Vineyard Park at Mountlake Terrace

Failed to document care needs and interventions for bed side rails (BSR) in the Service Plan for 1 resident.

Failed to maintain proper sanitization systems, safe food holding temperatures, and ensure all staff had valid food worker cards.

Failed to ensure medication administration was correctly entered into eMAR and signed/initialed by staff for Resident 2.

Failed to secure personal care supplies in 4 of 5 memory care bathrooms and hazardous supplies in the hair salon, placing residents at risk of harm.

Failed to ensure wet mops were consistently hung up to dry following use, leaving them in buckets.

Failed to ensure Resident 10 had medications stored and managed by the facility; unsecured supplements were found in the resident's room.

Failed to ensure the diet manual was approved by a dietitian and updated within the last five years.

The facility failed to ensure staff working in the Memory Care Unit had up-to-date medical evaluations and N-95 mask fit tests to safely protect staff and residents during COVID-19 outbreaks.

Medications were not properly secured; two unidentified medication dose cups were found in an unlocked drawer in a common seating area.

The facility failed to maintain a current MTSW/CLIA certificate for conducting in-house COVID-19 tests, as the registered organization's waiver had expired.

Facility failed to screen 1 of 5 sampled staff for TB within three days of hire.

The facility failed to maintain required documentation on-site for 90-day return visits by the delegating nurse for 4 residents.

The facility failed to ensure staff completed the required 12 hours of annual continuing education.

Facility failed to maintain a Medical Testing Site Waiver/CLIA certificate and failed to implement its written Respiratory Protection Program (staff missing medical evaluations and mask fit testing).

Facility failed to ensure 1 of 4 residents received the correct dose of a physician-ordered topical cream, applying Permethrin cream daily for 14 days instead of once with a repeat in 14 days.