Brookdale Arbor Place

A compressed gas cylinder in the activities office was not secured to prevent it from falling.

Required monthly maintenance had not been completed for portable fire extinguishers in the elevator equipment room near the activities office and near the wellness center.

A cart was blocking the emergency exit in the kitchen.

Two 24-by-24-inch holes were present in the ceiling of the mechanical room near room 100; although a leak had been repaired, the ceiling fire barrier had not been repaired.

Facility failed to follow its policy on monitoring and documenting food temperatures for 138 of 237 meals served between 10/01/2025 and 12/18/2025.

Facility failed to ensure 1 of 2 staff (Staff F) had a valid Washington state name and date of birth background check completed every two years.

Facility failed to ensure 1 of 4 staff (Staff C) completed a national fingerprint background check within 120 days of hire (completed 180 days after hire).

Facility failed to ensure 3 of 4 staff (Staff B, C, and D) were screened for TB within three days of hire, placing residents at risk of exposure.

Facility failed to ensure 5 of 15 dietary and dining services staff had valid and up-to-date food handler's cards.

The facility failed to ensure a resident received their medications as prescribed, resulting in missed doses for 10+ medications during January 2025, which caused the resident anxiety, confusion, and hospitalization.

One medication cart drawer was unorganized; ointments, lotions, and inhalers from multiple residents were mixed together, some were not in original packaging, and some were inside plastic bags.

Facility failed to maintain a safe, sanitary environment. Observed dirty vents, cracked ceiling tile, unsecured oxygen bottles, blocked electrical panels, and cluttered mechanical/sprinkler rooms.

Facility failed to maintain veterinary records for 4 of 5 pets living on premises, specifically regarding immunizations and disease-free certification.

Facility failed to obtain prescribed medication in a timely manner for 1 resident (Resident 9), resulting in missed doses.

Failure to ensure 4 of 6 staff members had valid, hands-on CPR/First Aid training.

The facility failed to complete a full assessment for Resident 3 addressing safety considerations regarding the use of a bed cane, which presents a risk of injury via strangulation and entanglement. The facility was unaware of the device, despite it being in place since the resident's move-in.

Facility failed to ensure 2 staff members completed a national fingerprint background check within 180 days of employment.

Facility failed to follow its own policy on monitoring and documenting food temperatures, with documentation missing for 98 of 134 meals served.

Facility failed to ensure 1 staff member was screened for TB within three days of employment.

Facility failed to complete full annual assessments for 2 residents (1 and 5) that addressed their current needs, including medication management ability.

Facility failed to complete a character, competence and suitability review for a staff member with a criminal history requiring one.

Facility failed to provide services as agreed in Temporary Service Plans (TSP) for 2 residents (failed to monitor vitals for 3 days as ordered) and failed to update the negotiated service agreement for Resident 1 after a fall and changing care needs.