The Rivers at Puyallup, Independent Living & Assisted Living

Deficiencies for this regulation were corrected.

Failure to maintain compliance with the State Fire Marshal’s codes for long-term care facilities, placing 81 residents and staff at risk in the event of a fire.

Unable to produce documentation showing that cooking equipment has received annual professional cleaning.

Excessive grease accumulation and scorch marks observed on, within, and below the cooking surfaces of the range, griddle, and backsplashes.

Multiple resident room fire doors failed to self-close and latch when tested.

Facility failed to maintain records of inspection, testing, and maintenance for carbon monoxide alarms.

Unable to provide documentation that deficiencies in Rm. 226 horn strobe noted in Aug. 2023 have been corrected.

Multiple fire doors/frames have open pilot holes/penetrations. Faulty installations in activity room and staff lounge with excessive gaps and sagging. Facility failed to produce records of acceptance testing for newly installed doors.

Multiple unprotected/open penetrations in ceilings and walls; no fire-resistance rating plans; no inventory of fire-rated assemblies; no annual fire-resistant construction inspection documentation.

Unprotected/open penetrations found in ceilings and corridor walls; no plans identified fire-resistance ratings. Facility failed to provide fire-resistance-rated construction inventory or documentation of annual inspections.

Drill records fail to indicate transmission of fire alarm signal; no documentation that system was placed in test mode to show compliance.

Unable to provide documentation of smoke alarm testing/maintenance in the past 12 months or verification of replacement for units over 10 years old.

Unable to provide documentation of monthly carbon monoxide alarm inspection in the past 12 months.

Unable to provide record showing that fire doors have been annually inspected, tested and repaired in the past 12 months.

Unable to provide documentation showing that all automatic and fusible link fire/smoke damper inspection and testing has been performed in the past four years.

Facility failed to maintain records of inspection, testing, and maintenance for smoke alarms (no inventory, age, or status).

Unable to provide reports showing two semi-annual kitchen hood suppression system servicings in the past 12 months.

Missing required fire sprinkler system inspection reports (quarterly, annual, 3-year full flow, 5-year, backflow); bent sprinkler head found by room 227.

Unable to provide reports showing that two semi-annual kitchen hood cleanings were performed in the past 12 months.

Unable to produce corrective report for 10/15/23 hood suppression inspection; system noted as not wired to fire alarm system.

Multiple exit signs throughout the facility had defective/burnt out bulbs.

Unmounted fire extinguisher found on the floor in the electrical/generator transfer switch room.

Multiple doors failed to self-close/latch; doors have open pilot holes; doors are sagging; general maintenance issues.

Storage found blocking access to sprinkler system in the kitchen riser room.

Unable to provide documentation of annual fire alarm system servicing in the past 12 months.

Facility could not provide documentation that fire drills were conducted quarterly for all three shifts in the past 12 months.

No corrective report for 2023 annual sprinkler inspection deficiencies; only partial annual inspection performed. No corrective reports available for 15 new deficiencies discovered.

The facility failed to correct violations from three previous State Fire Marshal inspections, putting 74 residents at risk.

The facility previously failed to ensure staff were properly trained and oriented to perform job duties; follow-up inspection found this deficiency to be corrected.

The Department completed a follow-up inspection and found no deficiencies; previous deficiency regarding TB testing for staff was corrected.