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Source: WA Dept. of Social & Health Services
The document states that the Department completed a full inspection and found no deficiencies.
A follow-up inspection on 07/17/2025 confirmed that the deficiencies identified under compliance determination 59886 were corrected.
Facility did not have a consistent process for agency staff orientation to the facility.
Facility failed to ensure Washington state name and date of birth and national fingerprint background checks were completed for 16 of 16 sampled agency staff.
Initial inspection on 03/26/2025 resulted in a 'Disapproved' status. A follow-up inspection on 03/27/2025 resulted in an 'Approved' status.
7 canisters of oxygen were found unsecured in the memory care oxygen room on the 2nd floor.
Fire sprinklers in the kitchen had extreme amounts of particulates attached.
Facility could not provide documentation for fire drills for 2024 Quarter 2 (swing shift) and 2024 Quarter 4 (swing shift).
Portable fire extinguishers were blocked in the main dining room, kitchen, and memory care 2nd floor kitchen.
Inspection conducted following a complaint regarding a broken sprinkler pipe. Facility successfully implemented fire watch and repaired the system. No violations cited at the time of report completion.
Inspection conducted regarding complaint #165384 concerning a broken sprinkler line. It was determined that a sprinkler burst in an unheated entrance due to freezing conditions. The facility followed proper procedures, implemented a fire watch, and the sprinkler system is currently fully functioning. No violations cited.
Complaint investigation 110852. Allegation regarding incorrect medication administration was not substantiated (no failed practice found).
The facility failed to report a microwave fire that occurred on December 15, 2023, to the Department of Social and Health Services.
Includes an investigation report regarding hiring an unqualified staff person for 9 months.; Additional issues documented in the report include failure to clean rooms due to staffing shortages and failure to follow specific diet orders for Resident 10 (choking hazard) and fall precautions for Resident 11.; The report also documents specific deficiencies for Resident 8 regarding medication administration, failure to respond to reports of pain with urination, and failure to track/communicate significantly elevated blood pressure readings.
Failed to maintain on-site food service in compliance with state food code regarding hand hygiene/glove use and clean outer clothing.
Failed to perform required monitoring, intervention, and healthcare provider notification for residents (5 and 8) regarding blood pressure and weight management.
Facility failed to provide care in a manner promoting health and well-being, dignity, and respect for Resident 11, who was unable to feed themselves and was left without assistance during lunch, and faced allegations of neglect regarding hygiene.
Failed to report an allegation of neglect regarding a staff person hired as a licensed nurse who lacked proper licensure.
Failed to ensure 4 of 12 residents received services outlined in their agreement, including thickened liquids and monthly weigh-ins.
Failed to perform a safety assessment for a resident using a medical transfer pole, placing the resident at risk.
Failed to maintain a safe environment by allowing resident access to potentially hazardous supplies, chemicals, sharp instruments, and high-temperature hot water.
Failed to ensure negotiated service agreements were signed by residents or representatives for 9 of 12 sampled residents.
Failed to document investigations for alleged or suspected neglect of 4 residents (6, 7, 9, and 10) by a staff member.
Failed to ensure a qualified assessor conducted preadmission assessments for 2 of 12 residents, leading to lack of safety assessment for medical equipment.
Facility failed to comply with long-term care resident rights by failing to provide adequate assistance with eating and hygiene for Resident 11.
Failed to provide medications as prescribed for 2 of 12 sampled residents (8 and 12), resulting in medication errors.
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WA DSHS — View Official Record
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