Cogir of Kent

Facility failed to notify and obtain approval from construction review services to change the use of two resident rooms.

Staff D was not tested for TB within three days of hire as required.

Facility failed to identify and respond to changes in condition for 2 of 7 sampled residents, including failure to update care plans or monitor post-surgical wound care.

Medicaid disclosure policy was written with incorrect font size and not properly formatted for seven residents.

Facility's Medical Test Site Waiver (MTSW) license was expired; facility had not completed annual respiratory protection fit testing for seven care staff in 2024.

Facility failed to ensure 1 of 2 staff members had a valid biennial Washington State name and date of birth background check.

Facility failed to ensure 4 of 5 care staff met required professional certifications, continuing education hours, or first aid/CPR requirements.

Facility failed to ensure 1 of 1 Lead Medication Technician (Staff D) was screened for Tuberculosis within three days of hire.

Facility failed to ensure 1 of 2 pets had required regular veterinary examinations and vaccinations.

Extension cords used as permanent wiring in Rooms 317 and 344.

Documentation provided showed a deficiency; staff failed to provide documentation confirming it was corrected.

No documentation provided for kitchen's automatic fire-extinguishing systems following July 2024 report.

Unable to provide logs of weekly inspections and monthly full load tests for January 2025.

Unable to provide documentation for 3rd Quarter (Swing/Night) and 4th Quarter (Day/Swing/Night) fire drills.

Penetration in fire-resistance-rated construction in the electrical room by Lifestyle Director.

Power taps connected to other power taps in Rooms 317 and 105.

Unlisted relocatable power taps found in Lifestyle Director's office, Salon/Barber room, Rooms 119, 117, 344, and Culinary Director's office.

Fire doors failed to latch during testing in Maintenance Shop, IDF by room 219, Rooms 302, 247, 128, 156, and FD Activity East.

Unable to provide documentation for 3-year Dry System Full Flow Testing and Annual Forward Flow Test.

Multiple fire doors propped open (Rooms 246, 119, 117, 113, Environment Engineer, Fitness Room, FD Kitchen 2, Room 344).

Bench obstructing egress path outside of dining room exit.

Facility violated privacy by placing a video camera in the resident dining room focused on tables where residents ate.

Facility failed to ensure pet policies were implemented and 5 of 5 sampled pets were veterinarian certified as free of diseases transmittable to humans; one pet exceeded weight limits and walked unleashed.

Facility failed to obtain a complete family assistance medication management plan for Resident 2, who received assistance with blood sugar checks and insulin injections.

Facility failed to complete required full assessments for 3 of 7 sampled residents (4, 6, and 7) at admission and with a change of condition, missing documentation on medical devices, pets, and medication management.

Facility failed to ensure staff completed nurse delegation training and ongoing oversight for Resident 1; unqualified staff provided medication assistance.

Facility failed to ensure 3 of 3 staff (Staff A, B, and D) met annual continuing education training requirements.

Facility failed to ensure water temperature in 3 of 6 common area sinks remained between 105 and 120 degrees F; temperatures measured up to 128.1 degrees F.

Facility failed to ensure food garbage disposed of in the outside garbage area during weekends was placed in a bin.

Facility failed to ensure mechanical ventilation functioned in 3 of 4 common bathrooms.

Facility failed to ensure Staff A was screened for tuberculosis within three days of hire (test administered 47 days after hire).

Facility failed to update Negotiated Service Agreements (NSA) for 4 of 8 sampled residents (2, 3, 4, and 5) regarding signs/symptoms of conditions, side effects of medications, and safety instructions for devices like bed enablers.

Facility failed to ensure 2 of 2 staff (Staff A and B) with positive TB tests were evaluated for signs/symptoms or followed health care provider recommendations.

Facility failed to ensure 3 of 3 staff (Staff A, B, and D) met all training requirements to provide resident care.

Unable to provide documentation for 12 planned/unannounced fire drills in the previous 12 months.

Resident room 145 was using an extension cord for a space heater.

Unapproved multi-plug adapter found behind the dining room TV.

Multiple doors failed to close/latch properly when tested.

Fire alarm was not sounded for drills; facility does not put alarm into test mode.

Penetrations/open conduits found in 6 locations including IDF rooms, mechanical room, and stairwell.

Unable to provide annual fire sprinkler inspection docs including backflow/quarterly testing.

Electrical room door by dining room had broken hardware.

Mechanical room 2-218 had an open junction box.

Unable to provide documentation for annual/semi-annual hood cleaning.

Unable to provide service reports for kitchen suppression system for past 12 months.

Decorations hanging within 18 inches of a sprinkler head in Lifestyles Director's office.

Unable to provide record of annual inspection for fire alarm system.

No documentation provided for last fire/smoke damper testing.

IDF room 2-218 has a painted sprinkler head.

Unable to provide record of annual fire wall inspection or repairs.

The facility failed to implement a respiratory protection program (RPP) for staff, including failure to conduct N95 fit testing, despite an active COVID-19 outbreak affecting residents and staff.