Inspection Reports for Highgate Senior Living

Multiple fire safety violations were observed including improper clearance from ignition sources, missing documentation for hood suppression cleaning and fire door inspections, missing delayed egress locking system signs, unsecured oxygen cylinders, and failure to provide documentation for diesel generator testing. Some violations were corrected during the inspection, while others remain outstanding.

The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies related to background checks, employment, provisional hire, and training requirements were corrected.

Complaint investigations were conducted for allegations including a resident-to-resident altercation and a witnessed fall with injury. The investigations found failed provider practices including lack of discharge notice, failure to prevent resident altercations, failure to cooperate with the Department, and failure to update service agreements after condition changes. Citations were written.

The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies related to resident transfer/discharge, resident rights, investigations, and service agreement planning were corrected. The original complaint investigations identified failures in discharge notification, investigation and prevention of resident altercations, and updating service agreements after significant resident condition changes.

The complaint was substantiated with a failed provider practice identified and citations written. The deficiency was a repeated issue previously cited on 05/10/2023.

The investigation found that staff to resident interactions were helpful, respectful, and safe. However, the named resident returned from the hospital and was not started on an ordered medication timely, resulting in a failure to obtain and administer medications as required. This was a repeated deficiency previously cited.

Multiple violations related to ceiling clearance, application and use of power taps, unapproved electrical conditions, smoke detector sensitivity, emergency power for illumination, and delayed egress locking system were observed. All noted violations were corrected during the inspection.

The complaint investigations involved allegations that a named resident was in pain and was not evaluated timely, facility staff were not checking on and assessing residents, and a named staff member was not addressing resident health concerns. The investigations concluded with failed provider practice identified and citations written.

The Department found that the facility failed to timely identify and respond to changes in a resident's condition, resulting in an emergent hospital transfer. The follow-up inspection on 05/15/2024 found no deficiencies, indicating correction of prior issues.

The complaint alleged that a named staff member assisted with medications but did not ensure residents swallowed them, and medications were later found still in the medication cup. The complaint was substantiated with a failed provider practice identified and citations written.

The investigation found that not all residents who required medication assistance received their medications as prescribed. Resident to staff interactions were appropriate and respectful, but a failed provider practice was identified related to medication administration.

The complaint investigation was triggered by allegations that a named resident had a worsening pressure injury and that wound assessment documentation may have been falsified or monitoring was inadequate. The investigation confirmed failed provider practices and citations were written.

The follow-up inspection on 11/27/2023 found no deficiencies and confirmed that the facility meets licensing requirements. Previous investigations identified failed provider practices related to failure to assess a resident's wound and notify the resident's representative, resulting in citations.

The complaint alleged that the Assisted Living Facility had an outbreak of flu-like symptoms and did not report it. The investigation substantiated this failure to report, identifying a failed practice under WAC 388-78A-2610(2)(f).

The investigation found that multiple residents and staff exhibited respiratory and gastrointestinal symptoms during two outbreaks in July 2023. The facility isolated residents, implemented cleaning practices, and limited traffic flow but failed to notify the local health jurisdiction and the complaint resolution unit, violating infection control regulations.

The complaint involved a resident-to-resident altercation. The investigation concluded that the facility failed to monitor the named residents after the incident, constituting a failed provider practice with citations issued.

The investigation found that residents were clean, groomed, and interactions were appropriate. However, the facility failed to monitor the named residents after the altercation, which placed residents at risk of unmet and unmonitored needs. A failed provider practice was identified and citations were written.

Multiple violations were observed related to fire safety including lack of documentation for fire drills, use of unfused multiplug adapters, blocked doors, failure of door closers, missing or inadequate fire extinguisher inspections, dislodged smoke detectors, missing carbon monoxide alarm documentation, and unsecured compressed gas cylinders.