Cogir at The Narrows.

—: The assisted living facility failed to ensure staff received facility orientation training. Newly hired staff were inadequately trained on how to provide care to residents. —: The assisted living facility failed to investigate an allegation of abuse. Staff witnessed verbally abusing a resident, but the facility did not properly investigate this allegation.

WAC 388-78A-2466: The facility failed to ensure one sampled staff member (Staff C) completed a valid Washington State name and date of birth background check every two years as required. The previous background check expired on 08/02/2025, and a new one was not completed until 10/31/2025, more than two months after expiration. This placed all 93 residents at risk by allowing care services from staff with an unknown background.

—: The Assisted Living Facility failed to ensure that named residents received their medication as prescribed. —: The Assisted Living Facility failed to ensure residents always had access to their own rooms without staff assistance. Residents in memory care were locked out of their rooms during the day and could not access bathrooms in their rooms. —: The facility failed to determine a need for further action when a named resident had an accident that could adversely affect their well-being.

WAC 388-78A-2610: The facility failed to ensure 3 of 3 sampled staff were fit tested for N95 respirators as required by their infection control policy. Staff C, Staff D, and Staff E were not among the six staff members who received fit testing, placing all residents, staff and visitors at risk of exposure to communicable pathogens. WAC 388-78A-2040: The designated smoking area was not maintained 25 feet away from the building entrance as required by Washington State law (RCW 70.160.075). Residents and staff were observed smoking within 25 feet of the main door and near resident room windows, exposing all occupants to tobacco smoke. WAC 388-78A-2150: The facility failed to provide annually signed Negotiated Service Agreements to 3 of 12 sampled residents (Residents 5, 6, and 8). This placed residents at potential harm by not having an agreed upon care plan in place.

—: The assisted living facility failed to have the door key readily available when first responders arrived at the facility, causing a delay in emergency response. —: The facility failed to provide care and services as agreed upon in the negotiated service agreement for a named resident. —: The assisted living facility failed to ensure records of a former named resident were available for review by the department.