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.

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.

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 residents 10 and 13 regarding blood sugar checks and insulin administration by unlicensed staff.

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 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 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 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.

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

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

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

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included: uncorrected annual inspection issues, failed 3-year dry system test, paint on head near room 214, and outdated 2012 sprinkler head in refrigerator/freezer.

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

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

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

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

Combustible storage found in mechanical room near 39.

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

Grease filter missing in EAL kitchen hood system.

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

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

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

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.

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

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

Extinguishers in memory care kitchen and main kitchen are blocked.

Pool equipment room extinguisher not mounted per instructions.

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

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

Two cross corridor doors required excessive force to open.

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

Trash chute door near 233 does not close and latch.

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

CO2 cylinders in EAL kitchen not secured.

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

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

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

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

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

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

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

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

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.

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

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.

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

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

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

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

CO2 cylinders in room EAL kitchen not secured.

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.

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

Pool equipment room fire extinguisher not mounted per manufacturer instructions.

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

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

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.

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

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

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.

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

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

Missing grease filter in the EAL kitchen hood system.

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

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

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

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

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.

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

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

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

Extinguisher in pool equipment room not mounted correctly.

Missing or incorrect emergency exit door signage in memory care.

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

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.

Combustible storage found in the mechanical room near 39.

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

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

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

Trash chute door near 233 does not close and latch.

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

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

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

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

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

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