Empress Senior Living at Laurelhurst

The facility failed to develop and implement policies to ensure Memory Care Unit residents were not allowed to elope, resulting in one resident wandering off-site.

Facility failed to ensure a staff member (Staff B) renewed their background check every two years; staff worked 501 days with an expired check.

Facility failed to document or create a safety plan for a resident's new surgical hemodialysis access (catheter and fistula), despite staff knowledge of appointments.

Facility failed to ensure a staff member (Staff E) completed a background check prior to working in the facility.

Facility failed to ensure 1 of 5 sampled staff initiated TB screening within 3 days of employment.

Facility failed to ensure menus were written at least one week in advance and posted or delivered to resident rooms; residents reported not knowing dinner menu in advance.

Facility failed to ensure an Adult Portable Bed Rail was securely fastened, covered, and did not pose a safety risk for a resident.

Facility unable to provide documentation for the annual fire alarm system testing.

Facility unable to provide documentation for annual servicing of the emergency generator.

Missing CO detectors in first floor fireplace room, basement fireplace room, and water heater room.

Facility unable to provide documentation for the annual sprinkler system inspection.

Facility unable to provide documentation for required smoke detector sensitivity testing.

Facility unable to provide documentation for the 4-year fire and smoke damper inspection.

Facility unable to provide documentation of annual fire wall inspection.

Facility unable to provide documentation for monthly carbon monoxide detector testing.

Memory care dining room doors and serenity room door do not close properly.

Facility unable to provide documentation of annual fire door inspection.

Facility unable to provide documentation for annual 90-minute power test for emergency lights.

The facility failed to implement a Respiratory Protection Program (RPP) and failed to conduct required respirator mask fit testing for staff.