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Fire Safety Inspection & Emergency Preparedness Summary

Rockwood South Hill

East 2903 25th Avenue

Spokane, WA 99223

(509) 536-6650

Deficiency Category	Inspection Date: 12/6/24 Complaint Reporting Period: 4/1/24 - 3/31/25	Inspection Date: 7/26/23 Complaint Reporting Period: 4/1/23 - 3/31/24	Inspection Date: 7/23/21 Complaint Reporting Period: 4/1/22 - 3/31/23
Emergency Preparedness Deficiencies	0	0	0
Automatic Sprinkler Systems Deficiencies	0	0	0
Building Construction Deficiencies	0	0	0
Services Deficiencies	0	0	0
Corridor Walls and Doors Deficiencies	0	0	0
Egress Deficiencies	0	0	0
Electrical Deficiencies	0	0	0
Emergency Plans and Fire Drills Deficiencies	0	0	0
Fire Alarm Systems Deficiencies	0	0	0
Smoke Deficiencies	0	0	0
Interior Finish Deficiencies	0	0	0
Gas, Vacuum, and Electrical Systems Deficiencies	0	0	0
Hazardous Area Deficiencies	0	0	0
Illumination and Emergency Power Deficiencies	0	0	0
Laboratories Deficiencies	0	0	0
Medical Gases and Anesthetizing Areas Deficiencies	0	0	0
Smoking Regulations Deficiencies	0	0	0
Miscellaneous Deficiencies	0	0	0

Detailed result for inspection on 12/6/24

Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home:	12
Average number of Fire Safety & Emergency Preparedness Deficiencies in Washington:	10.9
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States:	4.8

Emergency Preparedness Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Establish procedures for tracking staff and patients during an emergency.	12/6/24	1/10/25	2 - Minimal harm or potential for actual harm	Many
Conduct testing and exercise requirements.	12/6/24	1/10/25	2 - Minimal harm or potential for actual harm	Many
Address patient/client population and determine types of services needed.	12/6/24	1/10/25	2 - Minimal harm or potential for actual harm	Many
Develop and maintain an Emergency Preparedness Program (EP).	12/6/24	1/10/25	2 - Minimal harm or potential for actual harm	Many
Provide family notifications of emergency plan.	12/6/24	1/10/25	2 - Minimal harm or potential for actual harm	Many
Establish policies and procedures including evacuation.	12/6/24	1/10/25	2 - Minimal harm or potential for actual harm	Many

Automatic Sprinkler Systems Deficiencies
No Automatic Sprinkler Systems Deficiencies were found during this inspection period.

Building Construction Deficiencies
No Building Construction Deficiencies were found during this inspection period.

Services Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	12/6/24	12/16/24	2 - Minimal harm or potential for actual harm	Many

Corridor Walls and Doors Deficiencies
No Corridor Walls and Doors Deficiencies were found during this inspection period.

Egress Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	12/6/24	12/7/24	2 - Minimal harm or potential for actual harm	Many

Electrical Deficiencies
No Electrical Deficiencies were found during this inspection period.

Emergency Plans and Fire Drills Deficiencies
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period.

Fire Alarm Systems Deficiencies
No Fire Alarm Systems Deficiencies were found during this inspection period.

Smoke Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide properly protected cooking facilities.	12/6/24	1/10/25	2 - Minimal harm or potential for actual harm	Many

Interior Finish Deficiencies
No Interior Finish Deficiencies were found during this inspection period.

Gas, Vacuum, and Electrical Systems Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	12/6/24	1/10/25	2 - Minimal harm or potential for actual harm	Many
Have generator or other power source capable of supplying service within 10 seconds.	12/6/24	12/23/24	2 - Minimal harm or potential for actual harm	Few

Hazardous Area Deficiencies
No Hazardous Area Deficiencies were found during this inspection period.

Illumination and Emergency Power Deficiencies
No Illumination and Emergency Power Deficiencies were found during this inspection period.

Laboratories Deficiencies
No Laboratories Deficiencies were found during this inspection period.

Medical Gases and Anesthetizing Areas Deficiencies
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period.

Smoking Regulations Deficiencies
No Smoking Regulations Deficiencies were found during this inspection period.

Miscellaneous Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Have simulated fire drills held at unexpected times.	12/6/24	1/10/25	2 - Minimal harm or potential for actual harm	Many

Detailed result for inspection on 7/26/23

Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home:	13
Average number of Fire Safety & Emergency Preparedness Deficiencies in Washington:	12.6
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States:	4.6

Emergency Preparedness Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Establish emergency prep training and testing.	7/26/23	8/30/23	2 - Minimal harm or potential for actual harm	Many
Establish staff and initial training requirements.	7/26/23	8/30/23	2 - Minimal harm or potential for actual harm	Many
Conduct testing and exercise requirements.	7/26/23	8/30/23	2 - Minimal harm or potential for actual harm	Many

Automatic Sprinkler Systems Deficiencies
No Automatic Sprinkler Systems Deficiencies were found during this inspection period.

Building Construction Deficiencies
No Building Construction Deficiencies were found during this inspection period.

Services Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Have properly installed electrical wiring and gas equipment.	7/26/23	8/30/23	2 - Minimal harm or potential for actual harm	Some

Corridor Walls and Doors Deficiencies
No Corridor Walls and Doors Deficiencies were found during this inspection period.

Egress Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Have properly located and lighted "Exit" signs.	7/26/23	8/30/23	2 - Minimal harm or potential for actual harm	Many

Electrical Deficiencies
No Electrical Deficiencies were found during this inspection period.

Emergency Plans and Fire Drills Deficiencies
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period.

Fire Alarm Systems Deficiencies
No Fire Alarm Systems Deficiencies were found during this inspection period.

Smoke Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Install corridor and hallway doors that block smoke.	7/26/23	8/30/23	2 - Minimal harm or potential for actual harm	Few
Have approved installation, maintenance and testing program for fire alarm systems.	7/26/23	8/30/23	2 - Minimal harm or potential for actual harm	Many
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	7/26/23	8/30/23	2 - Minimal harm or potential for actual harm	Some
Provide properly protected cooking facilities.	7/26/23	8/30/23	2 - Minimal harm or potential for actual harm	Many
Install smoke barrier doors that can resist smoke for at least 20 minutes.	7/26/23	8/30/23	2 - Minimal harm or potential for actual harm	Few

Interior Finish Deficiencies
No Interior Finish Deficiencies were found during this inspection period.

Gas, Vacuum, and Electrical Systems Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	7/26/23	8/30/23	2 - Minimal harm or potential for actual harm	Many
Ensure that testing and maintenance of electrical equipment is performed.	7/26/23	8/30/23	2 - Minimal harm or potential for actual harm	Many

Hazardous Area Deficiencies
No Hazardous Area Deficiencies were found during this inspection period.

Illumination and Emergency Power Deficiencies
No Illumination and Emergency Power Deficiencies were found during this inspection period.

Laboratories Deficiencies
No Laboratories Deficiencies were found during this inspection period.

Medical Gases and Anesthetizing Areas Deficiencies
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period.

Smoking Regulations Deficiencies
No Smoking Regulations Deficiencies were found during this inspection period.

Miscellaneous Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Have simulated fire drills held at unexpected times.	7/26/23	8/30/23	2 - Minimal harm or potential for actual harm	Many

Detailed result for inspection on 7/23/21

Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home:	0
Average number of Fire Safety & Emergency Preparedness Deficiencies in Washington:	7.5
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States:	4.3

Emergency Preparedness Deficiencies
No Emergency Preparedness Deficiencies were found during this inspection period.

Automatic Sprinkler Systems Deficiencies
No Automatic Sprinkler Systems Deficiencies were found during this inspection period.

Building Construction Deficiencies
No Building Construction Deficiencies were found during this inspection period.

Services Deficiencies
No Services Deficiencies were found during this inspection period.

Corridor Walls and Doors Deficiencies
No Corridor Walls and Doors Deficiencies were found during this inspection period.

Egress Deficiencies
No Egress Deficiencies were found during this inspection period.

Electrical Deficiencies
No Electrical Deficiencies were found during this inspection period.

Emergency Plans and Fire Drills Deficiencies
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period.

Fire Alarm Systems Deficiencies
No Fire Alarm Systems Deficiencies were found during this inspection period.

Smoke Deficiencies
No Smoke Deficiencies were found during this inspection period.

Interior Finish Deficiencies
No Interior Finish Deficiencies were found during this inspection period.

Gas, Vacuum, and Electrical Systems Deficiencies
No Gas, Vacuum, and Electrical Systems Deficiencies were found during this inspection period.

Hazardous Area Deficiencies
No Hazardous Area Deficiencies were found during this inspection period.

Illumination and Emergency Power Deficiencies
No Illumination and Emergency Power Deficiencies were found during this inspection period.

Laboratories Deficiencies
No Laboratories Deficiencies were found during this inspection period.

Medical Gases and Anesthetizing Areas Deficiencies
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period.

Smoking Regulations Deficiencies
No Smoking Regulations Deficiencies were found during this inspection period.

Miscellaneous Deficiencies
No Miscellaneous Deficiencies were found during this inspection period.

Complaints and facility-reported incidents in the past 3 years
This nursing home has not been cited for any deficiencies from incidents reported by the nursing home or complaints in the last 3 years.

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