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Source: WA Dept. of Social & Health Services
Approval Status: Approved. Next inspection scheduled on or after 2027-08-31.
5 Year Internal Pipe Testing and 5 Year Fire Department Connection Hydrant Testing are due in 2026 (last completed 2021-10-07).
Requirement that inspection, testing, or maintenance (ITM) results must be delivered and deficiencies corrected.
There are three pages provided. Page 1 is a follow-up inspection dated 07/11/2025 showing the 'Repair of penetrations' issue was corrected. Pages 2 and 3 constitute the initial inspection dated 06/04/2025 with a status of 'Disapproved'.
Room 24 had 2 unapproved extension cords in use.
Wall penetrations found in Linen/Oxygen room, Back refrigerator room, and Riser room.
Requirement to have testing completed and paper results delivered for any ITM citations.
Facility manager acknowledged the deficiency and updated the manual content during the inspection.
The facility had not updated their diet manual in over five years.
The inspection was conducted in response to an administrative complaint (164870) regarding smoke detectors. The facility's smoke detectors activated due to no apparent reason. Staff followed safety procedures and evacuated residents. The fire department was called, and the facility worked with a contractor to replace the devices and implemented a fire watch in the interim. No violations were cited.
The document notes these as 'Consultation(s)' regarding deficiencies not listed on the enclosed report. The facility is not required to submit a plan of correction for these specific items.
The facility was using the case manager's CARES assessment as the annual resident assessment rather than completing their own as required.
The facility was assisting residents with diabetic care/blood sugar testing without a current medical test site waiver license.
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Official Website
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WA DSHS — View Official Record
Public-record source of inspection history and licensure data shown on this page
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