Village Green Senior Living of West Seattle

Corrected

Corrected

The commercial laundry room fire door was held open with a door wedge.

Facility failed to ensure 2 of 3 pets obtained certification from a veterinarian confirming they are free of diseases transmittable to humans.

Facility failed to ensure 1 of 5 sampled staff received the second step of a two-step TB test within the required 7 to 21 day window; test was performed 33 days after the first.

The facility failed to ensure a written plan, including a backup plan, was in place for family assistance with medications for 1 of 3 residents (Resident 3), leaving the resident without medication for four days.

Facility failed to secure hazardous materials, including unlabeled cleaning chemicals, disinfectant, and paint, in areas accessible to ambulatory residents with cognitive/mental health impairments.

Failed to ensure a sampled staff member received required specialty training for dementia and mental health.

Failed to promote safe medication services for sampled residents, resulting in missing or improperly transcribed prescribed medications.

Failed to clearly define roles/responsibilities of private caregivers or document care needs for medication management/oxygen/behavioral interventions for residents.

Failed to implement policy for bed mobility devices, placing residents at risk of entrapment.

Failed to use an appropriate tool to annually assess special needs related to dementia for 2 sampled residents.

Facility failed to obtain a Medical Testing Site Waiver/CLIA certificate for on-site medical tests and failed to implement a Respiratory Protection Program (fit-testing) for staff.

Combustible materials stored in front of fire panel and sprinkler room entrance.

Quarterly sprinkler inspections not provided.

Documentation for 4-year fire/smoke damper inspection not provided.

Missing electrical cover in Key room; resident care items around plug.

Issues with dry storage in ceiling, kitchen manager office, and kitchen storage above door.

Fire alarm circuit breaker in electrical room missing required lock device.

Gate placed in path of egress; hardware does not meet requirements.

No established schedule for inspection of fire-rated construction; annual inspection not performed.

Extension cord found in use in the Key room.

Documentation for annual fire door inspection not provided.