Inspection Reports for
Kenmore Senior Living

The inspection was complaint-driven and included a full investigation. The deficiency cited was related to tuberculosis testing of staff.

The facility was cited for failing to ensure two staff members initiated tuberculosis testing within three days of hire, placing 79 residents at risk. This recurring deficiency resulted in a civil fine of $600.

The inspection found multiple deficiencies related to fire safety systems and documentation. Several items were corrected on site, but the facility was unable to provide documentation for many required tests and inspections, resulting in a disapproved status.

The Department found no deficiencies during the follow-up inspection and confirmed that all previously cited deficiencies were corrected.

The complaint investigation conducted from 09/04/2024 to 09/06/2024 addressed two allegations: positive COVID-19 cases at the facility and a broken elevator. The investigation found deficient practice for failure to notify the DOH about COVID-19 positive residents and failure to implement the Respiratory Protection Policy for fit testing staff. The elevator issue was being addressed with no deficient practice found.

The follow-up inspection on 01/07/2025 found no deficiencies and confirmed that previously cited issues regarding respiratory protection program compliance were corrected.

The complaint investigation dated 07/31/2024 involved allegations including medication error, improper resident relocation to apartments with shared bathrooms and no kitchenettes, and billing errors. The investigation found a failure to obtain construction review approval for converting Memory Care Unit apartments to assisted living apartments, placing 72 residents at risk. The medication error was not cited as a failed practice. The billing error was corrected. The complaint investigation included multiple complaint numbers and a sample of 5 of 72 residents was reviewed.

The follow-up inspection on 01/06/2025 found no deficiencies and confirmed that the previously cited deficiency regarding failure to obtain construction review approval for changing room use was corrected.

After review of all materials and statements presented by the facility and records gathered by Residential Care Services staff, the decision was made not to change the original Statement of Deficiencies report dated 2024-10-15. The facility is instructed to begin correcting the disputed deficiencies immediately.

The document does not contain inspection findings but serves as a procedural notice for the IDR meeting related to previously issued deficiencies and fines.

The document does not contain inspection findings but addresses the scheduling and participation details for the IDR process disputing a specific citation.

The letter does not contain inspection findings but addresses the dispute process for a previously issued Statement of Deficiencies and civil fine.

The IDR process reviewed materials, oral statements, and records related to the facility's dispute. A change was made to the SOD by removing a record review regarding a policy, but there was no change to the previously imposed enforcement action.

The facility failed to follow the Respiratory Protection Program by not ensuring two healthcare workers were fit-tested annually for respirator masks. This uncorrected violation placed 64 residents at risk and resulted in a $500 civil fine.

The inspection found a recurring deficiency related to failure to implement the Negotiated Service Agreement for a resident prescribed to wear compression stockings daily. This violation resulted in a civil fine of $700.00.

The letter outlines the date, time, and type of the IDR meeting and lists the citations being disputed. It also names the facility representatives participating in the process and provides instructions for submitting additional documentation.

After review of materials and statements from the facility and regional staff, the decision was made to not change the original SOD report dated 10/16/2024. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 calendar days.

The facility was fined $300 for failing to notify the Department of Health Construction Review Services in writing or obtain approval to change the use of Memory Care Unit apartments for Medicaid residents. This deficiency was uncorrected from a prior citation dated July 31, 2024.

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

The complaint investigation involved two allegations: a named resident missing medication for a week and lack of administrative response to requests for explanation. The investigation substantiated both allegations with deficient practices identified and citations written.

The investigation found that the facility failed to ensure timely medication administration for one resident, causing missed doses for seven days, and failed to respond timely to grievance requests. Deficient practices were identified and citations were written.

This report is based on a complaint investigation conducted on January 11, 2024, which found the licensee failed to implement required supervision and monitoring for a resident with a history of sexually inappropriate behavior, resulting in risk to other residents and a civil fine.

The licensee failed to implement the Negotiated Service Agreement interventions for supervision and monitoring of a resident with a history of sexually inappropriate behavior, resulting in risk to other residents and a civil fine of $1,000. Additional violations may be detailed in the attached Statement of Deficiencies.

Complaint number 103439 involved multiple allegations of sexual abuse between residents, including inappropriate touching of breasts and inner thighs. The facility failed to investigate these allegations or take protective actions. The complaint was substantiated with citations issued.

The investigation found that the facility failed to investigate multiple allegations and witnessed incidents of sexual abuse involving four named residents. The facility did not implement measures to prevent recurrence or protect residents. Citations were written for these failures.

The complaint investigation involved allegations that a resident fell during a power outage due to lack of emergency lighting in their apartment, no emergency lighting in hallways and common areas, and lack of assistance for residents requiring continuous oxygen therapy. The investigation confirmed the lack of emergency lighting in resident apartments contributed to a fall and injury. Emergency lighting in hallways was functioning. The facility staff did not assist residents with oxygen therapy as residents were independent in managing it.

The follow-up inspection on 10/13/2023 found no deficiencies and confirmed that previously cited deficiencies related to emergency lighting were corrected. The facility now meets Assisted Living Facility licensing requirements.

The follow-up inspection on 09/28/2023 found no deficiencies and confirmed that all previously cited deficiencies were corrected. The facility meets Assisted Living Facility licensing requirements.

The report details multiple uncorrected deficiencies related to pet health certification, safety hazards, service agreement implementation, tuberculosis screening, staff orientation, electronic monitoring consent, and food and nutrition services. Each deficiency places residents at risk and has resulted in civil fines totaling $2,100.

The follow-up inspection on 07/17/2023 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to fire and life safety code violations were corrected.

The facility was cited for an uncorrected deficiency involving the nonavailability of antipsychotic medication for one resident, which placed the resident at risk for psychological harm. A civil fine of $300.00 was imposed based on this violation.

The stop placement order prohibiting admissions at Kenmore Senior Living has been officially lifted as of February 16, 2023.

The complaint investigation (Complaint #64824) concerned a resident receiving the wrong dose of medication. The investigation substantiated the allegation with citations written for medication administration failures and failure to notify the physician of medication refill needs.

The investigation found that the facility failed to have a system ensuring the Medication Administration Record matched the medication cart dosage and failed to ensure all staff were nurse delegated to administer oral medications. Citations were written for these deficiencies.

The Continued Stop Placement Order was effective December 6, 2022, and remains in effect until formally lifted by the Department of Social and Health Services.

The complaint investigation included multiple allegations of insufficient staffing, neglect, failure to provide care such as showers and medication administration, and unsafe conditions in the Memory Care Unit. The investigation substantiated these allegations and citations were issued.

The investigation found multiple deficiencies related to insufficient staffing resulting in residents not receiving adequate care, missed medications, delayed responses to call lights, and unsafe conditions in the Memory Care Unit. Failed provider practices were identified and citations were written. The facility was found not in compliance with licensing laws and regulations.

The complaint investigation found violations related to readmitting residents during a stop placement and insufficient staffing to meet resident care needs.

The investigation found the licensee failed to comply with a stop placement order by readmitting residents without approval and failed to provide sufficient care staff to meet the needs of all 83 residents, placing them at risk of harm. These violations resulted in a $1,000 civil fine and a continued stop placement order prohibiting admissions.

The facility failed their sixth Fire and Life Safety Inspection, placing 83 residents, staff, and visitors at risk. This recurring deficiency was uncorrected despite previous citations, leading to a $1,000 civil fine.

The complaint investigation included multiple allegations: short staffing and no nurse in memory care, failure to update care plans, positive COVID cases, medication errors involving narcotic topical medication, and a resident fall with injury. The investigation confirmed failed provider practices and citations were issued for each allegation.

The investigation found multiple failed provider practices including insufficient staffing in memory care, outdated negotiated service agreements, lack of personal protective equipment during a COVID outbreak, medication availability issues, and inaccurate resident assessments. Citations were written for these deficiencies.

The facility was disapproved due to failure to provide documentation of required smoke detector sensitivity testing within the past 3 years and ongoing delays in replacing smoke detectors. Other fire safety system maintenance and testing deficiencies were noted in prior inspections but the current report focuses on smoke detector sensitivity documentation and replacement delays.