Scriber Gardens LLC

Failed to notify Construction Review Services prior to closing the main kitchen for remodeling and installing new equipment.

Failed to post or deliver a menu one week in advance and failed to provide required dedicated sinks for food preparation.

Lacked separate, designated sinks for handwashing, rinsing utensils, and food preparation in the makeshift kitchen.

Facility used portable propane stoves with open flames for cooking in an activity room during kitchen remodeling, creating fire and carbon monoxide hazards.

Facility was unable to provide documentation for the semi-annual hood cleaning.

Facility was unable to provide documentation for the semi-annual kitchen suppression system servicing.

Throughout the facility, a number of fire and smoke doors were found propped open.

Facility failed to ensure 2 of 4 staff members completed tuberculosis testing within three days of hire, placing residents at risk of exposure to a communicable disease.

Facility failed to ensure 2 of 2 staff members had valid Washington State name and date of birth background checks completed every two years.

Failed to develop and implement safe medication services for 5 of 7 residents; staff without delegation administered medications/insulin and documentation in MARs was inaccurate or missing.

Failed to ensure Negotiated Service Agreements (NSAs) were signed at least annually for 2 of 7 residents (Resident 3 and 7).

Failed to provide monthly weight checks and vital signs for Resident 7 as agreed in the care plan.

Facility failed to ensure the Negotiated Service Agreement was agreed to and signed at least annually by 2 of 7 residents or their representatives.

Failed to obtain prescribed medications in a timely manner for 2 of 7 residents (Resident 1 and 3), leading to missed doses.

Facility failed to develop and implement a safe intermittent nursing service system related to nurse delegation services for 4 of 7 residents, placing residents at risk for medication-related complications.

Facility failed to ensure 1 of 6 staff members had a Washington State name and date of birth background check submitted within one business day after the date of hire.

The facility failed to include in their assessment that the resident was able to leave the assisted living facility unsupervised.

The facility failed to report five unwitnessed falls (four with injuries) for a resident to the Complaint Resolution Unit hotline as required.

The facility failed to identify if 4 residents had a communicable disease during a COVID-19 outbreak, failed to test symptomatic residents, and failed to report suspected or confirmed cases to the local health department.

The facility failed to obtain a Medical Test Site Waiver (MTSW) license while performing blood glucose testing for residents, violating licensure requirements.

Facility failed to obtain a medical testing site waiver (MTSW) license while performing blood glucose testing for residents.

Facility failed to identify and manage infections for 4 residents showing symptoms of COVID-19, failed to conduct testing, and failed to report positive COVID-19 cases to the local health department.

The facility failed to provide reliable, working call pendants for 3 of 3 sampled residents, leading to long wait times and potential injury. Two pendants were not transmitting alerts, and staff reported issues with system reliability and resetting. There was no policy for operating or maintaining the system.