Covenant Living West

Facility failed to ensure a system was in place to complete a state-approved TB test within three days of hire for 1 of 3 newly hired staff.

Facility failed to ensure staff backgrounds/credentials were up to date, specifically expired background checks (BGI) for Staff D and Staff E.

Facility failed to ensure Staff B initiated TB screening within three days of employment.

Facility failed to develop a policy/procedure for ensuring prescribed medications are refilled in a timely manner, resulting in Residents 3, 7, and 8 missing medications.

Facility failed to post required warning signage for oxygen storage in a resident's room.

Facility failed to ensure Staff A (LPN) completed mandatory specialty training for dementia and mental health.

Facility failed to ensure Staff A completed the required two-step tuberculin skin test.

Facility failed to implement a Respiratory Protection Program including annual mask fit-testing for Staff A and B.

The licensee failed to ensure the Washington State name and date of birth background inquiry for one staff was renewed before the two-year expiration.

The licensee failed to implement federal and state regulated standards of a Respiratory Protection Program (RPP) to include respirator mask fit-testing for healthcare workers.

The licensee failed to ensure one staff received specialty training for dementia and mental health.

The licensee failed to ensure tuberculosis (TB) screening was initiated for one staff within three days of employment.

The facility failed to ensure a resident received medications as prescribed by a physician, resulting in missed doses and a risk to health complications after staff failed to transcribe new medication orders onto the MAR.

Boiler room is being used for storage.

Annual inspection of fire-resistance-rated construction not provided; schedule for inspection needed.

Quarterly sprinkler inspections needed.

Carbon Monoxide alarms and testing/maintenance documentation missing.

Fire door annual inspection needs to be performed and documented.

Power strip found plugged into another power strip in the Activities room office.

Double doors by kitchen entrance and beauty shop would not latch.

Semi-Annual report for extinguishing system not provided.

Missing 30-second monthly and 90-minute annual testing documentation; exit sign in memory care not working.

Fire/smoke damper 4-year inspection needs to be performed.