Fairwinds Redmond

Unauthorized multi-plug use in room 121 and Health Wellness Directors office.

Missing semi-annual servicing paperwork; hood report showed deficiencies; grease found in nozzles; commercial pizza ovens in lobby lack hood/suppression.

Facility not performing monthly 30-minute load test; vendor needs to perform 4-hour load test.

Open junction box and open fuse sections/missing internal covers on electrical panels in kitchen.

Missing annual/monthly reports and smoke detectors covered in rooms 345, 245, 145.

Annual 90-minute power test had not been performed and documented.

Blocked egress on west 1st floor stairwell by room 158.

Various unsealed penetrations in A/C rooms and laundry areas; missing dry wall in north 3rd floor A/C room.

Annual report shows 3 deficiencies and 2 units not tested.

Fire/smoke damper inspection has not been performed and documented.

Required restraining device found not attached to gas-fueled cooking appliances in kitchen.

Multiple missing receptacle covers on 2nd and 3rd floors.

Missing semi-annual service documentation, grease buildup on nozzles, and commercial pizza oven lacking required suppression/hood system.

Multiple doors throughout the facility fail to latch automatically.

Smoke detector sensitivity report not provided.

Carbon monoxide alarms and detectors need to be tested, maintained and documented on a monthly schedule.

Required restraining device not attached to gas-fueled cooking appliances in kitchen.

Open junction box in electrical room next to Book Nook on north 1st floor; electrical panel in kitchen missing inside fuse box.

Blocked egress on west 1st floor stairwell by room 158.

Missing receptacle covers in west 2nd floor electrical room, north 3rd floor electrical room by room 310, north 3rd floor cable room by room 320, and north 3rd floor across from laundry room.

Multi-plugs found in north 1st floor room 121 and west 1st floor Health Wellness Directors office.

Missing documentation of fire-rated construction locations, testing, and repairs.

Multiple fire doors throughout facility failing to latch automatically.

Missing records of semi-annual hood cleaning; heavy grease buildup observed; hood cleaning frequency needs adjustment from 6 to 3 months.

Multiple unsealed penetrations found in A/C rooms and ceilings across various floors; missing drywall in north 3rd floor A/C room.

Missing 5-year internal pipe test, 3-year dry system trip test, annual forward flow test, and quarterly inspection reports; deficiency noted on 9/18/2024 report.

Smoke detector sensitivity report not provided.

Annual 90-minute battery power test for emergency lighting not performed/documented.

Fire/smoke damper inspections not performed or documented.

Missing semi-annual servicing records; grease in nozzles; commercial pizza ovens in lobby lack hood/suppression system.

Annual report dated 9/17/2025 showed deficiencies and untested units.

No documentation of monthly testing for CO alarms and detectors.

Failure to perform/document monthly 30-minute full load tests and diesel fuel testing.

Blocked egress on west 1st floor stairwell.

Improper use of multi-plug adapters in various facility locations.

No evidence of established monthly testing schedule for CO detectors.

Annual 90-minute emergency lighting power test not performed and documented.

Missing documentation for fire/smoke damper inspections.

Fire panel not replaced and falling into trouble; recurring issues with inspection reports.

Missing or failed smoke detector sensitivity reports.

Restraining devices not attached to gas-fueled cooking appliances.

Missing hood cleaning documentation and heavy grease buildup observed; frequency needs adjustment.

Missing various required sprinkler system certifications (5-year, 3-year, flow tests).

Missing documentation for diesel fuel testing and 4-hour load tests; inconsistencies in recorded hours.

Multiple missing electrical receptacle covers.

No documentation of fire-rated construction inventory or inspections.

Open junctions and electrical panels missing inside fuse box covers.

Numerous unsealed penetrations found in walls and ceilings throughout the facility.

Multiple fire doors throughout the facility fail to latch automatically.

Missing semi-annual servicing reports; commercial ovens found without hood or suppression systems.

Missing annual report and monthly test logs; smoke detectors found covered in rooms 345, 245, 145.

Annual 90-minute emergency lighting power test not documented.

Missing annual service report, weekly inspection logs, monthly 30-minute full load test records, and diesel fuel testing documentation.

Missing semi-annual service documentation; grease observed on nozzles; commercial pizza ovens in bistro lack hood or suppression system.

Fire/smoke damper inspection not performed and documented.

Required restraining device found not attached to gas-fueled cooking appliances in kitchen.

Open junction box in electrical room next to Book Nook; kitchen electrical panel has open fuse sections and missing inside fuse box.

Multiple penetrations found in A/C rooms and service areas; missing dry wall in north 3rd floor A/C room.

Missing annual report and single station alarm test; smoke detectors found covered in rooms 345, 245, 145.

Missing emergency/standby power system documentation (annual report, weekly logs, monthly load tests, diesel fuel testing).

Blocked egress on west 1st floor stairwell by room 158.

Missing receptacle covers in multiple locations (west 2nd floor main electrical room, north 3rd floor electrical room by room 310, north 3rd floor cable room by room 320, north 3rd across from laundry).

Multi-plug found north 1st floor in room 121 and west 1st floor in Health Wellness Directors office.

Multiple fire doors not latching (by 350, 230, pool table, 131, 241, stairwell by 365, stairwell across 231, electrical door 150).

Missing semi-annual servicing paperwork; grease in nozzles; commercial pizza ovens in lobby lack required hood or suppression system.

Annual 90-minute emergency lighting power test not performed/documented.

Inspection and testing not performed/documented.

On 2/10/2025, it was reported that the fire panel was not connecting to the dispatch system to automatically call 911 when alarms sounded. A 24/7 fire watch was initiated. By 2/17/2025, a cellular communicator was installed and confirmed to be working in place of the faulty dialer. No IFC violations were observed during the inspection.

Facility failed to do a one-step TB test within three days of hire for the Plant Operations Supervisor.

Facility failed to ensure exhaust air vents in 4 of 4 sampled rooms (common bathrooms, laundry rooms) provided proper air flow to the outside.

Facility failed to ensure 7 of 7 sampled staff completed required training (first aid, continuing education, and HCA certification).

The facility failed to administer the second step of a two-step TB test to 1 of 7 sampled staff (Staff D) within the required timeframe.

The facility failed to document in writing an initial agreement and quarterly reevaluations of electronic surveillance for 1 sampled resident (Resident 3).

The facility failed to post the current assisted living facility license in a conspicuous place.

Facility failed to complete Washington state name and date of birth background checks every two years for 2 of 2 sampled staff.

Facility failed to update Negotiated Service Agreements (NSA) for 5 of 7 sampled residents to reflect current medical needs, equipment, or medications.

Facility failed to screen 1 of 1 sampled staff (Staff A) for tuberculosis within three days of employment.

Facility failed to complete required national fingerprint background checks for multiple staff members and failed to process state background inquiries on time.

The facility failed to assess and implement nurse delegation services for 1 sampled resident (Resident 2), despite the resident requiring medication administration and wound care that exceeded standard staff training.

The facility failed to assess the safety and appropriateness of bed siderails used by 1 sampled resident (Resident 2).

Resident 2 had bed siderails without required assessments to determine safety, security, and lack of restraint-like qualities, and lacked documentation for the reason for the rails.