Redmond Heights Senior Living.

—: Facility staff failed to monitor and document resident injuries. A resident with memory care needs and history of falls sustained a dark purple bruise on breast and abdomen and a one-inch by one-and-a-half inch wound on right elbow, but there was no documentation of these injuries or incident reports. —: Facility failed to document wound management for resident's right elbow wound. No care plan or treatment documentation was provided for the identified wound. —: Facility staff failed to communicate resident injuries to nursing staff and failed to report the injury to the Department. Care staff observed injuries several days before the investigation but did not notify the nurse or report to authorities. —: Facility failed to document a significant change in resident condition that increased the need for staff assistance with personal care. Despite identified injuries and fall history, no documentation reflected a change in the resident's care needs.

WAC 388-78A-2570: The facility failed to notify the Department of a change in the assisted living facility administrator within 10 days of the effective date. Staff Q became administrator on 02/01/2025, but the change of administrator attestation form was not submitted until 03/18/2025, which was 46 days late.

WAC 388-78A-2700: The facility failed to maintain premises free of hazards by not ensuring that Resident 8 did not smoke in their apartment, in violation of the facility's smoke-free community policy. This created a fire hazard and health risk (smoke inhalation) for all 57 residents, with secondhand smoke entering adjacent apartments.

WAC 388-78A-2650: Facility failed to notify Residential Care Services of a disruption in services to residents. A plumbing issue with the dishwasher caused a three-day food service disruption, but the facility did not report this incident to the department as required.

WAC 388-78A-2450: The facility failed to provide sufficient staff on each shift to meet the needs of Memory Care residents. Five memory care residents required two caregivers for assistance with mobility, transfers, and personal care, but only one caregiver per shift was provided in the memory care unit due to staffing shortage. WAC 388-78A-2700: First aid kits throughout the facility were not readily available and their locations were not identified. Kits were not clearly marked as required. WAC 388-78A-2730: The facility posted an expired assisted living facility license (expired 12/31/2022) instead of a current license in a conspicuous place on the premises. WAC 388-78A-2950: Water temperature in three bathroom sinks used by residents and visitors measured below the required 105 degrees Fahrenheit, failing to meet the regulation requirement of 105-120 degrees Fahrenheit.