Inspection Reports for
Artesian Place Assisted Living

The complaint investigation (Complaint #171339) was triggered by concerns related to medication administration and storage practices. The investigation found that residents were keeping medications in their rooms without care plan authorization, including Tylenol, vitamins, and other supplements not ordered by a physician. Three sampled residents were found with unsecured medications in their rooms, placing all residents at risk. The facility failed to ensure safe medication practices as required by WAC 388-78A-2260.

The follow-up inspection on 09/09/2025 found no deficiencies; previously cited medication storage and securing issues were corrected as verified on site.

The Department completed a follow-up inspection on 09/05/2025 and found no deficiencies, indicating that previously cited medication service deficiencies were corrected.

The facility failed to ensure residents received medications as ordered and failed to document medications correctly for two residents. This uncorrected deficiency placed residents at risk and resulted in a $600 civil fine.

The document does not contain inspection findings but lists the citations disputed by the facility and the individuals representing the facility in the IDR process.

The IDR process resulted in deletion of two cited deficiencies, upholding of six others, and withdrawal of one citation. The previously imposed enforcement action remains unchanged.

The inspection was a Full Inspection combined with a Complaint Investigation. The deficiency cited was recurring and resulted in a civil fine.

The licensee failed to follow and implement safe food handling and storing practices in two areas, placing 54 residents at risk for food-borne illnesses. This recurring deficiency resulted in a civil fine of $900.

The complaint investigation was related to a discharge concern. The investigation found the resident still resided in the facility and the concern was unsubstantiated. However, multiple deficiencies were cited related to food safety, environment, staff qualifications, resident care, and medication management.

The investigation found no substantiated failed provider practice related to the complaint. However, the facility was cited for multiple deficiencies including unsafe food handling, unsanitary and unsafe environment conditions, incomplete background checks, incomplete tuberculosis testing, lack of pet health documentation, incomplete staff training and continuing education, unsigned resident service agreements, incomplete resident assessments by qualified personnel, medication refusal notification failures, medication nonavailability, and unsafe medication administration practices.

All violations noted during previous related inspections have been corrected. The facility was approved at this inspection.

After review, no changes were made to the original Statement of Deficiencies report. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 calendar days.

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.

The complaint investigation found multiple HIPAA violations related to resident privacy and confidentiality. The allegations were substantiated with citations written.

The follow-up inspection on 06/27/2024 found no deficiencies and confirmed the facility meets Assisted Living Facility licensing requirements.

This complaint investigation referenced complaint numbers 135451, 136119, and 135748. The investigation substantiated the allegation that the facility failed to administer medications safely, with multiple interviews and observations confirming unsafe medication practices and residents left unattended during medication administration.

The investigation found that facility staff did not follow policies for safe medication administration, including leaving residents unattended while taking medications and medications being found on the floor. Deficiencies were cited related to medication service safety and administration practices.

The IDR request was received late and therefore denied without further process. The letter explains the facility's right to an informal dispute resolution meeting and the procedural requirements for submitting such a request.

The document does not contain inspection findings but provides details about the IDR meeting date, type, and participants disputing citation WAC 388-78A-2660.

The complaint involved allegations of financial exploitation and retaliation by management. The investigation was unable to substantiate financial exploitation claims but confirmed retaliation concerns through multiple staff and resident interviews. Staff and residents feared reporting concerns due to retaliation. The facility was cited for failed practice related to retaliation and mistreatment.

The investigation found that the facility failed to ensure residents and staff were not retaliated against for reporting concerns, violating resident rights and dignity. The facility was cited for failed provider practice with deficiencies related to retaliation and mistreatment, placing all 59 residents at risk.

The facility was cited for an uncorrected and recurring violation of food sanitation requirements, specifically failing to properly store and label food in one kitchen, placing all 59 residents at risk. A civil fine of $600 was imposed based on this violation.

The complaint involved a public report that the facility refused to re-admit a resident after hospital evaluation. The investigation reviewed 5 of 62 residents and 3 closed records. The allegation was substantiated as the facility failed to provide required discharge notice, resulting in a failed practice and citations.

The investigation found that the facility failed to provide a required discharge notice or letter to the resident or their representative after determining the resident exceeded the level of care the facility could safely provide. This failure resulted in the resident being discharged without proper notice and forced to find alternate placement. A failed practice was identified and citations were written.

All violations noted during previous related inspections have been corrected. The facility was approved at this inspection.

The facility was fined $300 for uncorrected violations related to food sanitation, including serving expired and spoiled foods, inadequate hand hygiene, and poor kitchen maintenance. These deficiencies placed all 59 residents at risk for food borne illness.

The visit was complaint-related and resulted in a substantiated finding of food sanitation violations leading to a civil fine.

The facility failed to prevent food contamination by serving expired and spoiled foods, did not ensure proper hand hygiene during food preparation, and failed to maintain cleanliness in the kitchen and food preparation areas. These violations placed all 52 residents at risk for potential food borne illness and resulted in a $300 civil fine.

The complaint investigation involved allegations of multiple falls, failure to notify medical providers of abnormal blood pressures, and failure to notify the case manager of falls. The falls and notification allegations were not substantiated, but the medication administration allegation was substantiated with citations issued.

The investigation found no failed practice related to falls or notification to the case manager, but identified a failed practice in medication administration for two of three sampled residents. Citations were written for this deficiency.

All violations noted during previous related inspections have been corrected, resulting in an approved status for this inspection.

Complaint numbers 27665 and 31131 were investigated. The allegations that the facility failed to notify the DSHS Social Worker of a resident discharge and social leave were substantiated, resulting in citations.

The facility failed to notify the DSHS Social Worker of a resident who discharged and a resident on social leave within the appropriate time frames. Citations were written for these deficiencies.