Ruthaven Alf LLC

Second semi-annual hood cleaning report missing hinge deficiency notation.

Missing 5-year internal pipe test, annual forward flow test, and 5-year FDC hydro test; painted sprinkler heads observed in dining room/kitchen, outside room 102, and hair salon.

Laundry/garage door will not close and latch.

Emergency light by room 104 hanging by wires.

Smoke detector sensitivity report not provided.

Fire/smoke dampers inspection not performed or documented.

Second semi-annual service report not provided.

Missing semi-annual report; smoke detectors missing or hanging in downstairs space.

Missing annual service report, logs of weekly inspections, monthly 30-minute full load tests, diesel fuel testing report, and 4-hour load test.

Missing documentation/maps of fire-rated construction and annual inspection reports.

Missing documentation/maps of fire door locations and annual inspection reports.

The facility failed to ensure 1 of 6 sampled staff (Staff E) completed a Washington State Name and Date Background Check every two years and failed to complete a national fingerprint background check for 2 of 6 sampled staff (Staff C and Staff D).

Facility failed to complete pre-admission assessments for 3 of 5 sampled residents (Resident 1, Resident 3, and Resident 4).

Improper sanitation equipment and chemical storage in the kitchen.

The facility failed to maintain records of certification and credential requirements and continuing education training for staff who provided care and services.

Kitchen surfaces and equipment were dirty with grease and grime accumulations; hazardous chemicals stored improperly.

Mechanical ventilation systems in 4 of 4 bathrooms were not functioning to exchange air.

Facility failed to ensure 1 of 6 sampled staff members was screened for tuberculosis within three days of hire.

Facility failed to maintain and post the most recent assisted living license and the most recent full inspection report.

Facility failed to maintain on-site food services in compliance with health codes.

Failure to manage food services and maintain proper food sanitation/temperature oversight.

Facility failed to document care needs and interventions (epilepsy, colostomy, diabetes) for Resident 1 and Resident 4 in their Negotiated Service Agreements.

Facility failed to maintain proper daily controlled substance count records; 228 shifts were missing staff signatures.

Facility failed to complete an annual assessment for 2 sampled residents (Resident 2 and Resident 5) and a change of condition assessment for 1 sampled resident (Resident 1) regarding their colostomy and bedrail use.

Second semi-annual hood cleaning report was missing, and the report showed a deficiency regarding a missing hinge.

Facility failed to provide the required second semi-annual fire-extinguishing system service report.

Emergency light by room 104 is hanging by its wires.

Missing annual service report, weekly inspection logs, monthly 30-minute full load test, diesel fuel testing report, and 4-hour load test records.

Facility did not provide detailed documentation and maps of fire-rated construction locations and maintenance/inspection records.

Facility did not provide detailed documentation and maps of fire door locations and annual inspection records.

Fire/smoke damper inspection documentation was not provided.

The laundry/garage door will not close and latch.

Missing semi-annual report; missing or hanging smoke detectors observed in the downstairs space.

Missing 5-year internal pipe testing, annual forward flow test, and 5-year FDC hydro testing reports. Additionally, painted sprinkler heads were observed in dining room/kitchen, outside room 102, and outside hair salon.

Smoke detector sensitivity report was not provided.

Unable to provide record of annual fire alarm system inspection.

Unable to provide documentation for annual, quarterly, 5-year, and forward flow sprinkler testing.

Facility staff do not sound the fire alarm during fire drills.

Unable to provide inventory record of annual inspection/repairs for fire-resistant doors.

Unable to provide documentation for monthly 30-second testing of emergency lighting for past 12 months.

Unable to provide semi-annual service reports for kitchen suppression system.

Dirty sprinkler head in the kitchen by the hood.

Clearance in front of electrical panels in the garage not maintained.

Unable to provide documentation for annual 90-minute battery test.

Missing swing and NOC shift documentation, and missing 3rd quarter fire drills.

Unable to provide documentation for annual hood cleaning.

Sprinkler box only contained 4 spare heads instead of the required 6.

Unable to provide documentation of FDC hydro testing.

Facility failed to provide required shower assistance to Resident 5 as agreed upon in the service plan.

Facility failed to provide activities to 13 of 13 residents; no activity calendar posted; activities listed on calendars were not provided; residents and staff confirmed lack of activities.

Facility failed to renew the assisted living facility license.

Facility failed to submit background check requests for 3 of 7 staff and 1 of 1 contracted staff within one business day.

Facility failed to ensure 4 of 6 sampled staff were properly tested for tuberculosis.

Facility failed to disclose Medicaid policy and maintain signed documentation for 13 of 13 residents.

Facility failed to train 6 of 6 staff on the respiratory protection program policy.

Exhaust air vents in the laundry room, common bathroom, and Apartment 106 were non-functioning; missing window screen in Apartment 106.

Facility failed to post a current assisted living facility license.

Facility failed to ensure 1 of 6 care staff was screened for tuberculosis within three days of hire.

Facility failed to implement medication/treatment regimen for Resident 2 as agreed upon in service plan; staff failed to administer insulin as ordered.

Facility failed to update Negotiated Service Agreements (NSA) for Residents 2 and 5 to reflect actual care needs, including range of motion, insulin administration, and medication side-effect guidance.

Facility was unable to provide documentation for their forward flow test.

Facility was unable to provide service reports showing that the kitchen suppression system has been serviced annually and semi-annually in the past 12 months.