Riverwest Senior Living

Facility failed to provide documentation of fire drills being conducted for day, swing, and night shifts for all quarters in the past 12 months.

Facility unable to provide documentation of annual fire door inspections within the past 12 months.

Facility unable to provide documentation of annual forward flow testing and quarterly fire sprinkler inspections for the 4th quarter within the past 12 months.

Combustible storage within 3' of electrical panel in Maintenance Room obstructing access.

Facility unable to provide documentation of monthly carbon monoxide alarm testing for the past 12 months.

Facility unable to provide documentation of 90-minute annual power test on battery back-up emergency lights and exit signs for the past 12 months.

Facility unable to provide documentation of fire-resistance rated wall inspections within the past 12 months.

Fire rated doors in ED Office and Assistant ED Office had magnetic hold open devices not connected to fire alarm; doors in Rooms 132, 114, and 104 were propped open with door stoppers.

Facility unable to provide semi-annual fire alarm inspection documentation; FACP breaker (#28) lacked lock; pull stations blocked in Breakroom and near Room 104.

Fire extinguishers behind the Reception desk and in the Boiler Room were missing monthly inspections on the tag.

Facility unable to provide documentation of 30-second monthly activation tests on battery back-up emergency lights and exit signs for the past 12 months.

Facility unable to provide documentation of weekly inspections, monthly 30-minute full load testing, and annual service/maintenance on emergency generator.

Facility failed to provide documentation of fire watch logs for the kitchen fire on October 5, 2025; failed to self-report fire alarm system out of service.

Facility failed to maintain the grease extractor on the MOTEX griddle appliance which was missing a lower grease extractor tray.

Facility failed to provide documentation of the UL300 commercial cooking system being restored to normal operations after the fire and failed to notify the AHJ.

Facility failed to provide documentation of scheduled cleaning logs completed by kitchen staff of appliances and cooking operations.

Facility failed to provide documentation of the service to the UL300 commercial cooking system, testing and maintenance, and restoring the system to service after the fire on October 5, 2025.

Facility failed to assign staff to Fire Watch duty that had no other duties.

The facility failed to notify the fire marshal of a fire alarm system outage observed on 10/29/2025. A fire watch was issued.

The facility failed to maintain the fire alarm system inspection, testing, and maintenance; the system was in trouble status on 10/29/2025.