Patriots Glen

Facility failed to ensure Washington State background checks for three private caregivers were maintained at the facility.

Facility failed to ensure 3 of 6 staff were screened for tuberculosis with an approved testing method within three days of employment.

Water temperature in four common bathroom sinks and one unoccupied resident apartment bathroom sink measured above 120 degrees Fahrenheit.

One pet lacked documentation of an annual exam.

Facility failed to post the assisted living facility license and most recent full inspection report in a clearly visible area.

No documentation for annual fire alarm testing or monthly smoke alarm testing.

Delayed egress doors missing required signage.

Unverified multi-plug adapters in rooms 216 and 145.

Extension cords used as permanent wiring in IT room and maintenance office.

No documentation for NFPA 25 hydrostatic test of Fire Department Connection.

Generator remote alarm panel bypassed; normal power light on transfer switch not illuminated.

Electrical outlet behind kitchen refrigerator missing faceplate.

Missing documentation for 3-year dry system test; missing/backwards sprinkler escutcheon plates.

Multiple exit signs failed to illuminate during activation test.

Missing Carbon Monoxide alarms in corridors/common areas.

Monthly maintenance missed for July; missing tamper seal at maintenance office.

Fire doors blocked open in rooms 222, 137, 134, and kitchen; hole in door 202.

No documentation for 12 months of semi-annual hood cleanings.

Private dining room door damaged; room 132 latch disabled.

Gas appliances on casters in kitchen lack required restraining device.

The licensee failed to ensure one staff completed all required training to perform their job duties and responsibilities.

The licensee failed to ensure one staff member was screened for tuberculosis (TB) with an approved testing method within three days of employment.

The licensee failed to ensure one staff completed all required training to perform their job duties and responsibilities.

Documentation for first and second semi-annual servicing not provided.

Hood filters found heavy buildup.

Damper report from 8/3/2023 showed deficiencies.

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

Facility failed to provide documentation or a schedule for annual inspection of fire-rated construction.

Annual forward flow test documentation not provided; loaded sprinkler heads observed in kitchen.

Facility failed to ensure 1 of 1 staff (Executive Director) completed a Washington State name and date of birth background check every two years.

Facility failed to provide an outdoor area protected from rain for memory care residents.

Facility failed to ensure laundry was handled in an environment that separated clean and dirty laundry, posing risk of cross-contamination.

Facility failed to get approval from Construction Review Services before cutting an opening into a fire-rated wall for a fish tank.

Facility failed to ensure the Memory Care unit medication room was locked and secured when left unsupervised.

Facility failed to implement the respiratory protection program for 3 of 10 sampled staff, increasing risk of infectious disease spread.

Cabinet found in memory care day room up against a turned on heater.

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

Missing documentation for 5-year internal pipe testing, 3-year dry system full flow trip test, annual forward flow test, 5-year backflow internal pipe test, 5-year FDC hydro testing, and quarterly inspections.

Penetrations found in 2nd floor electrical room and 1st floor electrical room.

Missing documentation for annual service, weekly inspections, and monthly 30-minute full load test or annual 4 hour load test for emergency power systems.

Blocked doorway between kitchen and dining room.

Missing documentation for first and second semi-annual hood cleaning.

Facility cannot provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months.

Electrical/Boiler room being used for storage.

2nd floor janitor door would not latch; missing annual inspection documentation.

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

Missing annual servicing documentation and monthly inspection log.

Carbon Monoxide Alarms and Detectors testing, maintenance and documentation not provided.

Missing documentation for semi-annual servicing, annual replacement of fusible links/auto sprinkler heads, and NAFED certification.

Power strip plugged into another power strip in memory care nurses office and memory care day room.

Facility needs to identify/establish a schedule for inspection of Fire-Rated construction and complete annual inspection.

O2 cylinders in resident rooms 212, 225, and storage room not properly secured.