Merrill Gardens at Burien

Boiler room in parking garage has natural gas with no detection.

Portable hot box in the kitchen has exposed wires near the plug.

6 loose cylinders located in the kitchen.

Facility failed to ensure 1 of 4 staff members was screened for Tuberculosis within three days of employment as required.

Facility failed to complete documented pre-admission assessments for 3 of 7 residents prior to their move-in date.

Facility failed to document combination assessment/service plans for 2 of 7 residents that adequately addressed current clinical needs, specifically failing to provide guidance for monitoring symptoms related to medications or behaviorally based supportive actions.

Incident investigation reports for Resident 2 (who had multiple elopement attempts) showed no documentation of the circumstances of the events.

Facility failed to provide documentation showing annual inspection of fire-resistance-rated construction.

Facility failed to provide documentation for the automatic sprinkler system; specifically for the three-year dry system full flow trip test and the five-year fire department connection hydrostatic test.

Facility failed to maintain valid background checks every two years for 8 of 8 sampled staff members.

Facility failed to complete required one-step TB tests for 2 of 2 sampled staff with negative history.

Facility failed to ensure two-step TB testing for 4 of 8 sampled staff members.

1 of 11 sampled kitchen staff did not have a valid food handler's card.

Facility failed to ensure 6 of 6 sampled staff completed required Nurse Delegation training and failed to obtain resident consent for delegation for 5 of 6 sampled residents.

2 of 7 sampled residents did not have a signed and dated facility's Medicaid policy in their record.

The licensee failed to complete a tuberculosis test for one staff with a history of a negative QuantiFERON test.

The licensee failed to test one staff for tuberculosis.

Emergency lights failed in Stairway exit A, Stairway C, and hallway by room 332.

Spa Service fire door has a penetration from switching door handles.

Loaded sprinklers in Kitchen (by back storage) and Dining room (by vent); missing escutcheon ring outside of Activities.

Kitchen has a power strip dangling by the storage room.

Outside Storage room, Laundry door, and Cross corridor 2C by 228 did not close/latch properly.

Facility unable to provide documentation for inspection of fire doors.

Fire extinguisher in the outside storage paint room was not properly mounted.