The Lodge at Arbor Village

No documentation provided for the inspection and testing of the fire alarm system.

Penetrations found in fire-resistance-rated construction in Dry Kitchen Storage, Laundry storage, main electrical room, telecommunication room, and Cascade dining ceiling light.

No documentation for December's 30-second monthly emergency lighting test.

Missing 4th quarter sprinkler report and 5-year internal pipe testing documentation.

No documentation provided to verify annual inspection of fire-resistance-rated construction.

Egress door near Baker's dining room failed to open during inspection.

Electrical panels in storage room by 211 and janitor closet by cascade laundry lacked minimum working space.

No documentation for monthly inspections of fire extinguishers in the main electrical room.

Unlisted relocatable power taps found in Activity Room, Wellness Director office, and Concierge area.

False ceiling tile missing in the dry kitchen storage.

No documentation provided for monthly tests of single and multiple station alarms.

Missing documentation for semi-annual inspection and testing of fire alarm system per NFPA 72.

Facility only provided documentation for June 2025; missing documentation for required quarterly drills on each shift.

Panel 1L2 by Baker dining area was unlocked.

No documentation provided for four-year fire/smoke damper inspection.

Missing documentation for weekly inspections, annual servicing, and April/May 2025 monthly load tests.

Cigarette butts found on the ground in the grass area by the kitchen.

Fire doors failed to close/latch during testing or were propped open.

Combustible storage observed under the stairwell in Baker.

Emergency lighting not installed in the main electrical room.

Fire extinguishers found to be overcharged or undercharged at specific locations.

Multiple fire doors failed to close/latch automatically or were propped open.

Combustible storage located in the mechanical/electrical room by activities area.

No documentation provided for annual servicing of emergency and standby power systems.

Failed to obtain prescribed pain patch medication for Resident 7 in a timely manner.

Failed to ensure Staff F had an updated Washington State name and date of birth background check submitted every two years.

Failed to document care services and interventions to meet Resident 2's needs regarding catheter use in the service agreement.

Failed to ensure common bathrooms and second-floor porches were safe and well-maintained (moss, mildew, and peeling paint).

Failed to ensure Staff D completed the required national fingerprint background check.

Facility unable to provide documentation for 12 required fire drills in the previous 12 months.

Open junction boxes, open-wiring splices, and broken receptacle cover plates were observed in various locations (Kitchen, Room 207, Room 108).

Exit sign missing in Adams, and gate sign needed adjustment for direction of egress.

Facility could not provide quarterly sprinkler system reports.

Emergency exit door outside the Baker kitchen failed to open.

Commercial hood requires a heat survey to determine correct fusible link rating.

Facility failed to provide documentation for smoke detector sensitivity testing and nuisance logs.

Missing generator remote manual stop station and annunciator panel.

Fire doors failed to latch or close automatically (e.g., Room 211).

Monthly fire extinguisher inspections were missed.

Facility unable to provide documentation for monthly and annual emergency lighting tests.

Fire extinguishers in the Mechanical/Electrical room were not properly mounted on hangers or brackets.

Generator remote manual stop station not installed per NFPA 110; missing annunciator panel.

Facility needs heat survey for commercial hood to determine required fusible link rating.

Failed to conduct monthly inspections for fire extinguishers for April; lack of records for mechanical room extinguisher.

Emergency exit door located outside of Baker kitchen would not open.

Resident room 211 door did not close/latch properly.

Facility unable to provide documentation for last smoke detector sensitivity test report and maintenance of nuisance log.

Fire extinguisher in Mechanical/Electrical room outside was not properly mounted.

Exit door in Adams missing exit sign; sign on gate outside of Adams needed relocation and directional adjustment.

Broken receptacle cover plates in kitchen (Denali) and Room 207 (Cascade); broken receptacle by room 108 (Baker).

Facility unable to provide documentation for 12 planned/unannounced fire drills in previous 12 months.

Facility unable to provide quarterly sprinkler report for 3rd quarter.

4 of 5 direct care staff failed to meet annual continuing education requirements.

Staff member failed to complete required First Aid/CPR certification.

Failure to obtain annual signatures on NSAs for 4 of 5 sampled residents.

First aid kits were not readily available, unlocked, and clearly marked in 3 resident units.

Failure to update Negotiated Service Agreements (NSA) for 2 residents to reflect current needs.

Laundry room dryer in Baker Unit was not vented to the exterior; exhaust hose disconnected.

Unsafe conditions: tripped hazard on courtyard furniture and crumbled/missing tiles in common bathroom.

Penetrations found in wall of Baker Janitor's closet and back wall of Cascade TV room.

No CO alarms in laundry room with gas appliances.

Combustible storage found in Baker oxygen storage room.

Facility yellow tagged on commercial hood due to belts needing replacement.

No documentation showing CO detector testing in past 12 months.

Six doors did not close/latch properly (Storage, Electrical/Telecom, Marketing, Baker, Cascade, Elevator).

Hole in fire door of Denali resident room 208.

Dirty sprinkler heads in Cascade TV room and kitchen.

Unable to provide documentation for 12 fire drills in past 12 months.

Broken outlet covers in Janitor's closet (Adams), under table by Janitor's closet (Cascade), and multiple open junction boxes in Electrical/Telecom room.

Two unsecured oxygen bottles in Cascade room 201.

Out of date extinguishers in various locations; one over-charged extinguisher.

Kitchen suppression report shows deficient status (CO cartridge).

Marketing office has an unapproved portable heater.

Unable to provide record of annual fire wall inspection/repairs.