12 Reports
Inspection Report — Mar 19, 2026
Life Safety
Date: Mar 19, 2026
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 03/19/2026.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — Dec 16, 2024
Follow-Up
Date: Dec 16, 2024
Visit Reason
Follow-up inspection to verify correction of previously cited deficiencies and compliance with Assisted Living Facility licensing requirements.
Complaint Details
Complaint investigation related to a named resident who developed a pressure wound that worsened from Stage 2 to Stage 3, leading to hospitalization. The facility failed to follow wound care policies by allowing non-licensed staff to apply prescribed ointment.
Findings
The follow-up inspection found no deficiencies; all previously cited deficiencies were corrected. The facility meets Assisted Living Facility licensing requirements.
Deficiencies (10)
WAC 388-78A-2100 Ongoing assessments. The facility failed to update the assessment for Resident 5 to include safety considerations and ability to safely use a mobility device, placing Resident 5 at risk of harm.
WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to include all required contents in the negotiated service agreements for Residents 5 and 10, risking unmet care needs and mental health support.
WAC 388-78A-2210 Medication services. The facility failed to implement systems supporting safe medication services for Residents 1 and 5, resulting in medications not given as prescribed and placing residents at risk.
WAC 388-78A-2230 Medication refusal. The facility failed to notify physicians or evaluate negative outcomes when Residents 5, 8, and 10 refused medications, placing them at risk for compromised health.
WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to properly delegate nursing tasks to Medication Care Managers for Resident 1, resulting in non-licensed staff administering medications.
WAC 388-78A-2600 Policies and procedures. The facility failed to implement skin management policies and consistently monitor food temperatures, resulting in Resident 1's wound deterioration and 12 residents at risk for foodborne illness.
WAC 388-78A-2120 Monitoring residents' well-being. The facility failed to monitor and evaluate Resident 10's pain, placing the resident at risk for diminished quality of life.
WAC 388-78A-2240 Nonavailability of medications. The facility failed to ensure prescribed medications were available for Residents 3, 8, and 10, causing missed doses and risk of health complications.
WAC 388-78A-2305 Food sanitation. Staff failed to properly wash hands and sanitize equipment during food preparation and serving, placing 12 residents at risk for foodborne illness.
WAC 388-78A-3100 Safe storage of supplies and equipment. The facility failed to secure toxic chemicals in an area accessible to residents, placing all 34 residents at risk for inadvertent ingestion.
Report Facts
Total residents: 100
Residents at risk for foodborne illness: 12
Residents exposed to unsecured toxic chemicals: 34
Residents identified with dementia or cognitive impairment: 26
Residents receiving mental health services: 8
Inspection Report — Dec 16, 2024
Life Safety
Date: Dec 16, 2024
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 12/16/2024.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved at this inspection with no open deficiencies.
Inspection Report — Oct 14, 2024
Enforcement
Date: Oct 14, 2024
Visit Reason
The Department of Social and Health Services conducted a full and complaint investigation at the assisted living facility to assess compliance with regulations and address specific allegations.
Complaint Details
The visit was complaint-related and included a full investigation. The deficiency regarding failure to monitor a resident’s pain was substantiated and resulted in a civil fine.
Findings
The facility was found to have failed to monitor and evaluate one resident’s pain issue, placing the resident at risk for diminished quality of life. This deficiency is recurring and resulted in a civil fine of $700.
Deficiencies (1)
WAC 388-78A-2120 Monitoring residents' well-being. The licensee failed to monitor and evaluate one resident’s pain issue, placing the resident at risk for diminished quality of life.
Report Facts
Civil fine amount: 700
Inspection Report — Aug 14, 2024
Complaint Investigation
Date: Aug 14, 2024
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility on 08/14/2024 due to allegations of missed medications and medication refill issues, as well as a Covid outbreak in the memory care unit.
Complaint Details
The complaint investigation included allegations that a named resident missed medications multiple times due to medication unavailability and lack of notification to the legal representative. The facility did not document repeated attempts to contact the physician for medication refills as required. There was a Covid outbreak in the memory care unit with 8 residents positive. The investigation confirmed the medication documentation deficiency and issued citations, but found no failed practice in infection control.
Findings
The facility failed to document repeated attempts to refill multiple medications for a resident, placing residents at risk. Infection control practices were in place with no failed practice identified. A citation was issued for the medication documentation deficiency.
Deficiencies (1)
WAC 388-78A-2410 - The assisted living facility failed to document repeated attempts to refill multiple medications for a resident whose medication had run out, placing residents at risk.
Report Facts
Total residents: 103
Memory Care Unit Covid positive residents: 8
Resident sample size: 2
Closed records sample size: 1
Inspection Report — Jul 9, 2024
Complaint Investigation
Date: Jul 9, 2024
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation triggered by allegations that a resident called for help with toileting and no one responded appropriately.
Complaint Details
The complaint investigation (Complaint Determination #43812) involved allegations that a resident called for toileting help and was initially ignored. The allegation was substantiated. The facility terminated the involved staff and provided training. The facility failed to ensure required training for one caregiver. The named resident and others stated they felt safe at the facility.
Findings
The investigation substantiated that a staff caregiver told the resident to use a brief and would clean up later due to being busy. The caregiver returned approximately 34 minutes later to assist and change the resident. The facility terminated the staff member and provided staff training. The facility failed to ensure one caregiver had completed the required 70 hours of basic long-term care training, placing residents at risk.
Deficiencies (1)
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure one of two sampled staff had completed the required 70 hours of DSHS approved basic training, placing 76 residents at risk of harm from untrained care staff.
Report Facts
Total residents: 76
Resident sample size: 3
Staff training hours required: 70
Time delay: 34
Inspection Report — May 8, 2024
Follow-Up
Date: May 8, 2024
Visit Reason
The Department of Social and Health Services conducted a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to resident care and compliance with licensing laws.
Complaint Details
The complaint investigation involved allegations that a resident developed a pressure wound due to negligent care, failure to notify the resident's physician or legal representative, failure to provide medical treatment other than ointment, and possible inadequate nourishment. The investigation found multiple failures in monitoring, reporting, and treatment of the resident's pressure wound, resulting in citations.
Findings
The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected. The facility meets the Assisted Living Facility licensing requirements.
Deficiencies (2)
WAC 388-78A-2120 Monitoring residents' well-being. The assisted living facility failed to identify, monitor, evaluate, and take action in response to changes in skin condition for a sampled resident, resulting in a large, infected unstageable wound without proper nursing care or medical treatments.
WAC 388-78A-2640 Reporting significant change in a resident's condition. The assisted living facility failed to report the recurrence of a pressure ulcer to the Primary Care Physician and Resident Representative for a sampled resident, contributing to the development of a large, infected unstageable wound without authorized medical interventions.
Report Facts
Total residents: 95
Resident sample size: 2
Closed records sample size: 1
Inspection Report — Feb 27, 2024
Enforcement
Date: Feb 27, 2024
Visit Reason
The Department of Social and Health Services conducted a complaint investigation at the assisted living facility due to concerns about resident care and compliance with regulations.
Complaint Details
This report is based on a complaint investigation conducted on February 27, 2024, regarding failure to monitor and report changes in a resident's skin condition, which was substantiated by the findings and resulted in civil fines.
Findings
The investigation found multiple violations related to failure to monitor, evaluate, and report changes in a resident's skin condition, resulting in a large, infected unstageable wound. Civil fines were imposed based on these violations.
Deficiencies (3)
WAC 388-78A-2120(1)(2)(a)(b)(3)(a)(b)(4) Monitoring residents' well-being. The licensee failed to identify, monitor, evaluate and take action in response to changes in skin condition when one resident developed a wound, resulting in a large, infected unstageable wound without monitoring, nursing care or medical treatments.
WAC 388-78A-2600(1)(a)(b) Policies and procedures. The licensee failed to implement their policies regarding skin management and reporting changes of condition for one resident, contributing to the resident developing a large, infected unstageable wound without necessary care and services.
WAC 388-78A-2640(1)(a) Reporting significant change in a resident's condition. The licensee failed to report the recurrence of a pressure ulcer to the Primary Care Physician and Resident Representative for one resident, contributing to the resident developing a large, infected unstageable wound without authorized medical interventions after December 21, 2023.
Report Facts
Civil fines total: 3000
Inspection Report — Sep 25, 2023
Life Safety
Date: Sep 25, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — May 26, 2023
Follow-Up
Date: May 26, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 05/26/2023 to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Report Facts
Sampled residents: 6
Current residents sampled: 6
Former residents sampled: 0
Inspection Report — Mar 30, 2023
Enforcement
Date: Mar 30, 2023
Visit Reason
This document is a formal notice of civil fines imposed on the assisted living facility following a follow-up visit by the Department of Social and Health Services Residential Care Services on March 30, 2023.
Findings
The facility was cited for uncorrected deficiencies related to staff training in CPR and tuberculosis two-step skin testing, placing 97 residents at risk. Civil fines totaling $600 were imposed for these violations.
Deficiencies (2)
WAC 388-78A-2450 (3)(d)(i)(C) Staff. The licensee failed to ensure one staff completed the required cardiopulmonary resuscitation (CPR) training. This placed 97 residents at risk of improper CPR technique in the event of a medical emergency.
WAC 388-78A-2484 (1)(2) Tuberculosis Two step skin testing. The licensee failed to ensure two staff members completed the required two-step tuberculin skin test (TST). This placed 97 residents at risk of exposure to a communicable disease.
Report Facts
Civil fine amount: 600
Residents at risk: 97
Inspection Report — Dec 21, 2022
Follow-Up
Date: Dec 21, 2022
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to monitoring residents' well-being.
Complaint Details
The complaint investigation involved allegations that a resident was found on the floor after staff did not complete safety checks. The investigation confirmed failure to respond to motion sensor alerts and conduct safety checks, contributing to a fall with injury.
Findings
The follow-up inspection found no deficiencies and the facility meets the Assisted Living Facility licensing requirements. Previous deficiencies related to failure to respond to motion alerts and conduct safety checks were corrected.
Deficiencies (1)
WAC 388-78A-2120 Monitoring residents' well-being. The assisted living facility failed to respond to motion alert sensors or conduct scheduled safety checks for a resident at high risk of falls, contributing to a fall with substantial injury.
Report Facts
Total residents: 100
Resident sample size: 5
Closed records sample size: 1
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