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Assisted Living

Ruthaven Alf LLC

Families consistently rate this highly — reviewers highlight focus on resident dignity and respect. Schedule a visit to confirm the fit.

15843 Se 256th St, Covington, WA 9804214 bedsLicensed & Active
Source: WA DSHS — view official record
Google rating
4.3/5

based on 6 Google reviews

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Ruthaven Alf LLC Assisted Living in Covington, WA — Street View
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What this means for your family

While some families have had positive experiences regarding the facility's culture of dignity, the most recent detailed feedback raises serious concerns about medication safety and hygiene. We strongly recommend conducting an unannounced visit to inspect the cleanliness of resident rooms and asking for a clear, written plan on how medication administration is monitored and verified.

Google Reviews

Google Reviews

6 reviews on Google
Ruthaven ALF LLC receives polarized feedback, with some families praising the owner's compassionate approach and the facility's focus on dignity. However, more recent reports highlight significant failures in medication management and cleanliness, specifically citing unsanitary room conditions and a lack of responsiveness from management.

Quality Themes

Tap a score for details
FoodN/AStaff5.0Clean3.0ActivitiesN/AMeds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Focus on resident dignity and respect
  • Compassionate leadership from owner
  • Well-maintained common areas

Concerns

  • Inconsistent medication management and administration (mentioned by 2 reviewers)
  • Lack of responsiveness or follow-through from management (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02015(2)5.02017(2)5.02022(4)1.02023(2)5.02026(2)

Distribution · 12 analyzed

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How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about the compassionate leadership here; how does the owner personally stay involved with the residents' daily well-being?
  • 2Could you walk us through your specific process for tracking and administering daily medications to ensure nothing is ever missed?
  • 3What is your system for communicating important updates or changes in a resident's health to family members to ensure we are always in the loop?
  • 4How does the team manage the daily cleaning and upkeep of the resident rooms and common areas to maintain the facility's high standards?
  • 5What kind of daily activities or social outings do you organize to keep the residents engaged and active within the community?
  • 6In the event of a medical emergency during the night, what is the protocol for contacting both emergency services and the family immediately?

Personalized based on this facility's data


Key Review Excerpts

Management are caring. They treat residents with dignity and respect. The nurse owner is kind compassionate and available.

Family member · 2022★★★★★

This place looked good on paper, unfortunately it turned out to be very disappointing. The manager and owner told us what we wanted to hear but they weren’t following through with what they would tell us, my loved one was not getting their proper meds at the correct times and Patrick didn’t seem to care.

Family member · 2023☆☆☆☆

A wonderful well managed facility, built to supply dignity and respect to all residents. The level of care and sensitivity to residents is exemplary.

Long-term resident's family · 2017★★★★★
Source: 6 Google reviews

State Inspection History

State Inspections

Source: WA Dept. of Social & Health Services

5total
49deficiencies
Apr 21, 2026Fire

The inspection on 04/21/2026 confirmed that all previously noted violations were corrected.

Door OperationIFC 705.2.4

Laundry/garage door will not close and latch.

Inspection, Testing and MaintenanceIFC 907.8

Missing semi-annual report; smoke detectors missing or hanging in downstairs space.

CleaningIFC 606.3.3

Second semi-annual hood cleaning report missing hinge deficiency notation.

Inspection and MaintenanceIFC 705.2

Missing documentation/maps of fire door locations and annual inspection reports.

Extinguishing System ServiceIFC 904.13.5.2

Second semi-annual service report not provided.

MaintenanceIFC 1203.4

Missing annual service report, logs of weekly inspections, monthly 30-minute full load tests, diesel fuel testing report, and 4-hour load test.

Owner's ResponsibilityIFC 701.6

Missing documentation/maps of fire-rated construction and annual inspection reports.

Testing and MaintenanceIFC 903.5

Missing 5-year internal pipe test, annual forward flow test, and 5-year FDC hydro test; painted sprinkler heads observed in dining room/kitchen, outside room 102, and hair salon.

Emergency Lighting Equipment Inspection and TestingIFC 1032.10

Emergency light by room 104 hanging by wires.

Duct and Air Transfer OpeningsIFC 706.1

Fire/smoke dampers inspection not performed or documented.

Smoke Detector SensitivityIFC 907.8.3

Smoke detector sensitivity report not provided.

Mar 18, 2026Fire

The facility status is Disapproved. Next inspection scheduled on or after 04/17/2026.

Extinguishing System ServiceIFC 904.13.5.2 2021

Facility failed to provide the required second semi-annual fire-extinguishing system service report.

Cleaning (Hoods/Grease-removal)IFC 606.3.3 2021

Second semi-annual hood cleaning report was missing, and the report showed a deficiency regarding a missing hinge.

Owner's Responsibility (Fire-resistance-rated construction)IFC 701.6 2021

Facility did not provide detailed documentation and maps of fire-rated construction locations and maintenance/inspection records.

Inspection and Maintenance (Fire doors)IFC 705.2 2021

Facility did not provide detailed documentation and maps of fire door locations and annual inspection records.

Door OperationIFC 705.2.4 2021

The laundry/garage door will not close and latch.

Duct and Air Transfer OpeningsIFC 706.1 2021

Fire/smoke damper inspection documentation was not provided.

Testing and Maintenance (Sprinkler systems)IFC 903.5 2021

Missing 5-year internal pipe testing, annual forward flow test, and 5-year FDC hydro testing reports. Additionally, painted sprinkler heads were observed in dining room/kitchen, outside room 102, and outside hair salon.

Inspection, Testing and Maintenance (Fire alarm)IFC 907.8 2021

Missing semi-annual report; missing or hanging smoke detectors observed in the downstairs space.

Smoke Detector SensitivityIFC 907.8.3 2021

Smoke detector sensitivity report was not provided.

Emergency LightingIFC 1032.10 2021

Emergency light by room 104 is hanging by its wires.

Maintenance (Emergency/standby power)IFC 1203.4 2021

Missing annual service report, weekly inspection logs, monthly 30-minute full load test, diesel fuel testing report, and 4-hour load test records.

Mar 3, 2025Fire

The inspection on 03/03/2025 confirmed that all violations noted during the previous inspection (12/19/2024) have been corrected.

Initiation of fire drillsIFC 405.8Corrected Mar 3, 2025

Facility staff do not sound the fire alarm during fire drills.

Clearances of electrical panelsIFC 605.1.6Corrected Mar 3, 2025

Clearance in front of electrical panels in the garage not maintained.

Sprinkler system testingIFC 903.5Corrected Mar 3, 2025

Unable to provide documentation for annual, quarterly, 5-year, and forward flow sprinkler testing.

Emergency lighting testingIFC 1032.10.1Corrected Mar 3, 2025

Unable to provide documentation for monthly 30-second testing of emergency lighting for past 12 months.

Hood cleaning documentationIFC 606.3.3.1Corrected Mar 3, 2025

Unable to provide documentation for annual hood cleaning.

Opening protectives / fire-resistant doorsIFC 705.2Corrected Mar 3, 2025

Unable to provide inventory record of annual inspection/repairs for fire-resistant doors.

Kitchen suppression system serviceIFC 904.13.5.2Corrected Mar 3, 2025

Unable to provide semi-annual service reports for kitchen suppression system.

Fire alarm system inspectionIFC 907.8Corrected Mar 3, 2025

Unable to provide record of annual fire alarm system inspection.

Emergency lighting battery testIFC 1031.10.2Corrected Mar 3, 2025

Unable to provide documentation for annual 90-minute battery test.

Stock of spare sprinklersNFPA 6.2.9.1Corrected Mar 3, 2025

Sprinkler box only contained 4 spare heads instead of the required 6.

Fire protection systems maintenanceIFC 901.6Corrected Mar 3, 2025

Dirty sprinkler head in the kitchen by the hood.

Fire department connection testingIFC 912.7Corrected Mar 3, 2025

Unable to provide documentation of FDC hydro testing.

Fire drillsWAC 212-12-044Corrected Mar 3, 2025

Missing swing and NOC shift documentation, and missing 3rd quarter fire drills.

Sep 11, 2024Inspection

There is a separate document dated 11/12/2024 confirming all listed deficiencies were corrected.; Correction date indicated on the Plan/Attestation Statement is 10/26/24. Deficiencies were signed by the administrator on 9-23-24.

Licensee's responsibilitiesWAC 388-78A-2730

Facility failed to post a current assisted living facility license.

Tuberculosis Testing RequiredWAC 388-78A-2480

Facility failed to ensure 1 of 6 care staff was screened for tuberculosis within three days of hire.

Implementation of negotiated service agreementWAC 388-78A-2160Corrected Oct 26, 2024

Facility failed to provide required shower assistance to Resident 5 as agreed upon in the service plan.

Annual renewalWAC 388-78A-2790

Facility failed to renew the assisted living facility license.

Policies and proceduresWAC 388-78A-2600

Facility failed to train 6 of 6 staff on the respiratory protection program policy.

Resident rights Notice Policy on accepting medicaidWAC 388-78A-2665

Facility failed to disclose Medicaid policy and maintain signed documentation for 13 of 13 residents.

Background checks Employment Conditional hireWAC 388-78A-2468

Facility failed to submit background check requests for 3 of 7 staff and 1 of 1 contracted staff within one business day.

Medication servicesWAC 388-78A-2210

Facility failed to implement medication/treatment regimen for Resident 2 as agreed upon in service plan; staff failed to administer insulin as ordered.

Negotiated service agreement contentsWAC 388-78A-2140Corrected Oct 26, 2024

Facility failed to update Negotiated Service Agreements (NSA) for Residents 2 and 5 to reflect actual care needs, including range of motion, insulin administration, and medication side-effect guidance.

VentilationWAC 388-78A-3000

Exhaust air vents in the laundry room, common bathroom, and Apartment 106 were non-functioning; missing window screen in Apartment 106.

Tuberculosis One testWAC 388-78A-2483

Facility failed to ensure 4 of 6 sampled staff were properly tested for tuberculosis.

ActivitiesWAC 388-78A-2180Corrected Oct 26, 2024

Facility failed to provide activities to 13 of 13 residents; no activity calendar posted; activities listed on calendars were not provided; residents and staff confirmed lack of activities.

Feb 22, 2024Fire

The facility received a status of 'Disapproved' following the re-inspection on 02/22/2024. Next inspection scheduled on or after 03/23/2024.

Sprinkler systems testing and maintenanceIFC 903.5

Facility was unable to provide documentation for their forward flow test.

Automatic fire-extinguishing systems serviceIFC 904.12.5.2

Facility was unable to provide service reports showing that the kitchen suppression system has been serviced annually and semi-annually in the past 12 months.

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References & Resources

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