Guardian Angel Homes Liberty Lake

Facility failed to maintain water temperatures between 105 and 120 F in two buildings and failed to repair a kitchen faucet for a resident.

Facility failed to administer correct medication to 1 resident, resulting in potential health complications.

Facility failed to obtain prescribed medication for 1 resident in a timely manner.

Facility failed to complete an annual safety assessment for a medical device (bed cane) used by 1 resident.

Facility failed to ensure staff TB test results were read within the required 48 to 72 hours for 2 staff members.

Facility failed to ensure a chest x-ray was completed within seven days for a staff member after a positive tuberculosis test.

Facility failed to ensure 3 of 5 staff completed the required 12 hours of continuing education.

Facility failed to provide daily showers as outlined in the negotiated service agreement for Resident 7.

Missing electrical outlet faceplates in Tudor 15/16 resident room and Cottage breakroom; corrected during inspection.

Facility unable to provide documentation that annual fire wall inspection has been completed (last inspection 1/4/24).

Forward flow testing of the backflow preventers required.

Electrical panels accessible by multiple staff; need lockout device at each cottage for fire alarm control panel.

Missing monthly maintenance documentation for CO detectors from Sept 2024 through Feb 2025.

Missing documentation for monthly 30-second activation tests (Oct 2024 - Feb 2025). Emergency light in Colonial Cottage riser room failed to illuminate.

Missing documentation for generator load tests (Oct 2024 - Feb 2025) and weekly inspections (Oct 2024 - Dec 2024, Feb 2025).

Facility could not provide documentation for 12 planned/unannounced fire drills in the previous 12 months.

Facility failed to clearly document in Resident 1's negotiated service agreement the plan to assist with transfers, resulting in injuries, discomfort, a hospital trip, and medication changes.

The facility failed to obtain a medical testing site waiver license to perform on-site Covid-19 testing, resulting in testing without proper oversight.

The licensee failed to ensure a medication order was processed and administered as prescribed for one resident, resulting in the resident not receiving medication for an extended period.

Facility failed to complete annual safety assessment for 2 residents using bed canes.

Failed to ensure negotiated service agreements were signed by residents or representatives for 3 residents.

Failed to process medication order correctly for 1 resident, resulting in missed doses of apixaban.

Failed to follow electronic monitoring procedures regarding signed agreements and quarterly reevaluations.

Failed to ensure character, competence, and suitability review was completed for 1 staff member with a non-disqualifying criminal conviction.

Failed to ensure staff completed respirator fit testing for 5 staff members.

Failed to ensure staff received a second step TB test within the required one to three weeks after the first test for 2 staff members.

Facility failed to ensure staff provided care consistent with maintaining resident dignity for 1 resident (Resident 1) resulting in pain, discomfort, and bruising caused by Staff B.

Facility failed to ensure staff completed required specialty dementia training prior to caring for residents with dementia for 1 of 1 staff (Staff B) reviewed.

Facility staff administered medication to the wrong resident due to residents having the same first name, resulting in a hospitalization for the affected resident.