The Inn at University Village at Salmon Creek

Facility failed to provide annual fire door inspection report.

Failure to properly operate dryer lint traps to prevent the accumulation of lint.

Fire sprinkler coverage incorrect in stairwells; missing fire sprinkler protection.

Fire dampers shall have inspection complete 1 year after installation. Facility failed to provide documentation of testing; repairs not documented.

Missing quarterly inspection reports, riser gauge >5 years old, and incorrect coverage in stairwells.

Failed to provide fire drill record for swing shift fourth quarter of 2024.

Facility failed to conduct annual fire door inspection; combustible items found on fire doors.

Mechanical room near room 202 lacks required clearance.

Failed to provide semi-annual hood suppression system inspection and provide required staff training.

Facility failed to provide hood system cleaning.

Failed to provide annual inspection of fire resistance construction; hole found in fire rated ceiling in mechanical room near room 222.

Failed to provide documentation of fire damper testing.

Dryer lint traps not operated to prevent accumulation.

Extinguisher in kitchen blocked by cart; Class ABC extinguisher missing in kitchen.

Facility failed to provide quarterly fire sprinkler inspections.

Facility failed to provide semi-annual hood suppression system inspection and quarterly fire sprinkler inspections.

Facility failed to provide documentation of monthly emergency lighting testing.

Excessive accumulation of grease found in hood system; cleaning required.

Facility failed to conduct annual fire extinguisher inspections; failed to provide fire drills for 2023.

Laundry room door failed to close and latch properly.

Multiple fire doors failed to meet requirements: Salon door gap, theater door wedged open, sprinkler riser room gaps, room 123 gap, exit by room 133, room 230 gap.

Facility failed to provide required service inspections for the hood suppression system.

Multiple fire doors failed NFPA 80 requirements due to gaps or being wedged open.

Facility failed to conduct annual fire extinguisher inspections.

Facility failed to provide quarterly fire sprinkler inspections.

Excessive accumulation of grease found in hood system.

Laundry room door failed to close and latch properly.

Facility failed to provide documentation of monthly emergency lighting tests.

Facility failed to provide documentation for required fire drills.

Facility failed to document health support services from outside providers and specific resident care/service needs in Negotiated Service Agreements (NSA) for 8 of 10 sampled residents.