Murano Senior Living

The facility failed to maintain proper hot water temperatures (105-120°F) in 5 of 7 common restrooms, with temperatures as low as 93°F, affecting infection control and forcing closure of the beauty salon on multiple occasions. The facility acknowledged the deficiency, developed a monitoring system, and completed corrective actions by the target date. A follow-up inspection on 12/12/2025 confirmed full compliance with no remaining deficiencies.

A serious background check failure was identified where a staff member with substantiated financial exploitation allegations against her son was working in the memory care unit with vulnerable adults. The facility failed to conduct required background checks both at hire and at the two-year renewal, representing a systemic failure in resident protection protocols. The facility's response was minimal, with no evidence of immediate corrective action, staff removal, or policy changes despite the significant vulnerability of memory care residents to financial exploitation.

The facility failed to maintain required Washington state background checks for staff, a recurring violation previously cited in April 2024 and October 2022, placing 78 residents at potential risk from a staff member with unknown criminal history. The state imposed a $300 civil fine for this repeat offense. The facility's response has been inadequate, as evidenced by the pattern of recurrence across multiple years, demonstrating systemic failure to implement effective corrective measures despite previous citations.

The inspection identified multiple procedural and compliance violations including unsecured hazardous chemicals accessible to cognitively impaired residents, expired background checks for two staff members, incomplete tuberculosis testing protocols, missing staff orientation documentation, lapsed continuing education requirements, improper food storage, inadequate pet health certifications, and failure to implement the facility's respiratory protection program. The facility responded appropriately by acknowledging all findings, submitting a plan of correction with a completion date of June 7, 2024, and successfully correcting all deficiencies as verified by the follow-up inspection on June 28, 2024. While the violations represented a pattern of administrative and safety oversights affecting multiple compliance areas, none resulted in actual resident harm, and the facility demonstrated good follow-through in addressing systemic gaps.

A resident alleged sexual abuse by a caregiver (rape with a newspaper), constituting a severe allegation requiring immediate protective action. The facility conducted an investigation that ruled out abuse and notified appropriate parties, but failed to follow their own policy by not removing the accused caregiver from resident care pending investigation, creating continued risk exposure. While the facility took some investigative steps, the failure to immediately protect the vulnerable resident from potential ongoing contact with the accused staff member represents a significant gap in their response protocol. A citation was issued for failure to implement abuse protection policies during the investigation period.

The September 2023 inspection identified nine violations including critical life-safety issues: fire-rated door failures, blocked egress paths with plants and chairs, missing smoke alarm testing documentation, fire alarm pull stations obstructed by plants, breaches in fire-rated walls, and unsecured high-pressure gas cylinders. The facility responded appropriately by correcting all violations within the one-month timeframe, as confirmed by the October 2023 follow-up inspection showing full compliance. While the violations were serious and involved multiple fire protection and egress systems, the facility's timely corrective action and successful resolution of all issues demonstrates adequate response to the identified deficiencies.