Silverado - Bellevue

Facility failed to complete Washington State BGI every two years for 1 of 2 sampled staff (Staff G).

Facility failed to ensure initial TB skin tests within 3 days of hire for 1 staff and second-step TB tests within 1-3 weeks for 6 staff.

Two culinary staff failed to obtain food worker cards before expiration.

Facility failed to update care plans for 3 of 7 sampled residents.

Facility failed to ensure 1 staff completed initial skin test within 3 days of hire and failed to ensure 6 staff completed second-step TB test within required timeframe.

Facility failed to submit background inquiries within one business day of hire for 7 of 19 sampled contracted staff.

Facility failed to ensure 1 staff and 1 contracted nurse completed national fingerprint background checks within 120 days of hire.

Facility failed to submit background check inquiry for 7 of 19 contracted staff within one business day of their start date.

Facility failed to complete a one-step TB test for 1 of 1 sampled staff with a history of a negative blood test.

Facility failed to ensure 5 of 8 sampled staff (Staff C, F, G, J, N) completed required basic training, CPR, first aid, or home care aide certification.

Facility failed to update care plans for 3 residents regarding blood-thinning medication side effects and monitoring interventions.

Facility failed to ensure background check renewal for staff G, who worked 229 days after their previous background check expired.

Facility failed to store resident medications separate from food in one medication refrigerator.

Facility failed to ensure 1 sampled staff (Staff B) completed a one-step TB test despite having a negative blood test.

Facility failed to store medications separate from food in a medication room refrigerator.

Facility failed to ensure 1 of 4 staff and 1 of 1 contracted staff completed national fingerprint background check within 120 days of hire.

Facility failed to ensure 5 of 8 sampled care staff completed required basic training, CPR/First Aid, or home care aide certification.

Combustible materials found within 18 inches of sprinkler head in storage room by room 205.

First and second semi-annual hood cleaning paperwork not provided.

Detailed documentation and maps of fire-rated construction locations, including stairwells, not provided.

Double doors by room 220 will not latch.

Missing required sprinkler system testing documentation.

Second semi-annual service (around December) paperwork not provided.

Need to verify if fire alarm is monitoring carbon monoxide detection in corridors with natural gas heating.

Diesel fuel testing documentation not provided.

Fire/smoke damper inspection not performed and documented.

Detailed documentation and maps of fire doors, including resident doors, not provided.

Facility failed to provide a system to access emergency water in three hot water tanks; no handles or instructions provided.

Staff used a soiled wipe in an improper direction during resident peri-care, increasing infection risk.

The facility failed to maintain and post a copy of the most recent full inspection report, including cover letter and plan of correction, in a conspicuous, accessible place.

Facility failed to ensure background check was conducted every two years for one staff member (Staff F).

Facility failed to follow emergency response policies for Resident 3 after a fall, delaying hospital evaluation.

Facility failed to submit background authorization form within one business day for Staff B.

Facility failed to notify Construction Review Services regarding the change in use of Room 108 for therapy services.

Resident 6 was found restrained in a wheelchair by a buckled strap and bolsters against facility policy.

Facility failed to ensure staff completed required CPR, First Aid, and continuing education.

The facility failed to post a copy of the last inspection report in an accessible place; it was locked in the administrator office.

2nd floor boiler room had storage of combustible material.

2nd floor wellness center had a power strip plugged into another power strip.

First semi-annual hood cleaning paperwork not provided.

Paperwork for inspection of Fire-Rated construction not provided.

2nd floor boiler room door and 2nd floor laundry door were held open with a wedge.

2nd floor laundry door and 1st floor fire door leading to lobby will not latch.

1st floor sitting area has a light fixture within code distance to the sprinkler head.

Annual forward flow test (NFPA 25 13.7.2) paperwork not provided.

First and second semi-annual servicing paperwork not provided.

2nd floor had combustible material mixed with O2 tanks in room.

Business Manager's office has a power strip plugged into another power strip.

Extension cords in use for outside lights (2nd floor) and laundry room.

Facility unable to provide record of annual fire wall inspection and/or repairs.

Penetrations in walls/conduits found in IT room (2nd floor) and Sprinkler Riser room.

Facility unable to provide inventory record of annual inspection/repairs for fire-resistant-rated doors.

Facility unable to provide documentation for last fire/smoke damper testing.

Facility unable to provide documentation showing CO detector testing performed in the past 12 months.

Storage room 119 has combustibles stored with medical gas; room lacks required signage.