Village Green Senior Living of Federal Way

This deficiency was reviewed during the Informal Dispute Resolution (IDR) and has been DELETED.

Facility failed to ensure 2 of 7 residents (Resident 3 and 6) or their representatives signed their annual Care Plan.

Facility failed to ensure 4 of 6 staff members (Staff A, B, C, and D) were screened for TB within three days of employment using an approved method.

Facility failed to ensure 1 of 4 staff members (Staff C) completed required specialty training.

Facility failed to ensure 1 of 4 staff members (Staff C) completed required specialty training for Mental Health and Dementia.

Facility failed to complete a valid Washington State Name and Date of Birth Background Check for 2 of 6 staff members (Staff E and F) every two years.

Facility needs to post evacuation routes in the main kitchen.

Multi plug power taps in room H106 need UL listing verification.

Cook top in Fireside main dining room lacks automatic fire extinguishing system.

Multiple fire doors failed to latch during testing or were propped open.

Kitchen fire extinguisher not securely anchored.

No exit sign in main kitchen.

Room H215 has an electrical outlet with no cover plate; exposed wiring found in back alley storage room.

Extension cords used as permanent wiring in Room 110, Salon, Kitchen (fridge and appliance), and basement freezer.

Penetrations in fire-resistance-rated construction found in Back alley room and Elevator room #1.

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

Egress path in Garden Dining room blocked by furniture.

The facility failed to provide documentation for required fire drills for Q1 Night shift and Q2 Day, Swing, and Night shifts.

Inadequate working space at electrical panels in G103 and Dry storage.

Kitchen refrigerator plugged into an extension cord which was also plugged into a power tap.

No documentation for Fire Door Annual Inspection.

Missing documentation for sprinkler inspections; missing escutcheon ring and grease accumulation in kitchen.

No battery-powered emergency lighting in main electrical room.

Kitchen fridge, kitchen appliance, and basement storage freezer are connected to extension cords or power taps.

Portable space heater in Health Service Director's office plugged into a relocatable power tap.

Facility needs to determine if main kitchen doors require fire-rated labels/replacement.

Inconsistent monthly inspection records; extinguisher in elevator room overcharged, crib extinguisher undercharged.

Excessive force required for Hearth side exit and Hallway double doors.

Facility failed to ensure a resident using oxygen received it according to safe guidelines and physician orders. The resident was unable to operate the oxygen concentrator independently, and staff were unaware of this, providing insufficient assistance with flow rates and equipment operation.

Facility failed to ensure 3 of 39 food service staff maintained a valid Food Worker Card.

Elevator door (1st floor) and sitting area door (across from nurses station) failed to close/latch properly.

Facility unable to provide monthly inspection documentation for fire extinguishers in the basement employee break room and emergency panel room.

Fire alarm system is currently in trouble status.

Sprinkler in the housekeeping closet by the kitchen is missing an escutcheon ring.

Facility unable to provide documentation for annual generator servicing and verification of system deficiencies.

The fire alarm breaker lock out device needs to be re-added to the fire alarm breaker.

Unsecured oxygen cylinder located in resident room H103.

Facility unable to provide documentation for twelve planned and unannounced fire drills in the previous 12 months.

Facility failed to ensure 10 residents received medication assistance from staff who were properly delegated and monitored. Missing written consents, lack of required weekly supervision for insulin, and failure to document required nurse delegation training and specific task instructions.