Everett Heritage Court

The facility failed to ensure the safety of a resident who wandered away from the facility through an unlocked memory care unit secured exit door, resulting in the resident going missing and being found by police.

Facility failed to ensure 1 of 6 staff (Staff E) had their background check submitted within one business day after their date of hire.

Facility failed to ensure 2 of 2 staff (Staff E and F) had a valid Washington State name and date of birth background check completed every two years.

Facility failed to ensure 1 of 1 staff (Staff C) completed a chest X-ray within seven days after a positive TB blood test.

Facility failed to ensure 2 of 4 staff (Staff B and D) completed TB testing within three days of employment.

Missing documentation for 2nd semi-annual 2024 hood cleaning.

Missing documentation for 2nd semi-annual 2024 fire-extinguishing systems service.

Rear exit gate did not have legible code for emergency egress.

Kitchen does not have exit signs to path of emergency exit.

Missing documentation of annual 90-minute emergency lighting test.

Missing documentation of 3-year, 4-hour generator test.

Missing documentation for 2 of the second quarter required fire drills (swing, night).

Kitchen hood system missing a grease filter.

Multiple doors (Rooms 08, 10, 20, 31, and near 23) would not latch from fully open position.

Table blocking emergency exit near room 10.

Daisy chaining power strips in Executive and Nurses offices; refrigerator plugged into power strip in Activities office.

Facility failed to thoroughly investigate the circumstances of a resident who eloped from the facility, and failed to document findings or implement preventative measures.

Facility failed to ensure staff responded to residents' emergency pull cord activations, placing them at risk for unmet care needs. Pagers were frequently not carried or were out of battery.

The facility failed to document findings and actions from an investigation regarding a resident who left the facility unnoticed and unsupervised. Leadership could not provide documentation of a thorough investigation and dismissed the event without sufficient inquiry.

Facility failed to involve the resident, their representative, and the case manager in the development of a change of condition assessment for one resident, resulting in stakeholders being unaware of changes in care needs.

Bathroom lights were not working and emergency pull cord string was missing for a resident.

Facility failed to maintain equipment and furnishings in good repair for 1 resident. Emergency pull cord string was missing and bathroom light was not working.

The facility failed to report an outbreak of scabies involving 18 residents to the Local Health Jurisdiction.

Facility failed to ensure a system was in place to allow visitors and appropriate residents to exit the facility without staff assistance.

Facility lacked a written policy documenting how residents on the bottom floor access an outdoor area for social interaction and activities.

The facility failed to assess the capabilities of residents to safely use portable heaters in their apartments after the boiler failed, placing residents at risk of fire, burns, and compromised safety.