10 Reports
Inspection Report — Jul 2, 2026
Follow-Up
Date: Jul 2, 2026
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that all previously cited licensing law deficiencies were corrected.
Deficiencies (6)
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure 3 of 6 staff met the long-term care worker training requirements, including orientation, basic, specialty, CPR/first aid, and continuing education training, placing residents at risk of improper care.
WAC 388-78A-2450 Staff. The facility failed to ensure 3 of 6 staff completed facility orientation prior to providing care, placing 24 residents at risk for compromised care and safety.
WAC 388-78A-2466 Background checks. The facility failed to ensure 1 of 6 staff had a current Washington state background check renewed every two years, placing residents at risk of being cared for by staff with potentially disqualifying backgrounds.
WAC 388-78A-2290 Family assistance with medications and treatments. The facility failed to ensure an alternate written and signed plan was in place for 1 resident receiving family assistance with medications, placing the resident at risk if family members were unavailable.
WAC 388-78A-3090 Maintenance and housekeeping. The facility failed to keep the exterior grounds safe and well-maintained, including a missing fence section, algae on siding, loose fascia and gutter, placing 24 residents at risk of injury and decreased quality of life.
WAC 388-78A-2480 Tuberculosis Testing Required. The facility failed to ensure all 6 staff were screened for tuberculosis within three days of hire and did not complete required second step TB tests, placing all residents at risk of exposure to communicable disease.
Report Facts
Staff training deficiencies: 3
Staff orientation deficiencies: 3
Background check deficiency: 1
Residents at risk: 24
Staff tuberculosis screening deficiencies: 6
Inspection Report — Jun 15, 2026
Life Safety
Date: Jun 15, 2026
Visit Reason
The Office of the State Fire Marshal conducted a scheduled inspection at the Ashley Pointe Senior Living facility to assess compliance with fire safety codes.
Findings
The inspection identified four fire safety violations including an electrical outlet without a faceplate, a painted sprinkler head, an improperly mounted fire extinguisher, and a non-functioning emergency egress light. The facility was disapproved due to these unresolved issues.
Deficiencies (4)
IFC 603.2.2 (2021) Open junction boxes and open-wiring splices shall be prohibited. Approved covers shall be provided for all switch and electrical outlet boxes. There was an electrical outlet without a faceplate in the basement hallway near the exit, exposing the inner electrical fixture.
IFC 903.5 (2021) Sprinkler systems shall be tested and maintained in accordance with Section 901. There is a painted sprinkler head in the CRD office.
IFC 906.7 (2021) Hand-held portable fire extinguishers shall be installed on the hangers or brackets supplied and securely anchored. Fire extinguisher in the basement near the rear exit was not mounted in accordance with the manufacturer’s installation instructions.
IFC 1008.3.1 (2021) An emergency electrical system shall automatically illuminate aisles, corridors, and exit access stairways and ramps upon power failure. The emergency egress light near the activities room would not illuminate when the test button was pressed.
Inspection Report — Jul 8, 2025
Enforcement
Date: Jul 8, 2025
Visit Reason
The Department of Social and Health Services conducted a complaint investigation at the assisted living facility, Ashley Pointe Senior Living, which resulted in the imposition of a civil fine due to regulatory violations.
Complaint Details
This was a complaint investigation completed on July 8, 2025, which found a recurring infection control deficiency previously cited in 2023 and 2024, resulting in a civil fine.
Findings
The licensee failed to implement infection control measures to prevent infectious respiratory disease during an outbreak, specifically not properly assessing staff for N95 respirators, placing residents, staff, and visitors at risk. This deficiency is recurring and resulted in a $400 civil fine.
Deficiencies (1)
WAC 388-78A-2610 (1) Infection control. The licensee failed to implement infection control measures to prevent infectious respiratory disease during an outbreak. Staff were not properly assessed for N95 respirators, placing all at risk.
Report Facts
Civil fine amount: 400
Inspection Report — Jun 10, 2025
Life Safety
Date: Jun 10, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 06/10/2025.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved at this inspection.
Inspection Report — Jun 4, 2025
Complaint Investigation
Date: Jun 4, 2025
Visit Reason
The inspection was conducted due to a complaint investigation triggered by an outbreak at the Assisted Living Facility (ALF).
Complaint Details
The complaint investigation involved a respiratory outbreak at the facility. The investigation found that staff providing direct care were not fit tested for respirators, resulting in a citation for infection prevention failure.
Findings
The facility failed to implement infection control measures by not properly fit testing staff for N95 respirators during a respiratory outbreak. A citation was written for failure to comply with WAC 388-78A-2610 (1).
Deficiencies (1)
WAC 388-78A-2610 Infection control. The assisted living facility failed to implement infection control practices to prevent respiratory disease by not properly assessing staff for N95 respirator fit during an outbreak.
Report Facts
Total residents: 25
Resident sample size: 3
Inspection Report — May 16, 2025
Follow-Up
Date: May 16, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that all previously cited licensing law violations were corrected. The facility meets the Assisted Living Facility licensing requirements.
Deficiencies (5)
WAC 388-78A-2305 Food sanitation. The assisted living facility failed to ensure 4 of 6 staff obtained a food worker card within 14 days of hire, placing residents at risk of foodborne illness.
WAC 388-78A-2462 Background checks. The facility failed to ensure 3 of 6 staff had national fingerprint background checks and 2 of 6 had valid Washington state name and date of birth background checks, placing residents at risk.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure staff completed required orientation, safety, basic, specialty dementia, CPR, first aid, continuing education, and home care aide certification trainings within required timeframes.
WAC 388-78A-2950 Water supply. The facility failed to maintain water temperature between 105 and 120 degrees Fahrenheit in resident and common bathrooms, with temperatures as high as 145.7 degrees F, risking resident scalding.
WAC 388-78A-2484 Tuberculosis Two step skin testing. The facility failed to ensure 6 of 6 staff completed initial and second step TB skin testing within required timeframes, placing residents at risk of communicable disease exposure.
Report Facts
Number of residents: 24
Sampled residents: 5
Water temperature range: 145.7
Inspection Report — May 28, 2024
Complaint Investigation
Date: May 28, 2024
Visit Reason
The inspection was a complaint investigation triggered by multiple allegations regarding quality of care, staffing, medication errors, housekeeping, food service, and management issues at Ashley Pointe Senior Living.
Complaint Details
The complaint investigation included multiple allegations such as poor quality of care, lack of activities, transportation issues, food quality complaints, safety check failures, housekeeping deficiencies, document access issues, medication errors, staffing shortages, and management concerns. The investigation substantiated multiple failed provider practices and issued citations accordingly.
Findings
The investigation found multiple failed provider practices including inadequate investigation of incidents, housekeeping deficiencies, unsigned negotiated service agreements, medication errors, delayed response to call pendants, incomplete resident assessments, and lack of family assistance plans for medication and treatments. Several citations were issued, and the facility was found not in compliance with multiple licensing regulations.
Deficiencies (7)
WAC 388-78A-2371 Investigations. The assisted living facility failed to investigate and document investigative actions and findings for alleged abuse, neglect, or incidents affecting resident health or life for two residents, placing them at risk.
WAC 388-78A-2170 Required assisted living facility services. The facility failed to provide consistent housekeeping and laundry services for two residents, resulting in unsanitary living conditions and safety hazards.
WAC 388-78A-2150 Signing negotiated service agreement. The facility failed to obtain signed negotiated service agreements from three residents or their representatives, risking unapproved care plans.
WAC 388-78A-2210 Medication services. The facility failed to ensure safe medication administration for two residents, including a medication error and failure to notify providers of medication changes.
WAC 388-78A-2930 Communication system. The facility failed to respond timely to call pendants for three residents, resulting in delayed care and unmet needs.
WAC 388-78A-2090 Full assessment topics. The facility failed to obtain and document sufficient assessment information for three residents, including medical conditions, care preferences, and assistive device use.
WAC 388-78A-2290 Family assistance with medications and treatments. The facility failed to obtain written family assistance plans for two residents managing their own medications, risking unmet care needs.
Report Facts
Total residents: 35
Resident sample size: 13
Call response time: 2221
Call response time: 114
Call response time: 30
Inspection Report — Apr 19, 2024
Follow-Up
Date: Apr 19, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to infection control.
Complaint Details
The complaint investigation found that the facility failed to follow Department of Health infection control guidelines during a COVID-19 outbreak. Eight care staff were not properly fit tested for N95 masks while providing direct care to COVID-19 positive residents. A citation was issued for noncompliance with WAC 388-78A-2610(1)(2)(d).
Findings
The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies related to infection control were corrected.
Deficiencies (1)
WAC 388-78A-2610 Infection control. The Assisted Living Facility failed to ensure that care staff providing direct resident care were properly fit tested and using appropriate N95 respirators during a COVID-19 outbreak. This failure placed residents, staff, and visitors at risk of contracting COVID-19.
Report Facts
Total residents: 38
Care staff fit tested: 4
Care staff providing direct care: 8
Active COVID-19 positive residents: 3
Inspection Report — Aug 17, 2023
Re-Inspection
Date: Aug 17, 2023
Visit Reason
The Office of the State Fire Marshal conducted a reinspection of Ashley Pointe to verify correction of previously identified fire and life safety violations.
Findings
All violations noted during previous related inspections have been corrected. The facility is now approved following the reinspection.
Deficiencies (12)
IFC 604.4.2 2018 - Relocatable power taps must be directly connected to a permanently installed receptacle.
IFC 607.3.3 2018 - Hoods, grease-removal devices, fans, ducts and other appurtenances must be cleaned at required intervals.
IFC 701.6 2018 WAC 51-54A - The owner must maintain an inventory of all required fire-resistance-rated construction and ensure annual inspection and repair.
IFC 705.2 2018 - Opening protectives in fire-resistance-rated assemblies must be inspected and maintained per NFPA 80.
IFC 706.1 2018 - Dampers protecting ducts and air transfer openings must be inspected and maintained per NFPA 80 and NFPA 105.
IFC 903.5 2009, 2012, 2015, 2018 - Sprinkler systems must be tested and maintained per Section 901.
IFC 906.2 2015, 2018 - Portable fire extinguishers must be selected, installed, and maintained per NFPA 10.
IFC 907.8 2018 - Fire alarm and fire detection systems must be maintained and tested per NFPA 72.
IFC 907.8.3 2012, 2015, 2018 - Smoke detector sensitivity must be checked within one year after installation and every alternate year thereafter.
IFC 915.6 2018 - Carbon monoxide alarms and detection systems must be maintained per NFPA 720.
IFC 1013.5 2018 - Internally illuminated exit signs must be listed, labeled, and illuminated at all times.
IFC 1001.7 2018 - Fire drills must be held at least annually with quarterly drills on each shift and records maintained.
Report Facts
Number of violations: 13
Inspection Report — Apr 4, 2023
Follow-Up
Date: Apr 4, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility 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.
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