Cristwood Retirement Community

Commercial cooking appliances on casters must be connected via approved appliance connectors and restraining devices.

Sprinkler system testing documentation shows deficiencies; waiting for dry head testing report for Chestnut/ #60.

Materials and firestop systems used to protect penetrations must be maintained.

Fire door or fire frame labels are missing in the Oak tree family room; matter is under review with architect.

Swinging fire doors shall close from the full-open position and latch automatically.

Requirements for egress doors and locking devices in specific occupancies.

Records of inspection, testing, and maintenance for fire alarm and detection systems shall be maintained.

Extension cords must not be used as a substitute for permanent wiring.

Opening protectives in fire-resistance-rated assemblies shall be inspected and maintained.

At least twelve planned and unannounced fire drills shall be held every year.

The facility provided documentation citing deficiencies for the annual inspection for Chestnut/ #60; waiting for dry head testing report.

The fire door or fire frame label is missing in the Oak tree at the family room.

Failed to ensure proper and safe installation of side bed rails (SBR) for Residents 1 and 5, posing an entrapment risk.

Failed to follow a dietary order from an external hospice provider regarding liquid consistency for Resident 2, placing them at risk for choking.

Failed to assess the ability of Resident 6 to safely use a medical device (transfer pole).

Failed to include necessary care interventions in the Negotiated Resident Care Plan (NRCP) for Residents 2, 4, and 6, including lack of alternate plan for hospice services and missing medication side effect alerts.

The facility failed to renew the Washington state name and date of birth background check for 1 of 5 sampled staff (Staff E) every two years, resulting in employment for one year and nine days without a valid background check.

The facility failed to ensure three residents received prescribed medications in a timely manner, placing them at risk of health complications, due to failure to reorder medications.

Facility is unable to provide documentation for the annual test of the fire shutter in memory care. The fire door by the kitchen did not latch.

Facility is unable to provide documentation that the annual fire wall inspection has been completed.

Facility is unable to provide documentation for the 3 year dry system full flow trip test for the poplar building.

Signage shall be provided on the exhaust hood or system cabinet, indicating the type and arrangement of cooking appliances protected by the automatic fire-extinguishing system.

Facility failed to ensure 2 of 4 residents observed were served diets prescribed by their primary care providers, specifically regarding mechanical soft diet requirements, placing them at risk for choking.