Mountlake Terrace Plaza

The licensee failed to protect and promote resident rights for one resident, resulting in the resident not being permitted to return to their home for 19 days.

The facility failed to protect and promote resident rights when it did not permit a resident to return to the facility, resulting in the resident being unable to return to their home for 19 days. The facility demanded 24/7 one-on-one care without performing a proper assessment.

Failed to complete ongoing focused assessments for self-medication administration for 3/3 sampled residents (Residents 1, 3, and 7).

Failed to ensure negotiated service agreements (NSPs) were signed annually by the resident or their representative for 3/10 sampled residents.

Facility failed to obtain Resident 6's prescribed medications in a timely manner, resulting in missed doses over several months.

Facility did not maintain a sufficient emergency supply of water for 79 residents.

Facility failed to document duration of electronic monitoring or have a quarterly evaluation and signed consent for Resident 10, who had two video cameras in their apartment.

Facility failed to ensure safe medication systems; Resident 5 did not receive medication as prescribed; Residents 2 and 9 had unsecured medications in their rooms.

Failed to investigate and document actions/findings for unwitnessed falls for 3/3 residents (Residents 5, 7, and 9).

Facility failed to ensure Negotiated Service Agreements were signed annually for 3 of 10 sampled residents (Residents 1, 2, and 10).

Failed to ensure 14-day assessments were completed for 4/4 sampled residents; failed to complete annual assessment for Resident 6; failed to perform safety assessment for medical devices (side rails/bed canes) for Resident 2.

Failed to properly date mark ready-to-eat foods and failed to maintain proper refrigeration temperatures (41°F or below) for cold food items.

Facility failed to ensure a wet mop was stored in an acceptable manner to prevent bacterial growth.

Corrected

Facility unable to provide documentation for 4-year fire and smoke damper inspection. Several dampers could not be repaired and require replacement.

Corrected

Corrected

Corrected

Corrected

Corrected

Corrected

Corrected

Corrected

The facility failed to pass the required Fire Marshal safety inspection regarding fire and smoke damper maintenance.

Breaker missing in electrical panel K2 without protective coverings.

Unable to provide documentation for 4-year fire and smoke damper inspection.

Combustible material stored against gas furnaces in 3rd floor storage room.

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

Unable to provide documentation for monthly activation testing of emergency lights.

Extension cords utilized as permanent wiring in room 321, activities room, kitchen (microwave), and kitchen (gas oven).

Sprinkler head in bathroom of room 219 has paint on the head.

Combustible storage within 18 inches of sprinkler head in 3rd floor storage room.

Fire doors in room 321, room 113, and cross corridor near room 211 failed to close and latch.

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

Licensee failed to evaluate and notify the prescribing physician when one resident refused their medication. This is an uncorrected deficiency previously cited on July 29, 2024.

Licensee failed to ensure the Negotiated Service Agreement (NSA) contained information to meet the care needs for two residents. This is an uncorrected deficiency previously cited on July 29, 2024.

Licensee failed to use an appropriate tool to assess special needs related to dementia for one resident. This is an uncorrected deficiency previously cited on July 29, 2024.