Red Oak Residence of North Bend

Facility failed to assess and update the service plan for Resident 2, specifically regarding medical equipment (air pump/mattress) and bed rails.

Facility failed to ensure intradermal TB tests were read within 48-72 hours after administration for staff.

Facility failed to ensure safe wound management was provided; unlicensed care staff performed wound care without proper nurse delegation.

Facility failed to complete a WA State name and date of birth background check every two years for 1 of 2 sampled staff (Staff F).

Facility failed to ensure staff completed the National Fingerprint background check within 120 days during provisional hire; Staff A worked 174 days before completion.

Facility failed to ensure a new staff member (Staff A) completed a one-step TB test within three days of hire despite a previous negative blood test.

Extension cord routed under the door to the first floor mechanical room.

Unable to provide documentation that the annual fire resistance rated construction material inspection has been completed.

Missing annual fire door inspection documentation; room doors 115, 303, and 305 were blocked open.

Fire rated cross corridor door near room 308 was dragging and would not close/latch.

Unable to provide documentation for monthly single station smoke alarm testing.

Fire department connection not visible from the street; signage required.

Shrubbery obstructing working clearance of 36 inches around the fire department connection.

Unable to provide documentation for 5-year hydrostatic test of dry standpipe system.

Deficiencies in emergency lighting in main hallway, hallway near 309, and near 302.

No exit sign above main entry door near office.

Exit signs in west and east side stairwells failed testing.

Improperly conducted drills during shift changes; missing required 12 drills in previous 12 months.

Facility failed a second State Fire Marshal inspection on 10/03/2024, identifying multiple fire safety violations and failing to meet required fire safety regulations for 11 of 11 residents.

Facility unable to provide documentation for their forward flow test.

Facility unable to provide a correction report for their kitchen suppression system; current report shows deficient exhaust fan operation upon system activation.

Facility does not have a lockout device on the fire alarm breaker in the kitchen to lock it in the 'ON' position.

Hot water temperatures in 5 of 5 sampled sinks were above the 120F maximum limit.

Facility failed to ensure Staff B was screened for tuberculosis within three days of employment.

Facility failed to prominently post the toll-free telephone number for reporting abuse and neglect in a conspicuous place.

Facility failed to ensure Staff A and Staff C completed facility orientation.

Facility failed to update the Individual Service Plan (ISP) for Resident 2, specifically missing diabetic documentation and instructions.

Facility failed to ensure residents could review the last DSHS inspection report.

Facility failed to ensure Resident 3 had prescribed Aspercreme lidocaine patches available and administered as ordered.

First and third floor laundry room ventilation systems were non-functional.

Facility failed to assess the ability of Resident 2 to self-administer medications.

Facility failed to correctly document medication administration for Resident 3.

Combustible materials stored in 1st floor east stairway (as of 6/26/23).

Unprotected penetrations in 3rd floor electrical room, 2nd floor electrical room, and new wifi cabling installations through fire walls (as of 6/26/23).

Missing fire alarm documentation: annual report, sensitivity testing, nuisance log, alarm testing, and certifications.

Extension cords stapled to exterior of building and used across entrance (as of 6/26/23).

Fire doors failing to close and latch automatically in 3rd floor library, resident room 113, and resident room 115 (observed 6/26/23 and 8/2/23).

Emergency lighting/illumination issues identified in South Stairwell (2nd/3rd floor) and East Stairwell (1st floor).

Required semi-annual hood cleaning records not provided (as of 6/26/23).

Missing required sprinkler system testing and inspection paperwork (internal pipe, flow test, backflow, FDC hydro, quarterly inspections).

Lack of required 4-year fire/smoke damper inspection and annual fire door inspection documentation.

Lack of required documentation and annual inspection schedule for fire-resistance-rated construction (as of 6/26/23).

Missing documentation for semi-annual servicing, fusible link replacement, and NAFED certification.

Facility failed a second State Fire Marshal inspection and was out of compliance with required fire safety regulations.

Annual inspection documentation for fire-resistance-rated construction not provided.

Missing documentation for semi-annual servicing, annual fusible link/sprinkler head replacement, and NAFED certification.

Combustible materials stored in 1st floor east stairway (as of 6/26/23).

Unprotected penetrations in 3rd floor electrical room, 2nd floor electrical room, and areas with new wifi cabling.

Missing documentation for annual report, sensitivity testing, nuisance log, monthly alarms test, and NICET/ES/NTS certification.

Extension cords found running from electrical room under door and stapled to exterior; extension cord used across entrance.

Fire doors failing to close and latch automatically in 3rd floor library, resident room 113, and resident room 115.

Issues with emergency illumination in South stairwells (2nd/3rd floor) and East stairwell (1st floor).

Required semi-annual hood cleaning documentation not provided.

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

Missing documentation for 4-year fire/smoke damper inspection and annual fire door inspection/testing schedule.