The Bridge Assisted Living at Mount Vernon

Facility failed to conduct ongoing assessments following changes of condition for 5 of 7 residents (e.g., hospice, catheter, mobility changes, fractures).

The facility failed to evaluate outcomes or notify physicians for Residents 1 and 3 when they refused medications, and failed to maintain required documentation for these refusals.

The facility failed to ensure a written and signed plan was in place for Resident 2, whose family member managed their medications.

Facility failed to obtain prescribed medications in a timely manner for 4 of 6 residents, resulting in missed doses.

Facility failed to ensure residents received medications as prescribed; documentation missing for inhalations and gels.

Facility failed to ensure 4 of 6 staff met long-term care worker training requirements, including CPR/First Aid certification and required continuing education.

Facility failed to follow internal policies for narcotic count documentation; on-coming staff signed but off-going staff did not.

Facility failed to ensure 3 of 6 staff were screened for TB within three days of employment.

Facility unable to provide documentation for annual forward flow test and quarterly sprinkler system inspections (quarters 2 and 4).

Deficiencies noted during the 8/18/2025 semi-annual kitchen suppression system servicing were not corrected.

The emergency egress light/exit sign combo in the activity room failed to illuminate when the test button was pressed.

Facility failed to ensure the Executive Director completed a Washington State background check within one business day of hire.

Facility changed the use of an employee break room to a resident room without notifying or obtaining approval from Department of Health Construction Review Services.

Facility failed to ensure 6 of 6 staff were fit tested for N95 respirators per their Respiratory Protection Program.

Facility failed to ensure 1 of 6 staff had a TB skin test read by a professional within 48-72 hours.

Facility failed to obtain prescribed medications in a timely manner, resulting in 31 missed doses for one resident over three months.

Facility failed to ensure required Washington state and national fingerprint background checks were completed/available for several staff members.

Facility failed to serve meals reviewed and approved by a dietitian for 4 of 4 weekly menus.

Staff failed to complete 70-hour basic training, specialty dementia and mental health training, and OSHA approved CPR/first aid training within required timeframes.

Facility failed to ensure three staff completed two-step TB skin testing.

Facility failed to ensure one staff had their TB test results read by a trained professional within the required timeframe.

Multiple fire doors (2nd floor laundry, 1st floor laundry, Resident room #220) were blocked open by wedges or a cart, preventing them from closing and latching.

Facility unable to provide documentation for annual forward flow test. A dry sprinkler head from 1997 remains inside walk-ins despite being a repeat violation from last year.

Facility unable to provide documentation of a proper heat test per manufacturer instructions; heat tape is still installed in the hood system.

The facility failed to complete the character, competence and suitability (CCS) determination after a background check came back showing a criminal conviction.

Fire alarm system had an active supervisory alarm for the backflow tamper switch.

Extension cords were used as permanent wiring in the kitchen (for a plate warmer) and the Resident Care Director office.

Full trip test on 9/14/22 did not trip within 60 seconds; 2 sprinkler heads in the kitchen were loaded with lint; 1 dry sprinkler head from 1997 was in the walk-in refrigerator/freezer.

Facility could not provide documentation for the semi-annual kitchen suppression system servicing.