West Lake Assisted Living

2025 · 18 cited

1. The facility failed to ensure portable fire extinguishers were mounted on hangers or brackets supplied with the fire extinguisher or mounted in a fire extinguisher cabinet, were protected from impact or dislodgement, and were mounted at the appropriate height based on the weight of the extinguisher.

   Life Safety CodeCited Nov 3, 2025Corrected —

2. The facility failed to obtain an inspection by the fire marshal every year and to keep documentation showing the outcome of the last inspection.

   Life Safety CodeCited Nov 3, 2025Corrected —

3. The facility failed to conduct required fire drills and document fire drills on the required form.

   Life Safety CodeCited Nov 3, 2025Corrected —

4. The facility failed to have and enforce a smoking policy.

   Life Safety CodeCited Nov 3, 2025Corrected —

5. The facility failed to have a program to inspect, test, and maintain the fire alarm system and keep records of inspection, testing, and maintenance of the fire alarm system.

   Life Safety CodeCited Nov 3, 2025Corrected —

6. The facility failed to ensure the sensitivity of smoke detectors was checked according to NFPA 72.

   Life Safety CodeCited Nov 3, 2025Corrected —

7. The facility failed to have a program to inspect, test, and maintain the fire sprinkler system and keep records of inspection, testing, and maintenance of the fire sprinkler system.

   Life Safety CodeCited Nov 3, 2025Corrected —

8. The facility failed to keep floors in good condition and regularly cleaned.

   Life Safety CodeCited Nov 3, 2025Corrected —

9. The facility failed to provide ventilation to maintain indoor air quality.

   Life Safety CodeCited Nov 3, 2025Corrected —

10. The facility failed to provide sufficient storage space.

    Life Safety CodeCited Nov 3, 2025Corrected —

11. The facility failed to ensure means of escape met the referenced codes and standards.

    Life Safety CodeCited Nov 3, 2025Corrected —

12. The facility failed to ensure resident room doors would latch in their frames.

    Life Safety CodeCited Nov 3, 2025Corrected —

13. The facility failed to ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually.

    Health VisitCited Jun 10, 2025Corrected —

14. The facility failed to obtain an inspection by the fire marshal every year and to keep documentation showing the outcome of the last inspection.

    Health VisitCited Jun 10, 2025Corrected —

15. The facility failed to have evidence showing that the manager completed the required 12 hours of annual continuing education.

    Health VisitCited Jun 10, 2025Corrected —

16. The facility failed to conduct criminal history checks of employees and applicants.

    Health VisitCited Jun 10, 2025Corrected —

17. The facility failed to provide a locked area for all medications.

    Health VisitCited Jun 10, 2025Corrected —

18. The facility failed to either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time.

    Health VisitCited Jun 10, 2025Corrected —