Inspection Reports for
Sunrise of Redmond

WAC 388-78A-2040 (2) The assisted living facility must have its building approved by the Washington state fire marshal in order to be licensed. The facility failed to ensure residents resided in a safe environment approved by the state fire marshal, with multiple fire safety violations including lack of inspection schedules and fire door issues.

NFPA 80 Fire Door Inspection and Testing - Facility must identify and establish a schedule for annual inspection of fire doors. Annual inspection of fire doors needs to be performed and completed.

WAC 388-78A-2040 (2) Other requirements. The licensee failed to ensure 104 residents resided in a safe environment approved by the state fire marshal, placing residents at risk of harm and fire hazards.

NFPA 80 Fire Door Inspection and Testing - The facility failed to provide required paperwork and has not established a schedule for annual inspection of fire doors.

WAC 388-78A-2040 Other requirements. The assisted living facility must have its building approved by the Washington state fire marshal in order to be licensed. The facility failed to ensure 104 residents resided in a safe environment approved by the state fire marshal, placing all residents at risk of harm and fire hazards. No schedule for inspection of fire doors was established.

WAC 388-78A-2040 (2) Other requirements. The licensee failed to ensure residents resided in a safe environment compliant with State Fire Marshal regulations, placing residents at risk of harm and fire hazards.

WAC 388-78A-2100 (1)(a)(b)(i)(ii)(iii) Ongoing assessments. The licensee failed to complete required full assessments for four residents and did not respond to one resident’s progressive diagnosis and changing needs. This placed residents at risk of harm from unidentified care needs and unaddressed changes in condition.

WAC 388-78A-2130 (3)(a)(b) Service agreement planning. The licensee failed to update each resident's negotiated service agreement to address interventions for current clinical needs for three residents. This placed residents at risk for unmet care needs and potential harm.

WAC 388-78A-2100 Ongoing assessments. The facility failed to complete full assessments for 4 of 4 sampled residents and failed to complete an assessment in response to a resident's progressive diagnosis and changing needs, placing residents at risk of harm from unidentified care needs and unaddressed changes in condition.

WAC 388-78A-2130 Service agreement planning. The facility failed to update each resident's negotiated service agreement to address interventions required to meet current clinical needs for 3 of 4 residents, placing residents at risk for unmet care needs and potential harm.

IFC 315.3.2 (2021) - Combustible materials shall not be stored in exits or enclosures for stairways and ramps. Combustible materials were found stored in these areas.

IFC 405.5 (2021) - Drills shall be held at unexpected times and under varying conditions to simulate fire conditions. Records of required emergency evacuation drills were incomplete or missing.

IFC 603.6 (2021) - Extension cords shall not be a substitute for permanent wiring and must be properly listed and labeled. Extension cords were found in use improperly.

IFC 606.3.3 (2021) - Hoods, grease-removal devices, fans, ducts and other appurtenances shall be cleaned at required intervals. Semi-annual hood cleaning documentation was missing.

IFC 701.1 (2021) - Fire and smoke protection features must be maintained. Annual inspection paperwork for fire and smoke protection was not provided.

IFC 903.5 (2021) - Sprinkler systems shall be tested and maintained per Section 901. Some inspection paperwork was missing and a bent sprinkler head was observed.

IFC 904.13.5.2 (2021) - Automatic fire-extinguishing systems shall be serviced at least every six months. Semi-annual servicing documentation was incomplete.

IFC 915.1 and 915.6 (2021) WAC 51-54A - Carbon monoxide detection shall be installed and maintained. Carbon monoxide detection maintenance documentation was missing.

IFC 1203.4 (2021) - Emergency and standby power systems must be maintained and tested. Some testing documentation was missing.

NFPA 80 19.4 and 19.4.1.1 - Smoke dampers shall be inspected and tested periodically. Fire/smoke damper inspection documentation was missing.

NFPA 80 5.2.1 and 5.2.4 - Fire doors shall be inspected and tested annually. Documentation and inspection of fire doors were incomplete and several doors failed to latch properly.

IFC 315.3.2 (2021) - Combustible materials were found stored in exits or enclosures for stairways and ramps, specifically on Floor 2 stairway 3.

IFC 405.5 (2021) - Facility failed to provide documentation for completion of twelve planned and unannounced fire drills in the previous 12 months; drills for all three shifts and quarters 1 through 4 were missing.

IFC 603.6 (2021) - Extension cords were found in use in the 1st floor activities office, which is not permitted as a substitute for permanent wiring.

IFC 606.3.3 (2021) - Facility failed to provide documentation for first and second semi-annual hood cleanings required for grease-removal devices and related equipment.

IFC 701.1 (2021) - Facility failed to provide documentation establishing a schedule for inspection of fire-resistance-rated construction; annual inspection is required.

IFC 903.5 (2021) - Facility failed to provide required annual and periodic testing documentation for sprinkler systems; physical deficiencies included bent sprinkler head in hallway bathroom and painted sprinkler heads in REM laundry room.

IFC 904.13.5.2 (2021) - Facility failed to provide documentation for first and second semi-annual servicing of automatic fire-extinguishing systems.

IFC 906.2 (2021) - Fire extinguishers found overcharged and not inspected by vendor for over 12 months in multiple locations including room 2011, 2nd floor laundry room, REM laundry room, and 1st floor electrical room.

IFC 907.8 (2021) - Facility failed to provide documentation for annual report, sensitivity testing, and monthly alarms testing for fire alarm and detection systems.

IFC 915.1 (2021) WAC 51-54A - Carbon monoxide alarms and detectors require monthly testing, maintenance, and documentation, which was not provided.

IFC 1203.4 (2021) - Facility failed to provide annual service report, weekly inspection logs, monthly full load test, and diesel fuel testing documentation for emergency and standby power systems.

NFPA 80 - Facility failed to provide documentation for required fire/smoke damper inspection and testing; inspection needs to be performed and documented.

NFPA 80 - Elevator fire door on 2nd floor, double doors by boutique, and REM activities double door failed to latch properly; large gap found in double doors by room 2063.

WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to document potential medication side effects and caregiver instructions related to routine blood thinner therapy for 4 sampled residents and failed to document medication assistance and catheter care responsibilities for 1 resident. These failures placed residents at risk for unmet care needs and worsening medical conditions.

WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to assess and implement nurse delegation services for 3 residents, placing them at risk for medication errors and health decline when unqualified staff provided care.

WAC 388-78A-2130 Service agreement planning. The facility failed to update Individual Service Plans for 3 residents, placing them at risk for unmet care needs.

WAC 388-78A-2210 Medication services. The facility failed to ensure 2 staff documented blood sugar checks and insulin administration for 1 resident, placing the resident at risk of medication errors and adverse outcomes.

WAC 388-78A-2464 Background checks Process. The facility failed to complete DSHS background checks for 2 of 3 sampled contracted private home care aides, placing a resident at risk for potential abuse and neglect.

WAC 388-78A-2466 Background checks Washington state name and date of birth background check Valid for two years National fingerprint background check Valid indefinitely. The facility failed to ensure 1 of 6 sampled staff completed the required Washington State name and date of birth background check every two years, placing residents at risk for potential abuse, neglect, or exploitation.

WAC 388-78A-3090 Maintenance and housekeeping. The facility failed to ensure a hazard-free environment, including hazardous chemicals stored without protective covers or warning signs, unsecured metal lockers with sharp feet, and a picnic table obstructing a fire lane, placing residents at risk of injury or harm.

WAC 388-78A-2090 Full assessment topics. The facility failed to ensure 1 resident who used a medical device was assessed to safely and properly use the device and failed to ensure the device was securely installed to prevent entrapment, placing the resident at risk for injury.