Sunrise of Redmond.

WAC 388-78A-2040(2): The assisted living facility failed a second Fire Marshal inspection. The facility did not have its building approved by the Washington State Fire Marshal as required for licensure, placing all 91 residents at risk of harm, injury, and potential fire hazards related to unsafe environmental conditions. WAC 388-78A-2040(2): The facility failed a third Fire Marshal inspection with four areas of non-compliance including: no documentation of fire alarm/detection system maintenance and testing, no emergency/standby power system service reports, no fire/smoke damper inspection records, and multiple fire doors that did not latch properly. All 98 residents were placed at risk. WAC 388-78A-2040(2): The facility failed a fourth Fire Marshal inspection. No paperwork was provided showing the facility identified and established a schedule for inspection of fire doors. All 104 residents were placed at risk of harm, injury, and potential fire hazards related to unsafe environmental conditions.

WAC 388-78A-2320(3)(a)-(e): The facility failed to ensure proper nurse delegation for insulin administration. The registered nurse delegator did not observe the initial delegation of insulin administration for staff and did not complete required weekly performance evaluations for the first four weeks after initial delegation as mandated by WAC 246-840-930.

WAC 388-78A-2140: The facility failed to document in resident records the potential medication side effects and caregiver instructions related to routine blood thinner (aspirin) therapy for 4 of 4 sampled residents (Residents 1, 4, 6, and 7). The residents received aspirin therapy without documented staff instructions about potential side effects such as bleeding, bruising, and other serious complications. WAC 388-78A-2140: The facility failed to document in the resident record the various responsibilities of medication assistance and catheter care for Resident 5. The Individual Service Plan lacked a family medication plan, alternate medication plan if family was unavailable, defined care tasks for staff assistance in catheter care and medication administration, and a schedule delineating when facility staff versus private home care aides provided services.