Aegis of Mercer Island

The facility had low-severity administrative compliance violations affecting 3 of 6 staff, including incomplete CPR hands-on training for one staff member, missing continuing education for two staff, and delayed TB screening for one employee. The administrator promptly acknowledged the deficiencies during the inspection, and the facility immediately corrected several consultation items including medication labeling, water temperature, and record storage issues. The violations represent procedural gaps in personnel tracking rather than actual resident harm, and the facility demonstrated good responsiveness by taking corrective action during the inspection and committing to improved monitoring systems.

The August 6, 2025 inspection identified four low-severity fire code violations: improper use of extension cord with appliances, a door latch failure, missing carbon monoxide detector in sprinkler room, and incomplete emergency lighting inspection documentation. The facility responded appropriately, correcting all violations within five days as confirmed by the August 11, 2025 follow-up inspection showing full compliance. These violations represented procedural and equipment maintenance issues without immediate life-safety impact, and the facility's prompt corrective action demonstrated adequate safety management systems.

The facility failed to properly negotiate care plan changes with the resident representative before implementing increased services and charges, violating resident rights regarding care planning participation. The facility demonstrated a good response by acknowledging the procedural failure, re-negotiating the service agreement with proper resident representative involvement, and crediting the resident for excess fees charged during the non-negotiated period. A consultation was issued, and the facility cooperated fully with the investigation and took appropriate corrective financial and procedural actions.

The facility failed to report a suspected sexual abuse incident involving bruising on a resident's breast to state authorities as required by law, despite being notified by family and conducting an internal investigation. While the facility did investigate internally and the resident denied abuse and refused examination, staff inappropriately determined the allegation was not reportable to the state. The facility's response was inadequate as they failed their mandatory reporting obligation, though they did conduct some level of internal investigation and the follow-up inspection found all deficiencies corrected by the completion date with no additional violations identified.

The June 2023 inspection identified seven fire safety violations including daisy-chained power strips, missing hood cleaning documentation, incomplete fire-rated construction inspections, unsealed fire-rated penetrations, a malfunctioning fire door, unsecured compressed gas cylinders, and missing fire/smoke damper inspection records. The facility responded appropriately by correcting all violations within the required timeframe, as confirmed by the July 2023 follow-up inspection showing full compliance. The violations were procedural and maintenance-related with no immediate life safety threats, and the facility's timely remediation demonstrates good safety management practices.