La Conner Retirement Inn

Extension cords were being used as permanent wiring in the main laundry room and room 305.

Facility failed to provide documentation for annual fire door inspection.

Fire rated cross corridor door near room 314 would not close and latch automatically.

Sprinkler head in the walk-in refrigerator/freezer was obstructed by boxes and food.

Facility failed to provide documentation for annual sprinkler system inspection and annual forward flow test.

Portable fire extinguishers in the 2nd and 3rd floor resident laundries were obstructed by trash cans.

Facility failed to provide documentation for monthly single station smoke alarm testing.

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

Emergency egress lights in 3rd floor south stairwell and activity room failed to illuminate during testing.

Internally illuminated exit sign in 1st floor north stairwell was not illuminated on normal power.

Facility failed to provide documentation for monthly 30-second emergency light activation tests.

Facility failed to provide documentation for annual 90-minute emergency light power test.

Facility missing records for 12 planned/unannounced fire drills; specifically 2nd shift (Q3) and 3rd shift (Q1 and Q2).

Building was not maintained in good repair, clean, and sanitary condition on three floors, including dirty exhaust fans, damaged walls/flooring, missing light covers, presence of dead bugs in light fixtures, and accumulation of debris in laundry rooms.

Facility failed to complete a two-year Washington state background check for one staff member and failed to complete a national fingerprint background check for one staff member.

Facility failed to keep food labeled and dated appropriately in the main kitchen; expired food items found in storage.

Facility failed to ensure staff met training requirements, including ORSA, CPR, first aid, and Home Care Aide (HCA) certification within required timelines.

Facility failed to ensure 3 of 5 staff were screened for Tuberculosis within three days of employment; 1 of 5 staff did not receive a second step TB test.

Hot water temperatures in several resident rooms and bathrooms exceeded the required 105-120 degree range, reaching as high as 134.7 F.

Missing breaker in electrical panel K without protective covers installed (Reported 03/24/2025; Corrected 04/30/2025).

Multiple instances of multi-plug adapters without over-current protection in various rooms/offices (Reported 03/24/2025; Corrected 04/30/2025).

Power strip plugged into another power strip in maintenance office (Reported 03/24/2025; Corrected 04/30/2025).

Extension cords used as permanent wiring in rooms 212, 101, and activities room (Reported 03/24/2025; Corrected 04/30/2025).

Multiple issues including missing documentation, missing strike plates, and doors blocked by wedges (Reported 03/24/2025; Corrected 04/30/2025).

Fire doors in rooms 305, 306, and kitchen would not latch from fully open position (Reported 03/24/2025; Corrected 04/30/2025).

Sprinkler head in walk-in refrigerator obstructed by boxes (Reported 03/24/2025; Corrected 04/30/2025).

Sprinkler system issues: failed/due testing and mixed head types (Reported 03/24/2025; Corrected 04/30/2025).

No documentation for semi-annual kitchen suppression system servicing (Reported 03/24/2025; Corrected 04/30/2025).

Missing documentation for monthly maintenance and missing tamper seal on kitchen extinguisher (Reported 03/24/2025; Corrected 04/30/2025).

Extinguisher in parking garage not mounted correctly (Reported 03/24/2025; Corrected 04/30/2025).

Emergency egress lights in multiple locations failed to illuminate during test (Reported 03/24/2025; Corrected 04/30/2025).

Exit signs failed to illuminate during activation test (Reported 03/24/2025; Corrected 04/30/2025).

Oxygen cylinders in room 305 not secured against falling (Reported 03/24/2025; Corrected 04/30/2025).

Missing documentation for required fire drills (Reported 03/24/2025; Corrected 04/30/2025).

Multi-plug adapter without overcurrent protection found in the maintenance office.

Extension cord utilized as permanent wiring in room 212.

Resident room 306 fire door would not close and latch from the fully open position.

Mixed standard response and quick response sprinkler heads found in main lobby and elevator area.

Facility cannot provide documentation for 12 planned/unplanned fire drills in previous 12 months. Missing 1st shift Q4, 2nd shift Q4, and 3rd shift Q2/Q4.

Facility failed to ensure a staff member completed a national fingerprint background check, resulting in an employee working with vulnerable adults without a verified background.

Kitchen suppression system has uncorrected deficiencies.

Emergency egress light near elevator #2 did not illuminate during test.

Extension cords utilized as permanent wiring in rooms 306 and 320.

Exit sign #56 near 316 did not illuminate during test.

No documentation for annual backflow flow test; sprinkler heads in walk-ins blocked by food storage; missing hydraulic calculation data plate.

Kitchen was found in an unsanitary condition with accumulated food debris on floors, dirty shelves, sticky temperature logbook, and dead flies in the pantry.

Facility failed to provide documented orientation and training for 3 of 4 kitchen staff.

Facility failed to maintain a clean kitchen and failed to ensure two bags of dried product were covered to prevent contamination.

Facility failed to implement policies and procedures regarding daily food and equipment temperature checks; no documentation was found for several weeks.

Two open bags of dried product were not covered to prevent potential contamination.

The licensee failed to maintain a clean kitchen, resulting in an unsanitary environment and potential risk of food borne illness. This was a recurring deficiency.

The licensee failed to maintain a clean kitchen, resulting in an unsanitary environment and potential risk of food borne illness. This was a recurring deficiency.