Quail Park Memory Care Residences of West Seattle

Housekeeping cart was left unattended and unlocked in the hallway, containing various cleaning products, posing a risk to residents with dementia.

Service Plans for 2 of 7 sampled residents were not updated: one lacked interventions for wounds and fall risk, another lacked a seizure plan.

Ready-to-eat food in 3 of 3 refrigerators (floors 2, 3, and 4) was not labeled or dated; expired food items were also found.

The facility failed to notify local law enforcement of a suspected physical altercation between two residents (Resident 1 and Resident 2).

The facility failed to implement the Negotiated Service Agreement for a resident returning from the hospital. Due to a communication failure, the resident was left unattended without care, medications, or breakfast until noon the following day, resulting in incontinence.

Failed to ensure safe medication services for 3 residents; missing parameters for holding medications and improper administration documentation.

Failed to develop and document the roles and responsibilities of a hospice bath aide in the Negotiated Service Agreement for Resident 7.

Failed to follow nurse delegation requirements; non-licensed staff were crushing and administering medications without proper training/oversight.

Three newly hired staff members did not receive facility orientation before interacting with residents.

Failed to ensure 2 of 3 sampled newly hired staff received tuberculosis skin tests within three days of employment.

Failure to ensure food safety practices: lack of thermometers in floor refrigerators; staff handled ready-to-eat food with bare hands; staff failed to sanitize hands between handling dirty dishes and serving food.

Failed to ensure consistent and accurate documentation in the Medication Administration Records (MARs) for 4 residents.

Facility unable to provide documentation for annual fire door inspection.

In the first floor electrical room, there is storage obstructing the required 3 feet of clearance in front of service panels.

Facility unable to provide documentation for monthly single station smoke alarm testing.

Kitchen fire doors on each floor blocked; second floor electrical room egress path blocked by a planter.

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

Facility failed to provide documentation for unannounced fire drills for one shift per quarter for the previous 12 months.

Missing monthly CO detector testing documentation; facility needs to install additional CO detection in hallways due to natural gas heating units.

Missing required signage on exhaust hood indicating type and arrangement of appliances protected.

Sprinkler heads in cooler and freezer are due for replacement per NFPA 25.

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

Facility unable to provide documentation for annual fire wall inspection.

Facility is using multiple plug adapters without overcurrent protection.

Second floor therapy room has an extension cord daisy-chained with a multi-plug surge protector.