Washington Odd Fellows Home

Facility failed to maintain 18" clearance around sprinkler head in Room 331.

Dry storage room doors in kitchen area did not self close.

The facility failed to ensure a safe and orderly discharge for a resident, resulting in the resident being discharged to a shelter unable to meet their medical or nursing needs.

Facility failed to verify work references for 2 of 3 new staff hires (Staff A and C).

The facility failed to ensure resident dignity was protected for 2 of 3 wheelchair-bound residents by changing their transportation vehicle to one that was not wheelchair accessible, resulting in decreased access to activities, psychosocial harm, and decreased quality of life.

Facility failed to monitor and evaluate residents who had recurring conditions (invasive procedures) for 2 of 2 residents (Residents 4 and 5).

Facility failed to develop and document plans in the record to address assessed needs and risks for 4 of 7 residents (Residents 3, 4, 5, and 7).

The facility failed to provide orientation training to four collateral contacts who routinely interacted with residents, leaving residents at risk for potential abuse, neglect, or exploitation.

Fire doors were past due for annual inspection (05/31/2022).

Fire sprinkler system is past due for 5-year testing (04/2018); a new duct installed in the scullery is blocking the sprinkler spray pattern.

Facility unable to produce documentation of the current annual service/test of the generator.