Dungeness Courte Memory Care

Fire extinguisher in laundry room missing annual inspection; extinguisher in kitchen is mounted higher than 5 feet.

Exit signs inoperable near room #1, room #5, residential services office, room #15, room #12, and room #22; bulb needs replacement near room #1.

Failed to provide documentation for three-year dry system full flow trip test, annual backflow forward flow test, and quarterly inspection reports. Sprinkler head in freezer is loaded with ice.

Failed to provide documentation showing kitchen suppression system is being inspected twice a year.

Failed to provide documentation for fire alarm semi-annual inspection; fire alarm system is in trouble mode.

Linen room door in central hallway failed to latch.

Facility failed to securely store mechanical lifts, leaving them in hallways and creating a tripping hazard for residents with dementia/wandering behaviors. This resulted in a resident fall and hip fracture. This was a recurring deficiency.

Facility failed to ensure one staff member (Staff D) had the necessary Home Care Aide certification after being employed for two years.

Facility failed to ensure a National final fingerprint background check was completed for one staff member (Staff C).

Failure to ensure confidentiality of resident records; sensitive information visible on unattended computer screens and pill crushers.

Failure to complete change of condition assessments for residents despite behavioral changes.

Facility failed to implement safe food storage practices; food items found stored on the floor in kitchen and walk-in refrigerator.

Failure to ensure timely medication availability; a resident missed 16 days of prescribed atorvastatin.

Facility failed to ensure staff had required CPR/First Aid training and facility orientation, placing residents at risk.

Facility did not have a completed 30 day negotiated service agreement for 1 of 7 residents reviewed.

Potentially hazardous supplies and equipment were accessible to residents in multiple locations.

Facility did not have the survey binder accessible for review upon entry.

Facility failed to complete reference checks for 2 of 3 employees and failed to ensure abuse and neglect training was completed for 1 of 3 staff reviewed.

Staff C witnessed an incident of abuse on 10/11/2024 but failed to report it immediately. Staff D (Director of Nursing Services) was only informed of the incident by Staff C on 10/14/2024. This is a recurring deficiency previously cited on 12/27/2023.

Facility staff witnessed a staff member spraying a resident in the face with water but failed to report the abuse to the DSHS hotline immediately.

Facility used extension cords in the South Mechanical Room.

Facility failed to provide annual inspection, five-year internal pipe examination, and three-year dry system full flow trip test reports; laundry room had loaded sprinkler heads.

Facility failed to provide five-year smoke detector sensitivity report.

Facility failed to provide an annual inspection report for fire-resistance-rated construction.

Facility failed to provide annual inspection report for the fire alarm system.

Facility failed to report a viral infection outbreak to the Complaint Resolution Unit in a timely manner.

Facility failed to ensure all staff were fit tested for N-95 respirators. Repeated deficiency.

The facility failed to ensure two staff were fit tested for an N-95 respirator; this was an uncorrected deficiency previously cited on November 21, 2023.