease-free.

Three staff failed to complete required long-term care worker training or obtain HCA certification within 200 days.

Failed to complete or document a state name and date of birth background check for one staff member.

Failed to document care and service needs in Negotiated Service Agreements (NSA) for three residents.

Failed to ensure Negotiated Service Agreements were signed annually by the resident or responsible party for three residents.

Failed to maintain an accurate characteristic roster for two residents.

Failed to complete TB testing for one staff member within three days of hire.

Failed to ensure Medicaid policy was on a separate page and signed on or before admission for one resident.

Facility failed to administer medication as ordered; Resident 1 was given 1mg of Risperidone twice daily instead of the ordered 0.5mg dose from 08/14/2024 to 09/17/2024.