Elma Home Care

Fire sprinkler fire department connection 5-year hydrostatic test needed; facility failed to provide quarterly inspection reports; facility had sprinkler heads loaded with debris.

Facility failed to provide documentation for the fire alarm: Annual inspection report and monthly inspection of smoke alarms.

Facility failed to provide documentation showing sensitivity testing for fire alarm smoke detectors.

Facility failed to provide documentation for: Annual inspection report, 5-year internal pipe inspection, Annual trip test, and fire department connection hydrostatic test.

Facility failed to update and implement their policy for respiratory protection, leaving residents and staff at risk.

Facility failed to develop initial Negotiated Service Agreements (NSA) for 2 new residents and failed to update NSAs for 2 residents following changes in their condition.

Facility failed to provide bathing and hair washing services agreed upon in the NSA for Resident 5.

Facility failed to ensure a sampled staff member (Staff C) had the required dementia specialty training certificate.

Facility failed to monitor residents' well-being after falls, injuries, or changes in condition for 4 of 5 sampled residents.

Facility failed to ensure a student/volunteer with unsupervised access to residents completed a required Washington State background check.

Facility failed to notify a resident's physician regarding falls involving Resident 2.

Facility failed to ensure a sampled staff member (Staff C) had the required mental health specialty training certificate.

Facility failed to ensure 2 of 2 sampled staff (Staff C and Staff F) received TB testing within 3 days of employment.

Facility failed to follow and implement safe food handling and storing practices, including lack of labeling, storage of expired items, and failure to store food off the floor.

Facility failed to substitute foods of equal nutritional value when changes were made to the planned menu.

Facility failed to document plans to support resident needs, preferences, and appropriate behavioral interventions in the Negotiated Service Agreement for 1 of 4 sampled residents.

Facility failed to ensure background checks were conducted every two years for all staff members; checks were performed up to 4 years late.

Facility failed to complete annual and change-of-condition assessments for multiple residents (R2, R3, R5, R6) following injuries or changes in condition.

Facility failed to ensure 1 of 1 sampled staff (Staff D) received the required two-step TB skin test within the required timeframe.

Facility failed to substitute foods of equal nutritional value when changing menus, impacting all 20 residents.

Facility failed to train staff on necessary policies and procedures, including handwashing and kitchen management, risking exposure to food-borne illness.

TV room has a power strip dangling by its cord.

Unable to provide documentation for annual and semi-annual hood cleaning.

Unable to provide inventory record of annual inspection/repairs for fire-resistant doors.

Unable to provide documentation for quarterly sprinkler inspections.

Unable to provide service reports for kitchen suppression system for past 12 months.

Unable to provide documentation for 12 planned and unannounced fire drills in previous 12 months.

Facility uses plastic instead of noncombustible metal ash trays.

Unauthorized use of extension cords in dining room and resident room 16.

Unable to provide record of annual fire wall inspection/repairs.

Dirty sprinkler heads throughout the building.

Unable to provide record of annual inspection for fire alarm system.