Quail Park of Lynnwood

Facility failed to implement systems for safe medication services; unauthorized staff were dispensing and crushing medications for a resident without proper nurse delegation in place, and a licensed nurse was not consistently available.

The facility failed to ensure the Negotiated Service Agreement (NSA) was updated to reflect the current health status and service needs of 4 of 6 sampled residents (Residents 4, 8, 10, and 12).

Facility failed to ensure nurse delegation was in place for residents 10 and 13 regarding blood sugar checks and insulin administration by unlicensed staff.

The facility failed to ensure a diet manual was available or used by staff for food preparation, placing residents at risk of not receiving diets that met required nutritional standards.

Facility failed to implement systems supporting safe medication services for residents 6, 10, and 13, including missed medication doses, incorrect duration of treatment, and lack of clarity on sliding scale insulin orders.

Facility failed to maintain accurate documentation in Medication Administration Records (MARs) for residents 6, 7, 10, and 12, resulting in incomplete and inaccurate records.

The facility failed to complete full assessments within 14 days of move-in for 2 of 2 sampled residents (Residents 10 and 12).

Facility failed to ensure nurse delegation was in place for two residents receiving blood sugar checks and medication administration by unlicensed staff, placing residents at risk of complications.

Deficiencies for this regulation were corrected.

CO2 cylinders in EAL kitchen not secured.

Extinguisher in memory care kitchen needs hydro test; main kitchen K-type missing seal; monthly/annual maintenance logs missing.

3 egress lights failed test; 1 exit combo unit failed test.

No documentation for 12 drills/year; facility only doing night shift training; no swing shift drills.

Fire doors in 10 resident rooms were blocked open by wedges.

Battery replacement needed; no records for weekly inspections, annual load bank test, or 36-month continuous test.

Excessive force required for cross corridor doors near 2nd floor med room and room 28.

2 smoke detectors missing in room 227; fire alarm panel breaker missing locking device.

Extinguishers in memory care kitchen and main kitchen are blocked.

Two cross corridor doors required excessive force to open.

Sprinkler head in refrigerator obstructed by boxes/food; sprinkler head in hallway recessed.

Deficiencies in annual sprinkler inspection; no record of 3-year dry system full flow trip test; painted sprinkler head; expired dry sprinkler head in walk-in.

Sprinkler deficiencies included: uncorrected annual inspection issues, failed 3-year dry system test, paint on head near room 214, and outdated 2012 sprinkler head in refrigerator/freezer.

Trash chute door near 233 does not close and latch.

Kitchen suppression system yellow tagged; 5 UL 300 compliant systems have 450 degree links with no heat test evidence.

Multi-plug adapters without overcurrent protection in use in memory care TV rooms.

Emergency exit doors in memory care missing required signage or have incorrect code signs.

No documentation for annual testing of rolling fire doors in memory care kitchen areas.

Combustible storage found in mechanical room near 39.

Extinguisher in memory care kitchen yellow-tagged; K-type extinguisher missing tamper seal; annual maintenance not completed in pool equipment room.

Sprinkler head in hallway near 159 was recessed in ceiling preventing proper water flow.

Fire rated cross corridor door near room 6 and resident room 150 failed to close and latch from fully open position.

Grease filter missing in EAL kitchen hood system.

No documentation provided for annual testing of rolling fire doors in memory care kitchens.

Memory care kitchen suppression system yellow-tagged; kitchen systems using 450 degree fusible links without evidence of heat test.

Memory care emergency exit doors missing required code posting or had incorrect codes posted.

4 fire doors/cross corridor doors failed to close and latch.

Pool equipment room extinguisher not mounted per instructions.

Fire rated cross corridor door near room 6 and resident room 150 fire door would not close and latch from fully open position.

Sprinkler head in the hallway near 159 was recessed in the ceiling preventing proper water flow pattern.

Generator battery needs replacement; missing weekly inspection documentation; load bank test did not meet required 30% nameplate capacity; missing 36-month 4-hour test documentation.

Pool equipment room fire extinguisher not mounted per manufacturer instructions.

Facility unable to provide documentation for annual testing of rolling fire doors in two memory care kitchen areas.

Fire rated cross corridor door near 2nd floor med room and room 28 required excessive force to open.

CO2 cylinders in room EAL kitchen not secured.

Emergency exit doors in memory care missing required signage or have incorrect codes posted.

Battery needs replacement; missing weekly inspection logs; missing annual 1.5 hour load bank test; missing 36 month 4 hour continuous test.

2nd floor memory care kitchen suppression system yellow tagged; no evidence of proper heat test for 5 UL 300 compliant systems.

Protective door to trash chute near 233 does not close and latch properly.

Missing documentation for 12 fire drills; not conducting swing shift drills; only training for night shift.

Fire rated cross corridor doors near 2nd floor med room and room 28 require excessive force to open.

Emergency exit doors in memory care missing required signage or have incorrect codes posted.

Emergency egress light failures near rooms 352, 355, 365; emergency light/exit sign combo near therapy room did not illuminate during test.

1st floor memory care extinguisher yellow tagged; K-type extinguisher missing tamper seal; annual maintenance for pool room extinguisher not completed.

2 missing smoke detectors in room 227; power breaker #30 in panel ACA for fire alarm system missing locking device.

Portable fire extinguishers blocked in memory care kitchen and main kitchen.

Annual inspection had uncorrected deficiencies; missing 3-year dry system test docs due to failed accelerator; painted sprinkler head near room 214; expired sprinkler head in walk-in refrigerator/freezer.

Yellow tagged memory care kitchen extinguisher needs hydro test; missing tamper seal on K-type extinguisher; monthly maintenance for phase 2 FACP room and annual maintenance for pool equipment room not completed.

Sprinkler obstruction in walk-in refrigerator and recessed sprinkler head in hallway near 159.

Extinguisher in pool equipment room not mounted correctly.

Extinguishers in 1st floor memory care kitchen and main kitchen are blocked.

Combustible storage found in the mechanical room near 39.

Facility was unable to provide documentation for the annual testing of rolling fire doors located in two memory care kitchen areas.

Missing grease filter in the EAL kitchen hood system.

Failures in emergency egress lighting near 352, 355, 365, and near therapy room.

CO2 cylinders in EAL kitchen and other tanks not secured against falling.

Fire rated cross corridor doors near 2nd floor med room and room 28 required excessive force to open.

Excessive force required to open cross corridor doors near 2nd floor med room and room 28.

Extinguisher in 1st floor memory care kitchen yellow tagged; K-type extinguisher in main kitchen missing tamper seal; annual maintenance not completed for pool equipment room extinguisher.

10 resident room fire doors (381, 4, 168, 170, 171, 174, 175, 179, 180, 127) blocked open by wedges.

Missing battery replacement records, inspection records, and load bank/continuous test documentation for generator.

Emergency exit doors in memory care missing required signage or have incorrect codes posted.

Generator maintenance: battery needs replacement; missing weekly inspection docs; missing annual 1.5-hour load bank test; missing 36-month 4-hour continuous test.

Memory care kitchen suppression system yellow-tagged; no evidence of heat tests on UL 300 systems.

The fire rated cross corridor door near room 6 and resident room 150 fire door would not close and latch from the fully open position.

Uncorrected deficiencies from annual inspection, no 3-year flow test record, painted head near 214, and expired sprinkler head in cold storage.

Deficiencies noted in annual sprinkler system inspection not corrected; no documentation for 3-year dry system full flow trip test; sprinkler head near 214 had paint; old sprinkler head (2012) found in walk-in cooler/freezer.

Missing smoke detectors in room 227; missing locking device on panel ACA.

Multi-plug adapters without over-current protection in use in memory care TV rooms.

There was a sprinkler head in the hallway near room 214 that had paint on the head and must be replaced.

Missing or incorrect emergency exit door signage in memory care.

Trash chute door near 233 does not close and latch.

Yellow-tagged extinguisher, missing tamper seal, and missed required maintenance inspections.

The sprinkler head in the hallway near 159 was recessed in the ceiling which would prevent proper water flow pattern.

Missing documentation for 12 annual drills; only conducting night shift drills; failing to conduct swing shift drills.

4 doors (room 328, 355, near room 2, and 150) would not close/latch from fully open.

The 2nd floor memory care kitchen suppression system was yellow tagged. All 5 UL 300 compliant kitchen suppression systems have 450 degree fusible links installed with no evidence of a proper heat test.

No documentation for annual testing of rolling fire doors in memory care kitchen areas.