Weatherly Inn

The licensee failed to ensure four staff were screened for tuberculosis within three days of employment; uncorrected deficiency previously cited on May 23, 2025.

Facility failed to provide reports that kitchen suppression system is being inspected twice a year.

Missing annual fire alarm and monthly smoke alarm reports; 5 doors that failed to release not fixed; blocked pull station; missing breaker lock.

Facility failed to provide fire/smoke dampers 4 year inspection.

Generator report dated 1/15/25 states fuel lines and belt need replacement.

Facility failed to provide monthly 30-second test logs for exit signs and emergency lights.

Facility failed to provide 1.5-hour power test logs for exit signs and emergency lights.

Missing required documentation (annual forward flow test, hydrostatic test), sprinkler system requires repairs (leaks/accelerator issues), missing escutcheon ring, and sprinkler heads loaded with debris in multiple areas.

Memory care employee bathroom door has excessive gaps (greater than 1/16 inch).

Main laundry room had multiple ceiling penetrations.

Facility failed to ensure 6 of 8 sampled staff were fit tested for respirators; caregivers without fit tests provided care to residents who tested positive for a communicable disease.

Facility failed to follow policies and procedures for monitoring, wandering, and elopement; a resident was not identified as missing until found deceased.

Storage found located within designated working spaces and blocking access to electrical panels throughout the facility.

Extension cord utilized as permanent wiring under vending machine on first floor, in the service hallway.

No Class K placard found near the K Class fire extinguisher in the kitchen providing required warnings.

Unable to provide documentation showing the last 3-year full flow trip test report for the dry fire sprinkler system.

Multiple unprotected penetrations found in fire-resistance rated construction (corridor walls/rated ceilings); missing inventory of fire-resistance-rated construction; lack of annual inspection records.