Cogir of Kirkland

The facility employed a staff member who provided direct care to residents for over 483 days without completing required Home Care Aide or Nursing Assistant training and certification, exceeding the 120-day compliance deadline by more than a year. This represents a pattern of non-compliance with staff qualification requirements that could affect care quality. The report documents the violation through record review and interviews but provides no information about corrective actions, investigation, or disciplinary measures taken by the facility. The lack of documented facility response indicates minimal accountability for the extended period of non-compliance.

The facility had multiple recurring violations primarily involving staff training and background check deficiencies. Key violations included staff working without required continuing education (2 medication technicians), incomplete tuberculosis testing (4 staff), late background checks (6 staff), and two administrators working without required fingerprint clearances. The facility demonstrated a good response by immediately removing non-compliant staff from direct care duties, providing corrective training, conducting facility-wide audits, and successfully completing all corrective actions by the follow-up inspection date. The violations reflected systemic administrative gaps rather than immediate resident safety threats, and the facility's prompt corrective measures prevented escalation.

The facility failed to maintain tuberculosis test records on-site for all 14 sampled staff and failed to administer a required one-step TB test to one staff member within 46 days of hire, placing 32 residents at potential risk of TB exposure. The facility responded appropriately by acknowledging the violations, implementing corrective actions, and obtaining all required documentation. A follow-up inspection on 08/26/2025 confirmed all deficiencies were corrected, demonstrating effective remediation of these administrative compliance issues that posed theoretical but not immediate safety risks to residents.

The facility failed to ensure two care staff completed required continuing education, CPR/first-aid, and home care aide certification training, placing 32 residents at risk for decreased care quality. This is an uncorrected deficiency from May 2025 and recurring from March 2025, demonstrating a pattern of non-compliance with training requirements. The facility's response has been inadequate, as evidenced by repeated citations for the same violations across three consecutive inspections, resulting in an $800 civil fine. The persistent failure to correct these training deficiencies indicates systemic issues with compliance management and staff oversight.

This follow-up inspection found repeat violations of staff training and tuberculosis screening requirements affecting all 34 residents. Two staff lacked required continuing education and CPR/first-aid training, three staff did not complete TB testing within three days of hire, and one staff with a positive TB test did not complete required follow-up screening. The facility's response was inadequate, as these were uncorrected deficiencies previously cited two months earlier on March 6, 2025, resulting in civil fines totaling $1,200 and demonstrating failure to implement effective corrective actions.

This inspection identified multiple fire safety and life safety system violations including missing documentation for critical systems (sprinkler testing, fire alarm maintenance, carbon monoxide detection), physical deficiencies (painted-over sprinkler heads, non-latching fire doors, blocked kitchen pull station, missing CO alarms), and absent inspection schedules for fire-rated construction and fire doors. The facility responded appropriately by correcting all violations within approximately three weeks, as confirmed by the follow-up inspection on 1/8/2024 showing full approval status, demonstrating timely remediation of systemic documentation gaps and equipment issues that posed moderate risk but did not result in actual resident harm.