Merrill Gardens at Kirkland

Gas appliances on casters in the kitchen are not limited by a restraining device.

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

Missing documentation for 12 planned/unannounced fire drills; missing specific shift drills; no participant list for Nov/Dec 2025; counting alarms as drills.

Facility is unable to provide documentation that the annual fire resistance rated construction material inspection has been completed.

Facility unable to provide documentation for required smoke detector sensitivity testing.

5 fire and smoke dampers failed testing; deficiencies noted in 6/21/2023 testing have not been corrected.

Internally illuminated exit signs near 221 failed to illuminate during testing.

The fire rated door from the elevator near 324 to the corridor would not close and latch from a fully open position.

Emergency egress light 32N near 406 failed to illuminate during testing.

Sprinkler head in the walk-in freezer is obstructed by boxes and food.

Facility unable to provide documentation for annual 90-minute power test of emergency lights.

The facility failed to document an investigation, assessment, and monitoring of a resident's bruised arm despite the resident being on blood thinners.

Facility failed to ensure 2 of 3 sampled staff (Staff B and Staff C) completed a TB test within three days of hire, despite prior two-step testing.

Facility failed to ensure 1 of 3 sampled staff (Staff A) completed an initial TB skin test within three days of hire.

Facility failed to ensure valid Washington state background checks were completed every two years for 12 of 12 sampled staff.

Facility must perform one fire drill per shift within 30 days.

Facility needs to identify and establish a schedule for annual inspection of fire-resistance-rated construction.

Report dated 9/12/2024 shows 6 deficiencies; system found in 'supervisor' mode.

Monthly activation test report and annual 90-minute test report (with 5 deficiencies) not provided.

Kitchen #K-1-15 receptacle shows signs of wear.

5th floor double doors by room 512 will not latch.

Sensitivity testing report not provided.

Facility lacks established schedule for annual fire door inspections.

Multiple instances of multi-plug or extension cord misuse in Wellness center, Laundry storage, and Front desk.

Missing 5-year internal pipe and FDC hydro testing reports; missing escutcheon in hallway by employee bathroom.

Monthly testing and maintenance schedule for CO alarms not documented.

First semi-annual hood cleaning report not provided.

Second semi-annual service report not provided.

#75 emergency light by room 215 fails to activate when test button is pushed.

1 of 2 staff (Staff F) lacked a valid WA state name/DOB background check updated every 2 years and documentation of national fingerprint check.

Hot water temperatures in 4 of 4 sampled resident apartments and 12 of 12 facility sinks were measured above the 120-degree Fahrenheit limit.

3 of 5 direct care staff did not meet training requirements (orientation, specialty training, 70-hour training, or First Aid/CPR).

14 of 14 rooms tested showed non-functioning ventilation systems, failing to provide air exchange to the outside.

3 of 3 newly hired caregivers did not complete required two-step TB skin testing.

3 of 7 staff responsible for food service did not maintain valid food handler's cards.

2 of 2 housekeeping staff were observed handling soiled laundry against their clothing, contrary to infection control standards.

Facility failed to ensure 100 residents resided in an environment approved by the State Fire Marshal; multiple fire safety violations identified including missing fire drills, no annual fire-rated construction inspection, fire door/latching issues, non-functional emergency lighting, and lack of required maintenance documentation.

Missing 3rd shift emergency evacuation drills for Quarters 1, 2, 3, and 4.

Fire alarm system found in 'Trouble' status.

Extension cord in use in 2nd floor med room.

Issue identified in 3rd floor telephone/data room.

Missing carbon monoxide alarm in commercial laundry room near fossil fuel burning appliance.

Facility lacks established schedule and records for annual inspection of fire-rated construction.

Required sensitivity testing paperwork not provided.

Open junction box found in kitchen office.

Multiple doors failed to latch or close, including fire doors on various floors, elevator doors, and wellness/theater doors.

Seven instances of non-functional emergency lighting found throughout the building.

Fire-rated construction breach observed in the 3rd floor telephone/data room.

Emergency lighting units not functional at various locations (e.g., 5th floor, 3rd floor, 2nd floor, parking garage).

Second semi-annual hood cleaning documentation not provided.

Fire alarm system found in trouble state.

Fire alarm circuit breaker in electrical room is missing required locking device.

Multiple fire doors throughout the facility are failing to latch or close automatically.

No record of annual fire door inspections; resident door 410 has a gap on top.

Facility lacks a schedule/inventory for annual inspection of fire-resistance-rated construction.

Sensitivity testing documentation not provided.

Missing annual inspection schedule for resident doors; resident door 410 has a gap on top.

Could not produce second hood cleaning record within 6 months of May 2022.

4th floor cross corridor fire doors did not close/latch from open position.

Annual fire alarm inspection did not include entire building.

Could not produce annual fire wall inspection.

Could not produce fire and smoke damper report.

Facility could not produce records for 3rd quarter (swing shift) and 4th quarter (all shifts) drills.

Could not produce annual fire door inspection.

Missing 5-year internal inspection, 3-year dry system trip test, forward flow test, and full building annual inspection.

Storage found within 36 inches of electrical panels in 4th floor electrical room and 2nd floor electrical room.

Resident rooms 410 and 317 held open with door stops.

Could not produce a heat survey.