Brookdale Courtyard Puyallup

Facility failed to provide documentation detailing the corrections made to failed emergency light/exit sign units.

Facility provided quarterly inspection report with deficiencies that require correction; documentation confirming corrections needed.

Fire doors to second floor cinema room failed to self-close and latch when retested.

Unable to provide last smoke detector sensitivity test report.

Fire doors to second floor cinema room failed to self-close and latch when tested.

Unprotected openings and unapproved firestop systems observed in the first floor electrical room, first floor sprinkler riser room, and second floor storage room.

Unable to provide documentation showing monthly inspection of carbon monoxide alarms in the past 12 months.

Facility did not provide documentation of 90-minute annual battery test and failed to document corrections made to failed units.

Unable to provide record showing that fire doors have been annually inspected, tested, and repaired in the past 12 months.

Corridor doors throughout the facility have a center door gap exceeding 1/16 inch.

Missing quarterly inspection reports, hydraulic calculation plate, and proper backflow testing documentation. Missing sprinkler escutcheon ring in Room 321.

Documentation for 2024 inspection, testing, and maintenance of fire/smoke dampers was missing or incomplete.

The facility failed to ensure that the negotiated service agreement (NSA) was signed by the resident, their representative, or the facility representative for 8 of 9 sampled residents (Residents 1, 2, 3, 5, 6, 7, 8, and 9).

The facility failed to provide showers as agreed upon in the negotiated service agreement for 4 of 6 sampled residents.

Facility failed to ensure sufficient, trained staff to furnish services/care per resident agreements and complete maintenance requests timely. Resulted in missed showers and uncleaned rooms.

Facility failed to notify the case manager in a timely manner when a resident was transferred to a hospital and subsequently passed away.

Facility failed to ensure Negotiated Service Agreements (NSAs) were signed by case managers for 4 of 4 sampled residents.

Facility failed to maintain a resident's signed negotiated service agreement on file for 1 of 1 sampled resident (R2).

Facility failed to maintain hot and cold food items at safe holding temperatures, placing 78 residents at risk for foodborne illness.

Facility failed to address maintenance work orders in a timely manner, including critical items such as clogged toilets, sinks, and missing grab bars.

One of four medication technicians failed to possess a valid CPR/First-Aid card; the provided card was from an online-only company.

The licensee failed to provide showers as agreed upon in the negotiated service agreement (NSA) for four residents, placing them at risk for skin infections and decreased quality of life.