Inspection Reports for
Cogir of Bothell Memory Care
10605 NE 185th St, Bothell, WA 98011, United States, WA, 98011
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
6% worse than Washington average
Washington average: 6.3 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jun 18, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 06/18/2024 to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Report Facts
Compliance Determination Completion Date: Completion Date 06/18/2024 and 04/24/2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Faith Le | NCI | Department staff who did the on-site verification |
| Erin Steinbrenner | Nursing Consultant Institutional | Department staff who did the on-site verification |
| Laurie Anderson | Field Manager | Signed the follow-up inspection letter |
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 2
Date: Dec 7, 2023
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility due to complaints including resident COVID-19 positive cases and concerns about staff care and infection control practices.
Complaint Details
The complaint investigation included allegations that a resident tested positive for COVID-19, a resident was found on the floor after monitoring system activation, a staff member failed to provide incontinence care, and the staff member did not wear proper PPE while providing care. The staff member was terminated. The facility was found to have failed provider practices with citations written.
Findings
The investigation found that the facility failed to fully implement its COVID-19 policy requiring staff to wear masks and appropriate PPE during an outbreak, and a staff member did not provide proper incontinence care and was terminated. The facility had infection control policies and followed reporting requirements but failed in some practices.
Deficiencies (2)
Failed to implement COVID-19 policy requiring staff to wear masks and appropriate PPE during an outbreak.
Staff member did not provide incontinence care to a resident and did not wear proper PPE while providing care.
Report Facts
Total residents: 37
Resident sample size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Mcglon | Nursing Consultant Institutional | Investigator who conducted the complaint investigation and provided consultation |
| Jamie Singer | Field Manager | Field Manager who signed the letter regarding the complaint investigation |
Inspection Report
Life Safety
Deficiencies: 11
Date: Apr 3, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility to assess compliance with fire protection and safety codes.
Findings
The inspection found multiple violations related to fire safety, including issues with storage in equipment rooms, record keeping, fire-resistance construction, door operation, fire extinguisher accessibility, smoke detector sensitivity testing, carbon monoxide alarm maintenance, emergency lighting testing, securing compressed gas containers, and the facility's fire safety/evacuation plan. Many violations were corrected, but several deficiencies remained uncorrected and documentation was lacking.
Deficiencies (11)
Facility is unable to provide documentation for the required smoke detector sensitivity testing.
Facility cannot provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months.
Facility is unable to provide documentation that the annual fire wall inspection has been completed.
In almost all maintenance and mechanical spaces, there is an excess amount of storage in the mechanical and electrical rooms as well as in front of electrical panels that needs to be removed.
In a number of maintenance rooms throughout the building, there were found holes in the fire barrier requiring building-wide assessment and repairs.
Fire doors on the copy room and business office coordinator need to have the hold opens removed as they are not attached to the fire alarm for release in emergency.
There was a blocked fire extinguisher in the TV room.
Facility is unable to provide documentation for the monthly carbon monoxide detector testing.
Facility is unable to provide documentation for the monthly 30 second activation test for the emergency lights.
There is an unsecured high-pressure helium tank in the under stair storage area.
Facility is unable to provide an Emergency Plan that contains the action to take by the person discovering a fire and the method of sounding an alarm on the premises.
Report Facts
Next inspection scheduled date: May 3, 2023
Next inspection scheduled date: Mar 15, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Arthur Jesse Ward | Deputy State Fire Marshal | Signed as Deputy State Fire Marshal conducting the inspection |
| C Boresford | Maintenance Director | Signed as Authorized Facility Representative |
Inspection Report
Follow-Up
Deficiencies: 7
Date: Dec 16, 2022
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 12/16/2022 to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and the facility met Assisted Living Facility licensing requirements. The prior deficiencies related to nursing services, assessments, medication services, negotiated service agreements, and pet immunizations were corrected.
Deficiencies (7)
Failed to ensure Nurse Delegation was in place for residents receiving blood sugar checks and medication assistance.
Failed to assess the need, use, and safe operation of a Tilt in Space wheelchair for a resident.
Failed to reassess a resident for current health status, care needs, and fall risk after multiple falls.
Failed to review and update the Negotiated Service Agreement to reflect current care and service needs of a resident.
Failed to develop Negotiated Service Agreements that included interventions and information to meet individualized care needs for multiple residents.
Failed to implement systems to promote safe medication services for a resident, including incomplete medication administration documentation.
Failed to ensure pets living on the premises had up-to-date immunizations and veterinary certification of being free of diseases transmittable to humans.
Report Facts
Sampled residents for review: 7
Missed blood sugar checks: 2
Fall risk scores: 80
Fall risk scores: 55
Fall risk scores: 40
Fall risk scores: 65
Number of pets: 5
Residents at risk from pets: 33
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alma Duran | Licensor | Department staff who did the on-site verification. |
| Erin Steinbrenner | Nursing Consultant Institutional | Department staff who did the on-site verification. |
| Jamie Singer | Field Manager | Signed multiple letters related to inspection and enforcement. |
| Staff I | Medication Technician | Performed blood sugar checks and medication administration for residents. |
| Staff H | Medication Technician | Performed blood sugar checks and medication administration for residents. |
| Staff J | Resident Care Coordinator/Certified Nursing Assistant/Medication Technician | Performed blood sugar checks and assisted with transfers. |
| Staff G | ALF Registered Nurse Delegator | Interviewed regarding nurse delegation consent and paperwork. |
| Staff B | Health and Wellness Director 1 | Interviewed regarding resident care and medication issues. |
| Staff F | Health and Wellness Director 2 | Interviewed regarding resident care and medication issues. |
| Staff K | Resident Care Associate | Provided care assistance to residents. |
| Staff L | Executive Director | Acknowledged incomplete pet records and efforts to obtain veterinary documentation. |
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