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

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

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

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

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

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

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

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

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

Egress path in Garden Dining room blocked by furniture.

Kitchen fire extinguisher not securely anchored.

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

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

No exit sign in main kitchen.

No battery-powered emergency lighting in main electrical room.

No documentation for Fire Door Annual Inspection.

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

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

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

Facility needs to post evacuation routes in the main kitchen.

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

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

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

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

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.

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

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

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

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

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.

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

Unsecured oxygen cylinder located in resident room H103.

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.