The Cottages of Spokane

Facility failed to ensure medication was administered as prescribed for Resident 1, leading to medication errors due to incorrect entry of a ferrous sulfate order into the MAR system.

In cottage C room 6, a smoke detector was loose from the ceiling.

In cottage C outside room C04, an escutcheon was loose. Required forward flow testing of backflow preventers.

In cottage A, a table and chairs were obstructing the fire alarm pull station.

In cottage D, fire door number 2 did not close and latch when tested.

Facility failed to ensure medications were administered as ordered for 2 of 10 residents. Specifically, Resident 2 missed multiple doses due to being asleep without follow-up, and Resident 5's blood pressure was not monitored to determine if a medication should be held or administered according to doctor's orders.

Facility failed to ensure 2 of 5 sampled staff (Staff A and B) completed required specialty training for dementia and mental health within 120 days of hire.

Facility failed to ensure negotiated service agreements were completed within 30 days of admission for 2 of 7 residents reviewed.

Facility failed to ensure employees working as food service workers maintained current food worker cards; staff D and staff F had expired cards.

Facility failed to ensure the negotiated service agreement was signed by the resident or their representative for 1 of 7 residents reviewed.

Facility failed to ensure resident 2 received blood sugar monitoring and insulin administration by a qualified staff member; staff performing these tasks were not properly delegated according to state law.

Facility failed to ensure a resident received a specialized diet as ordered by their physician for 1 of 7 residents reviewed.

Facility failed to perform required daily weights and blood sugar management for 1 of 7 residents reviewed, placing them at risk of health complications.

Facility failed to have a system in place to complete a full assessment within 14 days of admission for 6 of 7 residents reviewed.