Cedar Creek Memory Care Community

Facility unable to provide documentation for monthly carbon monoxide detector testing.

Facility cannot provide documentation for the completion of unannounced fire drills (one per shift, per quarter) in the previous 12 months.

Facility unable to provide documentation for monthly single or multi station smoke alarm testing.

Facility unable to provide documentation for annual generator servicing, monthly generator battery tests, or annual fuel testing results.

The facility failed to notify law enforcement or the DSHS hotline regarding confirmed incidents of physical and sexual abuse between residents.

The facility failed to provide requested medical records to a resident's legal representative within two working days.

Facility failed fire and life safety inspection by the OSFM; missing documentation for monthly smoke alarm/carbon monoxide testing, annual emergency generator service, monthly generator battery tests, annual fuel testing, and quarterly unannounced fire drills.

Facility is unable to provide documentation for the monthly carbon monoxide detector testing.

Facility cannot provide documentation for the completion of unannounced fire drills, one drill per shift, per quarter, in the previous 12 months.

Facility is unable to provide documentation for the monthly single or multi station smoke alarm testing.

Facility is unable to provide documentation for the annual servicing of the emergency generator, monthly generator battery tests, and annual fuel testing results.

Facility failed to ensure wet mops were hung up to dry, with mops found soaking in dirty water in a soiled linen room and dishwashing area.

Facility failed to label and date ready-to-eat foods in the main kitchen and floor kitchenettes, posing a risk of foodborne illness.

Facility failed to properly secure two oxygen tanks stored in a resident's apartment closet.

Facility failed to have a system to ensure ready-to-eat food was labeled, dated, and safe. Multiple items in main kitchen and unit kitchenettes were found unlabeled and undated.

Facility failed to securely store oxygen tanks; two unsecured oxygen tanks were found in a resident's closet.

Facility failed to ensure wet mops were consistently hung up to dry following use; wet mops with gray/dirty water were found stored in buckets.

The licensee failed to develop and document a Negotiated Service Agreement (NSA) that supported the care needs of one resident regarding anticoagulant medication.

The licensee failed to ensure one staff member had tuberculin (TB) screening within three days of employment.

Facility failed to maintain cold food serving temperatures at 41 degrees Fahrenheit or below, risking food-borne illness.

Facility failed to document appropriate monitoring and risk interventions for residents on anticoagulant medications (Eliquis/Warfarin).

Facility failed to ensure the Administrator's Washington State background check was renewed before the two-year expiration.

Staff failed to initial Medication Administration Records (MARs) to document medication administration for Residents 1 through 7 across multiple months (August-October 2023).

Facility failed to complete ongoing assessment of safety needs for a resident using bed rails, creating risk of injury or entrapment.

Facility failed to secure hazardous equipment (warming basins, soup kettle) from residents with cognitive deficits in an unstaffed kitchenette.

Facility failed to ensure required tuberculosis screenings were completed for staff members within three days of employment.

Facility failed to ensure staff signed or initialed Medication Administration Records (MAR) after administering medication to sampled residents.

The facility failed to implement a Respiratory Protection Program (RPP), including failing to ensure staff completed annual medical evaluations and respirator mask fit-testing, placing 50 residents at risk.