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Source: WA Dept. of Social & Health Services
References complaint number 216174.
Failed to ensure TB screening (one-step or two-step) was initiated and completed for 2 of 4 sampled staff members (Staff C and D).
Failed to ensure menus were dated and that the dietary manual was reviewed/updated by a dietitian within the required five-year period (manual was from 2014).
Failed to ensure 1 of 6 staff members (Staff D) had national fingerprint background check results on file.
Failed to ensure 3 of 6 staff members (Staff B, C, and D) met long-term care worker training requirements (orientation, safety, basic, and mental health specialty training).
The original inspection and complaint investigation occurred 03/31/2026–04/02/2026 under Compliance Determination 75111. A follow-up inspection on 06/09/2026 under Determination 78725 found no deficiencies and confirmed the facility met Enhanced Services Facility licensing requirements. The report references complaint number 216174. The sample also included three former residents.
Staff C had no completed orientation and safety training 208 days after hire.
Staff B, C, and D lacked required mental health specialty training. Staff C also lacked documented orientation, safety, and basic training.
The dietary manual in use was dated 2014 and had not been reviewed and updated by a dietitian within five years.
Staff D had no fingerprint background-check results available for review 215 days after hire; the file contained only a fingerprint appointment receipt.
The facility failed to ensure menus were available to residents at least one week in advance. A posted four-week cycle menu did not identify which week was being served, and the kitchen whiteboard was blank.
The facility failed to ensure posted menus included complete date information.
Staff C had no completed 70-hour basic training 208 days after hire.
The facility failed to ensure required TB screening was completed for 2 of 4 sampled staff. Staff C lacked a one-step TB test upon hire, and Staff D lacked a completed two-step TB test.
Inspection on 10/29/2025 resulted in a 'Disapproved' status. A subsequent follow-up on 12/11/2025 verified that all violations noted during previous inspection(s) have been corrected.
Facility unable to provide documentation for the semi-annual kitchen suppression system servicing.
Facility unable to provide documentation for the 12 months of semi-annual hood cleanings.
Facility unable to provide documentation for the 4 year fire and smoke damper inspection.
Facility unable to provide documentation for the monthly single station smoke/carbon monoxide alarm combo testing.
Extension cord utilized as permanent wiring in dining room powering a refrigerator.
Facility cannot provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months.
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