Rock Cove Assisted Living

The facility failed to maintain compliance with state fire marshal requirements, specifically regarding excessive gaps in fire doors and outstanding hood inspection requirements.

Failed to obtain prescribed medications in a timely manner (Resident 5).

Facility failed to complete the negotiated service agreement (NSA) within 30 days of admission for 2/3 sampled residents.

Facility failed to complete TB testing within three days of hire for 3/3 sampled staff members.

Failed to meet nurse delegation requirements for insulin administration; 3 of 5 staff were not properly supervised or evaluated.

Failed to complete WA state background check for Staff A and national fingerprint checks for Staff A, C, E, and F.

Facility failed to maintain an accurate characteristic roster for 5/7 residents, including documentation of ADL needs, nurse delegation, medical devices, and health status.

The facility failed to ensure a Medicaid policy was completed or documented for 3 of 7 sampled residents (Residents 3, 5, and 7).

Facility failed to ensure compliance with multiple areas including assessments, service agreements, medication services, background checks, training, TB testing, pets, and resident rights.

Staff A, C, and D lacked documentation of required orientation, safety, specialty, first aid, and CPR training.

Facility failed to document in the NSA the plan to provide specific identified care and service needs (pain management, nail care, infusion therapy) for 3/7 residents.

Failed to implement systems for safe medication services; medications not given as ordered, no documentation for gaps, and expired medication found in cart.

Facility failed to complete full assessments within 14 days for 3/7 residents and failed to complete assessments for other safety considerations (medical devices, self-administration of meds) for 4/7 residents.

Facility failed to ensure pets had regular examinations, immunizations, and certification of being free of disease transmittable to humans (1 feline had expired rabies vaccine since 2015).

The facility failed to provide accurate and timely documentation when requested by the department during the full licensing inspection; the Executive Director stated, 'I am trying, I just don't know how to do it.'

Facility failed to implement systems for safe medication services; four residents had medications not given with no documentation, and expired medications were found on a medication cart.

Kitchen fire sprinkler heads dirty; piping found to be pushing sprinkler head and offsetting it.

Signage missing on exhaust hood indicating type and arrangement of appliances protected by system.

Facility failed to provide monthly carbon monoxide detector testing.

Facility failed to conduct required fire drills for quarter 1 swing night shift, and all shifts for quarters 2, 3, and 4.

Extension cord for shed being used as permanent wiring.

Facility failed to provide monthly emergency light testing for 30 seconds.

Facility failed to provide 6 month hood cleaning.

Facility fire doors found to have excessive gap throughout (including resident room doors).

Failed to provide semi-annual hood suppression system inspection and strain protection needs to be reattached on cooking equipment.

Fire extinguishers in kitchen missing monthly inspections.

Facility failed to provide annual fire resistance-rated construction inspection.

Facility failed to provide annual emergency light testing.

Extension cord for shed being used as permanent wiring.

Kitchen fire sprinkler heads found to be dirty; piping pushing sprinkler head lower, exposing piping and offsetting head.

Facility failed to provide monthly carbon monoxide detector testing.

Facility failed to provide annual fire of fire resistance-rated construction inspection.

Failed to provide semi-annual hood suppression system inspection; kitchen cooking equipment strain protection must be reattached.

Facility failed to provide annual emergency light testing.

Facility failed to provide 6 month hood cleaning.

Missing required signage on exhaust hood/cabinet indicating type and arrangement of appliances.

Facility failed to provide emergency light testing monthly for 30 seconds.

Fire doors found to have excessive gaps throughout, including resident room doors.

Fire extinguishers in kitchen missing monthly inspections.

Facility failed to provide fire drills for multiple shifts across all four quarters.

Failed to provide 6 month hood cleaning.

Missing required signage on exhaust hood/system cabinet.

Failed to provide monthly emergency lighting tests.

Extension cord used for shed as permanent wiring.

Failed to provide annual fire resistance-rated construction inspection.

Fire doors found to have excessive gaps throughout, including resident room doors.

Kitchen fire extinguishers missing monthly inspections.

Kitchen sprinkler heads dirty; piping pushing sprinkler heads.

Failed to provide semi-annual hood suppression system inspection; kitchen strain protection not reattached.

Failed to provide annual emergency lighting power test.

Failed to provide monthly CO detector testing.

Failed to provide fire drills for multiple quarters and shifts.