Patriots Glen

One pet lacked documentation of an annual exam.

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

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

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

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

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

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

Electrical outlet behind kitchen refrigerator missing faceplate.

Gas appliances on casters in kitchen lack required restraining device.

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

Delayed egress doors missing required signage.

Unverified multi-plug adapters in rooms 216 and 145.

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

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

Multiple exit signs failed to illuminate during activation test.

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

Private dining room door damaged; room 132 latch disabled.

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

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

Missing Carbon Monoxide alarms in corridors/common areas.

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 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.

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.

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

Hood filters found heavy buildup.

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

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

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

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

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

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

Electrical/Boiler room being used for storage.

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

Missing annual servicing documentation and monthly inspection log.

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

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

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

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

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.

Blocked doorway between kitchen and dining room.

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

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

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

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

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

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

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

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