Overlake Terrace

The facility successfully corrected previously identified medication service deficiencies.

Failed to assess 3 of 5 residents for safe and proper use of medical devices (bed rails); no documentation that residents were assessed for safety.

Audit identified staff needing specialized training, CPR, or continuing education.

Failed to ensure 4 of 4 staff members completed all required training (dementia/mental health specialty training, continuing education, and CPR/first aid).

Housekeeping carts were found unlocked/unsupervised; laundry detergent and hand sanitizer were found unsecured in a memory care apartment.

Housekeeping utility cart with hazardous chemicals left unlocked and unattended; hazardous chemicals found in unsecured cabinet in a memory care resident's apartment.

Apartments found without a lockable drawer, cupboard, or other secure space.

Bed side rails found to be loose, posing potential entrapment or injury risks.

Facility failed to provide lockable storage (at least 1/2 cubic foot) for 3 of 8 residents whose medications were stored in their apartments.

Failed to ensure medical devices (bed rails) for 2 of 5 residents were securely and safely installed and that risks were communicated.

Assessment and safety procedures for residents using bed side rails were inadequate.

Deficiency corrected

Deficiency corrected

Deficiency corrected

Deficiency corrected

Failed to update service plans for 2 residents; one resident's medical equipment was non-functional and staff were unaware of dietary needs.

Water temperatures in 7 of 7 sampled rooms/bathrooms were below the required 105-120 degrees F range.

Failed to ensure staff completed required nurse delegation training/credentials for residents requiring insulin administration.

Facility failed to keep the third-floor medication room door locked and secure. Multiple observations showed the door propped open or wedged, and medication refrigerators inside were found unlocked with controlled substances and insulin accessible to unauthorized individuals.

Failed to implement a Respiratory Protection Program including staff mask fit-testing.

Failed to administer a one-step TB skin test within three days of hire for staff member G.

Failed to administer initial two-step TB skin tests within three days of hire for 5 of 9 staff.

Failed to ensure 3 staff members completed updated Washington State background checks every two years.

The Department found that previously cited deficiencies for this regulation were corrected.

The licensee failed to ensure two staff members completed Nurse Delegation (ND) training and on-going oversight for four residents who required medication administration and/or insulin administration.

Facility failed to maintain the administrator of record's personnel file on-site. The records were kept at a corporate office in Utah.

The licensee failed to complete a Washington State name and date of birth background inquiry (BGI) for two staff members.

Combustible materials stored in 2nd floor stairwell; stairwell blocked.

Missing documentation for two semi-annual hood cleanings.

Missing documentation for 5-year pipe/backflow tests, annual forward flow test, and quarterly inspections.

Missing documentation for carbon monoxide detector testing.

Missing 4-year fire/smoke damper inspection documentation.

Carbon monoxide alarms and detectors testing, maintenance and documentation not provided.

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

Open junction boxes and wiring splices found in 1st floor maintenance office.

Double doors by rooms 278 and 107 failing to close/latch properly.

Missing annual report, sensitivity testing, nuisance logs, and monthly alarm test documentation.

Fire alarm circuit breaker in electrical room missing required locking device in 'ON' position.

Missing annual report, sensitivity testing, nuisance log, monthly alarm tests, and NICET/ES/NTS certification.

Missing annual service, weekly inspection logs, and monthly 30-minute full load test or annual 4-hour load test.

Use of prohibited multiplug adapters observed in sprinkler room and 2nd floor family adviser office.

Unprotected penetrations observed in 3rd floor storage room.

Kitchen fire extinguisher hung by a dry wall screw (improper mounting).

Missing annual 90-minute emergency light power test documentation.

Fire extinguisher in the kitchen is being hung by a dry wall screw.

Annual 90 minute power test not performed and documented.

Facility has not established a schedule for fire door inspections; annual inspection not performed.

Facility could not provide documentation for 12 planned/unannounced fire drills in the previous 12 months.

Missing inspection records for fire-resistance-rated construction; no established schedule for inspections.

Missing documentation for semi-annual servicing and annual replacement of fusible links/heads.

Missing 30-second monthly emergency lighting test logs; missing directional exit sign near room 275.

Missing documentation/schedule for annual fire door inspections.

30-second monthly activation testing not performed/documented; need to add emergency exit sign next to room 275.

Fire/smoke damper 4-year inspection not performed and documented.