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Source: WA Dept. of Social & Health Services
Facility status marked as 'Approved' despite noted deficiencies. Several items (Sections 3, 5, 6, 7, and 10) were marked as 'Corrected' during the inspection.
Unsealed barrier penetrations found in rated corridors and walls due to piping, conduit, and cables. Improper use of fire foam noted.
Multiple exit signs failed to connect to backup emergency power system; emergency generator is currently non-operational.
Unable to provide annual fire wall inspection records. Facility performed inspection but failed to document status or deficiencies.
Unable to provide documentation of 30-second monthly battery testing for emergency lighting and exit signs for the past 12 months.
Fire sprinkler system was yellow-tagged on 7/11/24 with no corrective service reports; missing annual confidence test report for Feb 2024.
References complaint numbers 163668, 164456, 165094. The facility is not required to submit a plan-of-correction as the deficiency was corrected on-site.
The facility lacked a process for verifying that pharmacy orders were delivered or picked up for residents on self-medication, although no residents were harmed.
Follow-up inspection on 2025-02-20 noted no deficiencies and that WAC 388-78A-2090-2-a was corrected.
Facility failed to perform required medication safety assessments for 6 of 6 sampled residents who were self-administering medications, placing them at risk for harm.
Includes follow-up letter dated 12/12/2023 stating no deficiencies found during subsequent inspection.
The facility failed to maintain safety and quality of common areas, including damaged walls, dim lighting, dirty air intake vents, cracked/chipped flooring, and damaged baseboard heating units.
The facility failed to ensure pets residing in the ALF had regular examinations and immunizations by a licensed veterinarian.
The inspection report indicates that the facility was initially 'Disapproved' on 02/22/2023, but a follow-up summary document dated 04/18/2023 confirms that 'All violations noted during previous related inspection(s) have been corrected' and the approval status is now 'Approved'.
Unable to provide records showing twelve planned and unannounced fire drills have been conducted in the past 12 months.
Unable to provide documentation of monthly carbon monoxide alarm inspections in the past 12 months.
Unable to provide reports of two semi-annual suppression system services in the past 12 months.
Failed to maintain storage of combustible material at least 18 inches below sprinkler head deflector in storage closets on Floors 1 and 2.
Fire extinguishers in elevator equipment room and main electrical room lacked documented monthly inspections.
Unable to provide documentation of annual fire alarm system servicing.
Improper disposal of smoking debris found outside the east exit in unsuitable containers and littered on the ground.
No record of annual fire door inspection/repair and door to apartment #202 has missing hinge screws causing the door to sag.
Unable to provide documentation of smoke detector sensitivity testing in the last 5 years.
Three exit signs were not illuminated under normal operation.
Unsealed sheetrock patch in the ceiling of the first floor housekeeping room.
Unable to provide reports showing that two semi-annual kitchen hood cleanings were performed in the past 12 months.
Waste bin containers exceeding 40 gallons found inside the Northeast and Southeast exit stairwells without snap-on lids.
Large amount of combustible storage and accumulation of combustible dust found in the main electrical/boiler room.
Unable to provide annual inventory records showing that fire-resistance-rated construction has been inspected/repaired in the past 12 months.
Unable to provide documentation of 90-minute annual battery testing for emergency lighting and exit signs.
Unable to provide documentation of 30-second monthly battery testing for emergency lighting and exit signs.
Power strip plugged into another power strip along the corridor wall in the Nurse's office.
Roof access hatch in the second floor record storage room failed to be closed and latched.
Unable to provide quarterly, annual, 3-year full flow, 5-year, or annual forward flow sprinkler system reports.
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