Regency Newcastle

A fire occurred in the commercial dryer on the lower floor of the facility. The fire was likely caused by grease-loaded kitchen rags. The fire sprinkler system did not activate, and there was a partial evacuation. The fire department responded.

Staff E failed to obtain professional Home Care Aide certification by the deadline.

Staff E failed to complete 12 hours of required continuing education.

Facility failed to ensure 3 of 7 sampled staff were screened for TB within three days of hire.

Facility failed to integrate initial DSHS assessment for Resident 2 into the service plan, specifically regarding diabetic foot care.

Facility failed to maintain a dietary manual and make it available to food preparation staff.

Hazardous chemicals (cleaning supplies) were left unattended and unlocked in common areas.

Facility failed to assess Resident 4 for the safe and proper use of an assistive device (bed rail/bar).

Facility failed to ensure 1 of 6 sampled staff completed a timely national fingerprint background check.

Staff F failed to renew First Aid/CPR training certificate.

Staff failed to wash hands after handling soiled utensils/dishes and before handling clean items.

Facility failed to ensure staff received Developmental Disability Specialty Certification.

Non-functioning air exchange vents, broken window seals, and a tripping hazard at a patio entrance.

Facility failed to coordinate services for Resident 2 (diabetes management), Resident 8 (physician orders for medication and blood pressure monitoring), and Resident 9 (monitoring wrist pain).

Failed to provide annual fire-resistance-rated construction inspection records; noted wall/ceiling penetrations in laundry, nurse station, and storage.

Failed to provide documentation of kitchen hood cleaning twice a year.

Failed to provide various fire sprinkler reports; kitchen sprinkler head loaded with debris; riser room pressure valve needs 5-year test.

Failed to provide smoke detector sensitivity test records.

Improper use of extension cords in 2nd floor maintenance office, Room 104, Community Relations Director's office, kitchen, and garage.

Kitchen portable fire extinguisher mounted over 5 feet high.

Failed to provide annual/semi-annual fire alarm reports and monthly smoke alarm inspection reports.

Failed to provide documentation of bi-annual kitchen suppression system inspections.

Failed to provide annual fire door inspection; multiple doors failed to latch, missing door closers, or were obstructed by wedges.

Exit sign in garage is falling off; failed to provide monthly 30-second activation test logs.

Facility failed to provide documentation showing fire drills conducted once per shift per quarter for the last 12 months.

Failed to provide generator annual inspection, weekly inspection logs, and monthly full load test logs.

Failed to provide documentation of fire/smoke damper 4-year inspection.

Failed to provide annual 1.5-hour power test records for exit signs and emergency lights.

The facility failed to notify the agency responsible for paying for the care and services of two residents who were relocated to the hospital.

Blocked electrical panels found in kitchen.

Missing records for annual report, sensitivity testing, and monthly alarm tests. Grease-covered smoke detector found in kitchen.

Monthly 30-second activation testing documentation not provided.

Penetrations found on the 4th floor north side by room 424.

Emergency lighting in exercise room and physical therapy room did not work when tested.

Annual inspection of fire doors needs to be performed and documented.

Door wedges found holding multiple fire rated doors.

Second semi-annual service documentation not provided.

Missing documentation for first and second semi-annual hood cleaning; past due date sticker found on hood.

Missing records for annual service, weekly inspections, and monthly full load tests for emergency power systems.

Annual 90-minute power test documentation not provided.

Combustible materials found in ground floor stairwell #3.

Fire/smoke damper inspection needs to be performed and documented.

Missing records for annual report, dry system trip tests, and quarterly inspections. Multiple loaded sprinkler heads in kitchen and bent sprinkler head in 2nd floor laundry.

Multiple doors (4th floor electrical, rooms 432, 328, 200, and basement laundry) will not close and latch.

Missing documentation for annual inspection of fire-rated construction; facility needs to establish an inspection schedule.

Facility failed to complete a Washington state name and date of birth background inquiry every two years for 3 of 5 sampled staff (Staff E, Staff N, and Staff O).

Facility failed to ensure 1 of 7 dietary staff (Staff M) maintained a valid Food Worker Card.

Facility failed to obtain a complete family assistance medication management plan for 1 of 1 sampled resident (Resident 7) receiving outside assistance.

Facility failed to update the Negotiated Service Agreement (NSA) for 4 of 9 sampled residents.

Facility failed to assess and document use of a medical device (bed enabler) for Resident 6, and failed to document medical needs and possible interventions for Residents 7 and 10 with specific medical conditions (seizure/epilepsy disorders).

Facility failed to ensure 7 of 7 sampled care staff completed required training, including first aid and annual continuing education.

Facility failed to test 2 of 2 sampled staff (Staff D and Staff G) for tuberculosis within three days of employment.

Facility failed to assess and implement nurse delegation services for 3 of 3 sampled residents regarding medication and treatment administration.

Facility failed to complete the required one test for tuberculosis for 2 of 2 sampled staff (Staff B and Staff H) who had a history of a negative TB test.

Facility failed to update Negotiated Service Agreements (NSA) for 2 sampled residents, leaving them at risk for unmet care needs. Specifically, Resident 1's service plan lacked details on adverse effects for not using a C-PAP machine, and Resident 9's service plan failed to document the use of an alternating pressure mattress and Roho cushion or provide caregiver instructions.

Facility failed to implement the respiratory protection program (RPP) during a COVID-19 outbreak; 30 of 30 sampled staff lacked required training, medical evaluations, and respirator fit testing.

Facility failed to notify the Department in writing within 10 days of the change in the assisted living facility administrator.

The licensee failed to update the Negotiated Service Agreement (NSA) for two residents, placing them at risk for unmet care needs.