Heritage Heights at Lake Chelan

Facility staff failed to report an allegation of abuse made by a resident against another staff member to the department's complaint resolution unit.

Facility failed to comply with state fire marshal codes regarding attic storage, fire-resistance documentation, bathroom ceiling breaches, fire alarm panel security, emergency lighting, keypad instructions, and unsecured oxygen cylinders.

Attic storage blocking aisle ways and access to HVAC/mechanical equipment.

Missing documentation of annual inspection; breach in ceiling (missing tile) in Room 102A.

Circuit breaker for Fire Alarm Control Panel was not locked.

No emergency exit lighting installed in long Attic aisle ways.

Missing key pad instructions for Memory Care Gate on exterior walkway.

Two oxygen cylinders near front door of Room 102A were unsecured.

Combustible material stored in attic, blocking access to HVAC and mechanical equipment.

Electrical panels in the Memory Care unit (second floor) were unsecured.

Open junction box behind the desk area in the first floor Medication Room.

Combustible storage blocking access to electrical panels in the Maintenance Room (Basement).

Power strip daisy-chained (plugged into another power strip) in the first floor Cook's Office.

Extension cord in use on the exterior building above the patio.

Facility unable to provide documentation of semi-annual commercial hood cleanings for the past twelve months.

Missing documentation for annual fire-resistance-rated construction inspection; penetrations found in Breakroom wall and hallway ceiling; missing ceiling tile in Room 102A bathroom.

Missing documentation for annual fire/smoke door and kitchen fire door inspections; flooring replacement caused non-compliant door clearance gaps.

Multiple doors (Breakroom, Kitchen, Kitchen Storage, Medication Room) propped open with wedges.

Fireplace Room Door (first floor) and Room 214 door (second floor) did not fully latch when closed.

No documentation that patio tarps are compliant with NFPA 701 standards.

Missing documentation for annual sprinkler system testing, annual forward flow testing, and quarterly inspections for the past year.

Missing documentation for annual/semi-annual fire alarm system inspections; Fire Alarm Control Panel circuit breaker not locked.

No emergency exit lighting installed in the long attic aisle ways.

No signage near the second floor elevator directing occupants to the stairway/exit.

No key pad instructions posted within 6 feet of exit doors near the attic and memory care gate.

Missing 'Oxygen In Use' signage in rooms 102A and 104.

Unsecured LPG cylinder on patio; two unsecured oxygen cylinders in Room 102A.

Combustible storage in the Attic blocking aisle ways and access to HVAC and mechanical equipment.

Failed to provide documentation of annual fire-resistance-rated construction inspection; breach in ceiling in room 102A.

Circuit breaker for Fire Alarm Control Panel not locked to prevent tampering.

No emergency exit lighting in the long Attic aisle ways.

No keypad instructions posted for the Memory Care gate on the exterior walkway.

Unsecured oxygen cylinder in Room 102A.

Missing directional signage to the stairway and means of egress on the second floor near the elevator.

Missing 'Oxygen In Use' signs in resident rooms 102A and 104.

Missing key pad instructions within 6 feet of the fire exit doors near the attic and the memory care gate.

Unsecured LPG cylinder on the first floor patio and two unsecured oxygen cylinders in room 102A.

The facility failed to document investigative actions and findings regarding an allegation of sexual abuse for one resident, and failed to implement measures to prevent recurrence.

The facility failed to make a report to the Department's Complaint Resolution Unit regarding an allegation of sexual abuse for one resident.

Multiplug adapter found in Room 102.

Fire alarm in supervisory status due to construction; missing fire watch documentation.

Combustibles obstructing path of egress in 2nd floor construction area.

Salon failed to maintain 18-inch clearance below sprinkler head.

Missing fire-resistance inspection documentation and physical breaches in walls/ceilings in various rooms.

Fire extinguishers in several areas were mounted higher than 5 feet.

Missing construction/remodel permit documentation.

2nd floor activities room used for cooking with grease-laden vapors without a required fire suppression system.

Missing documentation for annual sprinkler maintenance, 5-year pipe test, and 5-year FDC Hydro test.

Seven appliances in 2nd Floor Activities Room were plugged into power strips instead of direct outlets.

Missing annual fire door inspection documentation.

Emergency lighting in the Dining Hall was inoperable.

The Assisted Living Facility failed to ensure Negotiated Service Agreements (NSA) contained necessary content to meet residents' needs.

Resident Room 105 - an unfused powerstrip was in use above the television.

Maintenance Department and Elevator Room - documentation showed fire extinguishers at the top of stairs had not had monthly inspections since June 2023.

Facility unable to provide documentation of monthly testing of single station carbon monoxide alarms after October 2022.

Facility unable to provide documentation of damper testing within the past 4 years.

Pull station between soiled linen room and restroom on second floor was obstructed.

Entrance - fountain was plugged into powerstrip which was plugged into another powerstrip.

Maintenance Department - 5 fire extinguishers were unsecured on the floor.

Resident Room 216 - two oxygen cylinders were observed to be unsecured.

Resident Room 202 - electrical receptacle cover behind recliner was broken off.

Facility unable to provide documentation of testing of quick response fire sprinkler heads greater than 20 years old.

Facility unable to provide documentation of monthly testing of single station smoke alarms in the resident rooms.