Ovenell Home Alf INC

Room 11 had unfused power strip in use.

Class K extinguisher in kitchen was not attached to wall.

Facility failed to provide documentation for fire drills for the last 2 quarters of 2024.

Room 11 missing outlet cover.

Fire extinguisher in back room near exit is installed at improper height.

Room 6 emergency exit was obstructed by bed.

Gas fired stove was not attached to wall.

Fire alarm panel was in trouble status.

Kitchen sprinkler head had large amount of grease; spare sprinkler head box contained all used heads.

Facility failed to provide documentation that a 90 minute annual test had been performed on emergency lighting.

Facility failed to complete a character, competence and suitability (CCS) review for 1 staff with reported criminal information.

Facility failed to complete a full assessment for 2 of 2 newly admitted residents within 14 days of admission.

Facility failed to provide a written disclosure of their Medicaid policy to 5 of 5 residents.

Facility failed to complete Washington state background check for 1 staff and national fingerprint checks for 2 staff.

Deficiencies in staff completion of Orientation, Basic training, Mental Health specialty training, hands-on CPR/First Aid training, continuing education, and HCA certification.

Facility failed to obtain annual resident signatures on Negotiated Service Agreements for 3 of 5 residents (Residents 2, 4, and 5).

Facility failed to ensure 3 of 5 staff were screened for tuberculosis within three days of hire.

Facility failed to complete full annual assessments for 3 of 4 residents (Residents 2, 4, and 5).

Facility failed to ensure proper hand hygiene/glove use during food prep and failed to ensure staff had current food worker cards.

Facility failed to ensure 1 of 7 staff had a current Washington state name and date of birth background check.

Facility failed to ensure 2 of 5 staff completed a two-step TB skin test.

Facility failed to include interventions for specific behaviors and preferences for activities in service agreements for 5 of 5 residents.

Facility failed to complete preadmission assessments for 2 of 2 newly admitted residents (Residents 3 and 6).

Facility failed to ensure staff completed required orientation, safety, basic, mental health specialty, OSHA-approved CPR/First Aid training, annual continuing education, and Home Care Aide certification.

The facility failed to provide 30 days notice or a safe discharge plan for a resident, resulting in the resident becoming homeless.

Facility failed to maintain menus for 6 months, served the same meals in a 2-week cycle, and did not have a Registered Dietitian approve menus, placing residents at risk for nutritional issues.

Facility failed to provide documentation for annual and quarterly sprinkler system inspections.

Multi-plug adapter without overcurrent protection was in use in the kitchen.

Missing documentation for 12 months of drills; drills are being simulated rather than performed properly; participation lists do not include all staff on duty.

Facility failed to provide documentation for the annual fire alarm system testing.

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

Facility failed to document and thoroughly investigate a missing resident, including details of the occurrence, how abuse/neglect was ruled out, and preventative interventions.

Facility failed to report to Law Enforcement and the Department when a resident went missing overnight.

Facility staff administered eye drops and insulin injections to a resident without proper training or nurse delegation.

Facility failed to perform daily wound observations for 21 days for a resident with open wounds, resulting in the amputation of both big toes.

Facility failed to maintain an inactive record for a resident, resulting in a lack of wound care progress notes.