Ciel Senior Living of the Tri-Cities Memory Care

Emergency egress signage was missing on East Wing (except for the exit to the administration/front common area) and West Wing emergency exits.

No documentation provided for smoke/fire damper inspections within the past four years.

Unsecured compressed gas cylinders under the counter in the Pepsi Cafe.

Excessive particulate and/or grease observed on sprinkler heads in the kitchen and West Wing laundry.

Combustible materials were stored in mechanical and electrical rooms.

Executive Director's office had an appliance plugged into a multiplug adapter (Corrected).

Kitchen exit door held open by a door stop.

Heavy grease build-up in kitchen hoods, fans, and ducts per July 28, 2024 report. Facility must move to quarterly cleaning.

West wing nurse's station was using an unfused cube multiplug adapter (Corrected).

No documentation of hydrostatic testing of fire department connection within the past five years.

No documentation of monthly carbon monoxide alarm testing for the past twelve months.

Missing signage on emergency egress doors in East and West Wings; staff noted instructions are in progress.

No documentation provided for annual rated wall inspections within the past twelve months.

East wing kitchenette fire extinguisher access was obstructed (Corrected).

No documentation of annual 90-minute power test for emergency exit signs and lighting.

Main entrance fire alarm pull station obstructed by a cart (Corrected).

Floors and dining chairs were not clean and well-maintained.

Facility had cameras in an outdoor courtyard where residents gather, violating privacy regulations.

Facility failed to develop and document in the resident's record a plan to meet assessed needs for 5 of 7 residents, placing them at risk of harm.

Facility failed to ensure residents had access to their own rooms at all times without staff assistance, resulting in residents being locked out of their apartments.

Facility failed to offer prescribed diets and maintain a diet manual reviewed at least every five years by a registered dietitian.

Staff were not alerted when residents used the communication system to summon assistance.

Facility failed to ensure a system was in place to inform visitors and outside agency staff of how to exit secured units without sounding an alarm.

Facility failed to ensure a safe system for nurse delegation for 1 of 4 residents who required insulin injections.

Facility failed to ensure a written plan for family assistance with medication included all required elements.

Facility failed to follow abuse and incident policies for 4 residents identified as potential victims of abuse, failing to ensure required notifications and investigations were completed in a timely manner.

Facility failed to immediately report suspected sexual or physical abuse of 3 residents to the Complaint Resolution Unit and law enforcement, resulting in delayed investigation.