Cottages of Snohomish

Relocatable power taps not listed in accordance with UL 1363 or UL 498A.

Gas-fired appliances on casters not properly connected with approved flexible connectors and restraining devices.

Combustible materials stored in exits or enclosures for stairways and ramps.

Lint trap and exhaust system not properly maintained to prevent accumulation of lint.

No documentation provided for four-year fire/smoke damper inspection.

Extension cords used as a substitute for permanent wiring or improperly affixed.

Opening protectives in fire-resistance-rated assemblies and smoke barriers not properly maintained or were blocked.

Firestop systems and membrane protection not maintained.

Missing documentation for 5-year Fire Department Connection Hydro Test and 5-year Internal Pipe Inspection.

Fire door by Activity Director Office failed to latch during testing.

Fire alarm panels in Elm and Fir buildings showed trouble status.

No documentation provided for smoke detector sensitivity testing.

Emergency lighting monthly testing not performed/documented.

Carbon monoxide detection requirements not met for fuel-burning appliances.

Inoperable or end-of-life carbon monoxide alarms were not replaced.

Prohibited penetrations into interior exit stairways.

Stairwell in Fir Building obstructed by multiple objects.

Compressed gas containers not secured to prevent falling.

Documentation for required quarterly fire drills missing for multiple shifts/quarters.

Facility failed to ensure 3 of 6 staff completed training requirements; Staff B missed First Aid training and Staff D and G missed required continuing education.

Facility failed to ensure 3 of 6 staff completed training requirements; specifically Staff B lacked First Aid, and Staff D and G lacked required continuing education hours.

Facility failed to ensure 2 of 2 staff (Staff D and G) had valid biennial Washington State background checks.

Facility failed to ensure 4 of 7 staff (Staff D, F, G, and H) completed national fingerprint background checks within 120 days of hire.

Facility failed to ensure 3 of 5 staff (Staff A, B, and H) completed TB testing within three days of hire.

The facility failed to ensure their diet manual was reviewed, updated, and signed by a registered dietitian within the last five years.

Facility failed to assess a resident's use of a knee scooter as a medical device and update the care plan.

Facility failed to complete a focused assessment for a resident using a knee scooter following an injury.

The facility failed to assist a resident with logging into their device for a telehealth appointment to set up Home Health services, despite a service agreement requiring the facility to assist with coordinating care.

Staff provided showers but failed to consistently document them in ADL tasks in resident records.

Call pendants/buttons were not responded to for almost an hour; care staff did not have pagers in their possession as required.

Facility failed to ensure 3 of 3 residents received medications as prescribed due to missed doses, running out of supplies, and significant delays in administration.

The facility failed to ensure proper nurse delegation for blood sugar monitoring and insulin administration for two staff members (Staff F and Staff G) providing care to two residents with diabetes. Staff were performing delegated nursing tasks without the required documentation or formal nurse delegation/oversight.