Cogir at the Quarry

The facility failed to ensure Tamiflu was obtained and administered as ordered for R1. The medication was ordered on 12/23/2025, never picked up, and eventually discontinued on 01/15/2026 because the illness had passed.

Facility failed to document specific care and service needs in the negotiated service agreements for 8 of 15 sampled residents (Residents 1, 2, 3, 6, 7, 8, 9, and 12).

Facility failed to ensure Washington state name and date of birth background checks were completed every two years for 2 of 2 sampled staff.

Facility failed to complete the negotiated service agreement within 30 days of admission for 2 of 7 sampled residents (Residents 13 and 16).

Facility failed to complete an annual full assessment for 2 of 8 sampled residents.

Discrepancy identified regarding R15's home health services status: the Resident Care Record (RCR) indicated services were being received, while the 08/03/2025 Nursing Services Assessment (NSA) lacked this documentation. The Resident Care Coordinator confirmed on 10/30/2025 that R15 was no longer receiving home health services.

Facility failed to complete full assessments within 14 days of admission for 4 of 7 sampled residents and failed to include all required assessment topics for 5 of 15 sampled residents. Also failed to complete self-administration of medication assessments for 2 of 5 sampled residents.

Facility failed to ensure a written plan was submitted including required minimum information for 1 of 4 residents with family assisting with medications.

Facility failed to maintain a current resident characteristic roster accurately documenting care needs and services for 6 of 15 sampled residents.

Portable heater found plugged into powerstrip in room A-108.

Dryer exhaust systems not maintained in accordance with manufacturer instructions.

Failed to provide inspection reports: annual full flow fire pump, 5-year internal, 5-year FDC hydro static; missing hydraulic nameplate; no documentation of monthly fire pump inspections.

Failed to complete semi-annual fire alarm inspection.

Failed to perform/document monthly carbon monoxide detector testing.

Annual fuel testing for generator not performed; no written maintenance schedule for EPSS.

Electrical cover missing in kitchen office

Extension cords in resident room used for more than 90 days; multi-plug outlet cords found

Gas-fired cooking appliances on wheels need strain protection added in kitchen

Clothes dryer shall be maintained in accordance with manufacturer

Failed to provide annual fire rated door inspection report; fire doors out of compliance; combustible items in excess of 5% on doors

Replaced steamer without proper permitting/review; missing signage; blocked pull station; missing employee training records

Semi-annual fire alarm inspection shall be completed

Exit sign leading out of Enhanced care found inoperable due to water leak

Compressed cylinders in kitchen not properly secured

Kitchen gas cooking appliances on wheels lack required strain protection.

Failed to provide annual inspection report; holes found in fire-rated construction in kitchen office, memory care E-112 M-114; missing ceiling panel in atrium; damaged drywall in fire pump room.

Failed to provide annual fire-rated door inspection report; fire doors out of compliance; combustible items stored on doors.

Unpermitted replacement of kitchen steamer; new heat survey required; improper oven/hood placement; missing signage; staff untrained on fire systems.

Annual emergency lighting battery testing not completed.

Compressed gas cylinders in kitchen not properly secured.

Electrical panel shall have storage removed in loading dock near FACP room

Portable heater found plugged into powerstrip in room A-108

Failed to provide annual inspection of fire resistance rated construction; holes found in kitchen office, memory care E-112/M-114; missing ceiling panel in Atrium; damaged drywall in fire pump room

Deficiencies from 03/15/2024 inspection report; missing annual full flow fire pump inspection, 5-year internal inspection, 5-year FDC hydro static inspection; unreadable hydraulic nameplates; missing monthly fire pump records

Fire extinguisher in kitchen office not properly hung

Failed to provide monthly carbon monoxide detector testing

Annual emergency light testing not completed

Failed to provide annual fuel testing for generator and maintenance schedule for EPSS

Fire drills shall be completed once per shift per quarter

The facility changed a resident's service plan, resulting in increased monthly charges without the involvement, consent, or agreement of the resident or Power of Attorney.

The facility failed to provide resident records to a surviving family member within two working days, taking 15 days to fully release them.

An unattended medication cart was found outside room 450 with a computer screen open and visible showing Resident 20's chart.

Missing or expired Washington State name and date of birth background checks for 4 of 5 sampled staff.

Documentation of required orientation and safety training not found for Staff A and Staff B.

Facility failed to document specific resident care needs and services in the Negotiated Service Agreements (NSA) for 4 of 19 sampled residents (Residents 10, 11, 16, and 19).

Facility failed to complete a full assessment within fourteen days of move-in for 6 of 9 sampled residents (Residents 4, 9, 10, 14, 18, and 19).

Medication cart seven was broken and could be opened even when locked, leaving medications insecure.

Common bathroom sink in memory care unit recorded at 127.5 degrees Fahrenheit, exceeding the 120-degree limit.

National fingerprint background check not completed for Staff A.

Staff A did not receive the required second step TB test.

Facility failed to ensure 3 of 5 sampled staff (Staff A, B, and C) completed required orientation, safety, dementia, or mental health training.

Facility failed to complete a preadmission assessment for 3 of 9 sampled residents (Residents 15, 16, and 18) prior to admission.

The facility failed to complete the Negotiated Service Agreement (NSA) upon admission for 5 of 9 residents and/or within 30 days of admission for 3 of 9 residents.

A resident fell out of a bedroom window that was missing its screen. The facility conducted an audit to ensure all windows have required screens.