Ida Culver House Ravenna

This document is an Informal Dispute Resolution (IDR) decision letter, not an inspection report with violations. The facility disputed findings from a July 29, 2024 Statement of Deficiencies, but the dispute was denied and no changes were made to the original SOD. Without access to the actual SOD report details, no violations can be assessed. The facility engaged in the formal dispute process, demonstrating reasonable administrative response to regulatory findings.

The facility had three deficiencies: one staff member completed only online (not in-person) First Aid training, another staff member with two positive TB tests did not receive a chest x-ray within seven days as required, and the facility failed to notify the Department 30 days prior to relocating all nine residents for building reconstruction. The facility corrected all deficiencies by the follow-up inspection and implemented monitoring systems, though corrective actions were somewhat delayed and reactive rather than proactive. No actual harm to residents occurred, but the violations created potential risk for inadequate emergency response and TB exposure. The follow-up inspection on 08/27/2024 confirmed full compliance with all requirements.

This document is an IDR scheduling letter confirming the facility requested an informal dispute resolution meeting regarding a Statement of Deficiencies for WAC 388-78A-2860 dated July 29, 2024. The facility is exercising its right to dispute the citation through formal channels, with administrative leadership participating in the review process. This represents a procedural matter rather than an inspection report with substantive findings, and the facility is engaging appropriately with the regulatory dispute resolution process. No information about the nature or severity of the underlying violation is provided in this scheduling document alone.

Initial inspection on 08/02/2023 identified 12 fire safety violations including missing documentation for required testing/maintenance of critical life safety systems (sprinklers, fire alarms, smoke detectors), hazardous electrical conditions (daisy-chained extension cords, cord run through window), and non-functional fire doors. Follow-up inspection on 09/11/2023 showed most violations corrected, with only two documentation gaps remaining (FDC hydrostatic test, hood suppression yellow-tagged). By 11/27/2023, all violations were resolved and facility received approval, demonstrating systematic correction of compliance deficiencies over a three-month period.