Chateau at Bothell Landing Retirement Community

Facility failed to ensure 5 of 9 sampled pets were up-to-date with rabies immunizations.

Facility failed to post or provide weekly menus in memory care and did not provide kitchen staff access to a dietary manual.

First-aid kits in 4 of 4 buildings were not readily available, unlocked, or clearly marked.

Mechanical closets, boiler rooms, and roof hatches were not kept locked; hallway handrails were blocked by resident items.

Water temperatures in 3 of 4 buildings were measured above the required 120 F maximum limit.

Facility failed to document specific care needs and interventions for residents with pacemakers in their service plans.

Memory care unit exit door did not provide information for visitors and appropriate residents about how to exit the unit.

13 unsecured oxygen cylinder tanks were stored in a shared apartment in the memory care unit.

Facility failed to post a copy of the last full inspection report in a conspicuous location for residents and visitors.

Mechanical air exchange vents in multiple locations were non-functional.

Staff were unaware Resident 11 required assistance with meals; resident struggled to unwrap eating utensils.

Resident medications on carts were not labeled with resident names.

Twelve shift audit records were not signed by staff following the count of controlled substance medications.

Failed to implement Respiratory Protection Program policy for 17 of 50 staff with direct resident contact.

Failed to assess a resident's ability to safely use a self-installed bed enabler.

Failed to ensure an unlicensed staff member had specialized diabetes nurse delegation training prior to administering insulin.

Water temperature in two resident apartments and one common area sink measured above 120 degrees Fahrenheit. Maintenance Director adjusted the water tank thermostat to meet requirements.

Failed to maintain current veterinarian immunization and health records for 10 of 10 pets residing in the facility.

Failed to document medication management plans for 4 residents managing their own medications/using family assistance, and failed to document a seizure monitoring plan for 1 resident.

Flammable storage found in maintenance office electrical room and Building D trash/electrical room.

Multi-outlet power block in kitchen lacks overcurrent protection.

Unable to provide documentation for annual fire wall inspection.

Missing documentation for kitchen suppression servicing; 3 chemical hoods out of compliance.

Missing documentation for hydrostatic testing of Fire Department Connection and standpipe testing.

Missing documentation for annual generator service and weekly/monthly testing.

Missing documentation for monthly/annual emergency light testing; light near room 141 failed button test.

Facility cannot provide documentation for 12 planned and unannounced fire drills.

Unable to provide documentation for semi-annual hood cleaning.

Multiple fire doors propped open or failing to latch/close properly.

Missing documentation for monthly single station smoke alarm testing.

Missing documentation for monthly carbon monoxide detector testing.

Three pressurized gas canisters in Building D storage room not secured.