Inspection Reports for
Cogir of Queen Anne

The follow-up inspection found no deficiencies and the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected as documented.

The facility failed to ensure that one staff member received facility orientation, one completed required CPR training, and one completed annual continuing education. These uncorrected deficiencies placed 120 residents at risk and resulted in a $400 civil fine.

The inspection identified multiple fire and life safety code violations, many of which were corrected on site. However, some issues remained uncorrected, including the use of unlisted portable electric heaters, missing fire door latches, non-rated spray foam sealing penetrations, lack of documentation for fire alarm and carbon monoxide system maintenance, and missing emergency lighting testing records. The facility was disapproved due to these outstanding deficiencies.

The complaint investigation involved allegations that the facility did not adequately care for a newly blind resident who had multiple falls. The investigation confirmed the allegations, citing failure to document fall circumstances and implement preventive measures. The complaint numbers referenced were 203390, 204476, and 205190.

The investigation found that the facility failed to document the circumstances of falls or implement interventions to prevent future incidents for one resident, resulting in multiple falls and injuries. The follow-up inspection found no deficiencies, indicating the issues were corrected.

The complaint investigation involved two allegations: improper resident positioning contributing to skin breakdown, and medication not swallowed and left on dirty linens. The positioning allegation was unsubstantiated with no violations found. The medication allegation was substantiated with one deficiency cited.

The investigation found no violations related to resident positioning or care. However, a medication administration deficiency was identified involving one resident missing a prescribed dose. The facility submitted a plan of correction for this deficiency.

The complaint investigation (complaint number 132051) alleged bad food delivery, a resident becoming sick from bad ice cream, and staff misconduct. The investigation found no evidence of foodborne illness or abuse but confirmed failure to date opened ready-to-eat foods. The complaint was substantiated with citations issued.

The most recent follow-up inspection on 10/29/2024 found no deficiencies and confirmed correction of prior food sanitation violations. Previous inspections documented recurring failures to properly date and discard refrigerated ready-to-eat foods, placing residents at risk of foodborne illness.

Complaint investigation included allegations of delayed response to resident care needs and call lights, insufficient staffing, concerns about food quality and quantity, high rent, and laundry availability. Some allegations were substantiated with citations written, while others were not.

The follow-up inspection on 10/14/2024 found no deficiencies and confirmed correction of all previously cited licensing law violations. The complaint investigation identified some failed provider practices with citations written, including issues with resident care and documentation, but some allegations were not substantiated.

The complaint investigation involved allegations about lack of med tech or care provider on an overnight trip, no CPR certification on the trip, a resident possibly without medications, and a nurse unaware of a resident's absence. The investigation substantiated the failure to have CPR and first aid trained caregivers present during the outing, resulting in citations. Medication management and resident whereabouts issues were not substantiated as failed practices.

The investigation found that two ALF residents went on an overnight trip with two Activity Department staff but no nurse or caregiver, and the staff lacked CPR and first aid training. The residents took their medications as per policy, and no failed practice was identified regarding medication. One resident did not sign out properly, causing initial uncertainty about their whereabouts. The facility was cited for failure to ensure CPR and first aid trained caregivers were present during the outing.

The facility was cited for a recurring and uncorrected deficiency regarding food sanitation, specifically failure to label refrigerated ready-to-eat foods with expiration dates and discard pre-packaged foods by their best-by dates. This violation resulted in a $700 civil fine and placed 84 residents at risk for foodborne illness.

The facility failed to ensure that two refrigerated ready-to-eat foods were discarded within seven days of preparation, placing 80 residents at risk of foodborne illness. This violation was recurring and uncorrected from previous citations.

The facility was fined $300 for failing to ensure ready-to-eat foods were clearly labeled, dated, and safe for residents to consume in one kitchen. This deficiency was uncorrected from a prior citation dated June 25, 2024.

The complaint alleged a COVID outbreak with no control measures including isolation, communication, testing, or visitor limits. The investigation found the facility failed to implement a Respiratory Protection Program ensuring current N95 mask fit testing for staff. Four staff did not have current fit tests on record.

The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

All violations noted during previous related inspections have been corrected. The current inspection resulted in an Approved status with no open violations.

The complaint investigation involved multiple allegations about resident neglect, medication errors, inadequate care, staffing issues, and facility conditions. Some allegations such as saturated briefs and soiled environment were not substantiated. However, failed practices related to medication availability, documentation, call light response times, and staffing were substantiated and citations were issued.

The investigation identified multiple failed provider practices including missed medications due to unavailability, slow call light responses, medication system issues, incomplete documentation of incidents and health events, and staffing concerns. Some allegations such as neglect related to saturated briefs and soiled environment were not substantiated. Citations were written for the identified deficiencies.

Complaint #70821 alleged multiple false alarms after water damage. The investigation found no violations or faults with the fire alarm or sprinkler systems, and no evacuations or injuries occurred.

The investigation found a significant water leak from the fire sprinkler system on the 3rd floor that did not activate the fire alarm or sprinkler system. No residents were evacuated or injured, and the fire department responded. Recent fire alarm activations were due to routine testing and repairs, with no unapproved conditions or faults found in the alarm or sprinkler systems.

The facility was cited for multiple uncorrected violations related to medication management, pet vaccinations and certifications, emergency preparedness, and staff background checks. Civil fines totaling $1,200 were imposed based on these deficiencies.

The inspection found multiple fire and life safety code violations including failure to maintain electrical and fire safety equipment, lack of required documentation for fire drills, fire alarm and suppression systems, emergency lighting, and fire door inspections. All violations remain uncorrected and the facility was disapproved.