Inspection Reports for La Conner Retirement Inn

The inspection identified multiple fire safety violations including use of multi-plug adapters without over current protection, extension cords used as permanent wiring, fire doors not closing properly, obstructed sprinkler heads, and missing documentation for fire drills. Several violations were corrected during the inspection.

The inspection identified multiple fire safety violations including improper use of extension cords, fire doors not closing properly, obstructed sprinkler heads, missing fire drills documentation, and issues with fire extinguishers and emergency systems. Several violations were corrected during the inspection, but some deficiencies remained uncorrected.

The follow-up inspection on 12/16/2024 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to background checks were corrected.

The inspection identified multiple fire safety violations including improper use of extension cords as permanent wiring, missing sprinkler system documentation and components, blocked sprinkler heads, missing hydraulic calculation data plate, and deficiencies in the kitchen suppression system. Several fire safety equipment and maintenance issues were noted, some corrected and others pending correction.

Complaint investigation completed on February 29, 2024, resulting in a civil fine for unsanitary kitchen conditions. The deficiency was recurring from previous citations on January 25, 2023, and March 23, 2023.

The licensee failed to maintain a clean kitchen, resulting in an unsanitary environment that placed all residents at risk of food borne illness. This was a recurring deficiency previously cited in January and March 2023.

The complaint investigation was based on allegations including improper resident treatment by the Activity Director, presence of dogs in dining and bus areas, kitchen staff not following food safety protocols, residents reheating their own food, and denial of alternative food choices. The investigation found some allegations unsubstantiated but confirmed food safety and sanitation violations.

The investigation found multiple issues including kitchen staff not wearing proper protective gear, incomplete temperature logs, unsanitary kitchen conditions, uncovered food storage, and inadequate staff training. Some allegations such as resident removal from bus trips and dog presence were not substantiated. The facility was cited for noncompliance with food sanitation and safety regulations.

Complaint investigation conducted from 07/18/2023 through 08/01/2023 regarding allegations that raw, uncooked chicken was served for lunch and staff were overheard refusing responsibility to clean up a resident's bowel movement. The allegation of raw food was substantiated with failed practice cited. The allegation regarding staff responsibility for cleanup was unsubstantiated.

The follow-up inspection on 08/30/2023 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. The prior deficiencies related to food temperature documentation and equipment temperature logs were corrected.

The inspection identified multiple fire safety violations including blocked fire doors, obstructed sprinkler heads, lack of documentation for required cleaning and maintenance, and failure to complete required fire drills and equipment testing. Several issues were corrected during the inspection.

The inspection identified multiple fire safety violations including blocked fire doors, mixed sprinkler head types in the kitchen, obstructed sprinkler heads, lack of documentation for required inspections and maintenance, and a chair obstructing stairway egress. Several deficiencies were corrected during the inspection.

The facility failed to ensure staff wore required Personal Protective Equipment and had been fit tested for respirator masks, placing 38 residents, staff, and visitors at risk of communicable disease. Additionally, the facility failed to maintain proper cleaning systems in one kitchen, placing all residents at risk for food borne illness. Both deficiencies were previously cited and remain uncorrected.

The complaint investigation was triggered by multiple allegations including elevator malfunctions, unclean resident rooms, lack of cook, COVID-19 outbreaks, flooding, and sprinkler pipe break. The investigation found multiple deficiencies related to infection control, food sanitation, notification failures, and administrative compliance.

The facility was found non-compliant with infection control practices, food sanitation, notification requirements, and administrative reporting. Deficiencies included failure to ensure staff wore required PPE and fit testing, inadequate kitchen cleaning, failure to notify local health jurisdiction of COVID outbreaks, failure to post COVID signage, flooding damage, broken sprinkler pipe, and failure to notify department of administrator change.

The complaint alleged that the Assisted Living Facility was out of compliance with the State Fire Marshal. The investigation confirmed non-compliance and a citation was issued.

The facility was found not in compliance with the State Fire Marshal requirements, specifically failing to meet fire and life safety codes related to a kitchen drywall repair. A citation was written for these deficiencies.

Complaint #63517 regarding a pipe burst on 12/23/22. The fire alarm was activated, the fire department responded, water was shut off, and the facility entered fire watch. No injuries were reported.

The inspection found a large section of drywall removed in the kitchen for sprinkler repair and a missing sprinkler head in the kitchen. The fire alarm was activated, the fire department responded, and the broken pipe was replaced and capped, but the sprinkler head had not yet been replaced.