Wesley Homes Des Moines LLC

Facility unable to provide quarterly sprinkler reports and annual fire pump testing documentation.

Facility unable to provide weekly inspection logs for the generator.

Facility unable to provide documentation for semi-annual kitchen hood cleaning for the past 12 months.

Facility unable to provide documentation for semi-annual kitchen suppression system servicing.

The centered kitchen exit sign brackets were broken and hanging by the wires.

Facility unable to provide record of annual fire wall inspection and/or repairs.

Facility unable to provide annual fire extinguisher servicing report.

Facility unable to provide documentation for: annual generator servicing/load test, log of weekly inspections, and monthly 30-minute load tests.

Facility unable to provide documentation for last fire/smoke damper testing.

Facility provided generic door form but lacked location/number or specific indicator showing which detector was checked.

Facility unable to provide documentation that one fire drill per shift per quarter had been performed in the last 12 months.

Facility unable to provide documentation for fire/smoke damper testing.

Provided documentation stated detectors were checked but lacked specific locations, numbers, or indicators for which detectors were tested.

Facility unable to provide quarterly sprinkler reports and annual fire pump testing documentation.

Facility unable to provide weekly inspection logs for the generator.

Facility unable to provide documentation of semi-annual kitchen hood cleaning for the past 12 months.

Facility unable to provide documentation for semi-annual kitchen suppression servicing.

The facility was unable to provide documentation for annual generator servicing/load tests, a log of weekly inspections, or documentation of monthly 30-minute load tests.

Facility unable to provide record of annual fire wall inspection and/or repairs.

Facility unable to provide the annual extinguisher servicing report.

The facility was unable to provide documentation that one fire drill per shift per quarter had been performed in the last 12 months.

The licensee failed to ensure one staff completed all required training to perform their job duties and responsibilities.

The licensee failed to ensure one staff completed all required training to perform their job duties and responsibilities.

The licensee failed to ensure two staff were screened for Tuberculosis (TB), as required.

Facility failed to ensure 3 of 6 staff completed required CPR and first aid training.

Facility failed to document in 2 of 5 residents' service agreements a plan to monitor and address interventions for specific clinical needs.

No furniture was provided in the outdoor area of the memory care unit.

Facility failed to ensure 2 of 4 staff were screened for Tuberculosis within three days of employment.

Facility failed to ensure nurse delegation documentation for 2 of 5 residents was completed.

Facility failed to obtain a current Medical Test Site Waiver (MTSW) certificate.

Facility failed to ensure 1 of 3 staff (Staff E) completed required CPR and first aid training.

Facility failed to complete Washington State Name and Date of Birth background checks for 5 of 6 staff, and fingerprint background check for 1 of 6 staff.

First aid supplies were not identified, readily available, or clearly marked throughout the facility.

Facility failed to ensure 2 of 4 staff (Staff B and Staff C) were screened for TB, leaving them working for 151 and 166 days respectively without screening.

Facility failed to complete full assessments addressing required elements for 5 of 5 sampled residents.

Three community bathrooms had inoperable fans for outside ventilation.