Coventry House

Facility failed to update and notify residents of reduced on-site nursing service hours in the Disclosure of Services document.

The facility lacked a policy regarding family-provided OTC vitamins for residents, which needed clarification regarding the facility's responsibility if family fails to provide them.

Two of five staff members (A and B) had not completed required 70-hour training, and staff C had not completed required CPR.

Facility failed to obtain written family assistance plans for OTC medications for residents, resulting in missed medication doses.

Facility failed to ensure staff completed required 70-hour basic training, specialty dementia training, and CPR/first aid training.

The Disclosure of Services needed to be updated to accurately reflect the availability of Intermittent Nursing Services.

The facility failed to provide documentation of facility orientation for sampled staff, though it was completed during the inspection visit.

The licensee failed to obtain a written plan for family assistance with obtaining medications for two residents. This was an uncorrected deficiency previously cited on October 3, 2025.

Facility failed to document investigative actions and findings for resident falls and an allegation of physical abuse, failing to provide protection or follow-up.

Facility failed to document appropriate behavioral interventions in the negotiated service agreement for a resident with known disruptive behaviors at mealtime, leading to physical/verbal aggression by other residents.

Facility failed to provide medications as prescribed for 2 of 7 residents, specifically holding blood pressure medications without proper physician orders.

Facility failed to perform an annual safety assessment for bedrails for 1 of 6 residents.

Facility failed to lock and secure hazardous supplies including cleaning agents, chemicals, and shop tools from residents with cognitive impairment.

Facility failed to ensure required biennial background checks were up to date for 2 of 6 staff, and failed to have national fingerprint checks for 5 of 6 staff.

Facility failed to perform an initial safety assessment for medical devices (bedrails) for 2 of 6 residents.

Facility failed to ensure medication carts and insulin supplies were locked and secured, leaving them accessible.

Facility failed to ensure specialty training for dementia was completed for 2 of 6 sampled staff.

The licensee failed to provide medications as prescribed for three residents, resulting in medication errors and placing residents at risk of health complications. This is an uncorrected deficiency previously cited on January 17, 2024.

Facility failed to ensure compliance with the Washington State Patrol Office of State Fire Marshal by failing their initial LSI and first reinspection; specifically, they lacked documentation of current fire/smoke damper testing.

The facility is unable to provide documentation of current inspection of fire-resistive-rated construction.

The facility is unable to provide documentation of current testing of the carbon monoxide alarms.

The facility is unable to provide documentation of current testing of the fire/smoke dampers (last completed 04/2018).

The facility is unable to provide documentation of the second semi-annual service of the kitchen hood suppression system.