Inspection Reports for
Bay Vista Commons Assisted Living Community
191 Russell Road, Bremerton, WA, 98312
Back to Facility Profile6 Reports
Inspection Report — May 19, 2026
Follow-Up
Date: May 19, 2026
Visit Reason
The Department conducted a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Complaint Details
The inspection was triggered by complaint number 213977. The complaint investigation found multiple deficiencies related to medication services and staff training.
Findings
The follow-up inspection on 05/19/2026 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies were corrected as noted.
Deficiencies (2)
WAC 388-78A-2210 Medication services. The facility failed to develop and implement a safe medication system ensuring 8 of 9 sampled residents received medications as prescribed, placing residents at risk of harm and health decline.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure 1 of 6 sampled staff met training requirements for long-term care workers, placing residents at risk of harm and care from untrained staff.
Report Facts
Sampled residents: 7
Total current residents: 57
Sampled staff: 6
Residents affected by medication deficiencies: 8
Staff affected by training deficiencies: 1
Inspection Report — Dec 3, 2025
Life Safety
Date: Dec 3, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.
Findings
No violations were observed during this inspection. The facility was approved with no deficiencies noted.
Inspection Report — Mar 10, 2025
Life Safety
Date: Mar 10, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Bay Vista Commons Assisted Living Community on 03/10/2025.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved at this inspection with no new violations noted.
Inspection Report — Jan 13, 2025
Complaint Investigation
Date: Jan 13, 2025
Visit Reason
The inspection was conducted as a complaint investigation triggered by allegations of resident neglect and inappropriate discharge at the assisted living facility.
Complaint Details
The complaint investigation involved two allegations: 1) Resident neglect for locking a resident outside during a behavioral crisis, which was substantiated with a citation written. 2) Inappropriate discharge of a resident, which was not substantiated due to insufficient evidence. The investigation included interviews, record reviews, and observations.
Findings
The investigation found one instance of failed provider practice where a resident was locked outside during a behavioral crisis without adequate monitoring, placing the resident at risk. Another allegation regarding inappropriate discharge was not substantiated. The facility was found not in compliance with licensing laws due to the monitoring failure.
Deficiencies (1)
WAC 388-78A-2120 Monitoring residents' well-being. The assisted living facility failed to adequately monitor a resident during a behavioral crisis, leaving the resident locked outside in inclement weather without staff checking on them. This placed the resident at risk for safety and health complications.
Report Facts
Total residents: 63
Resident sample size: 2
Closed records sample size: 1
Inspection Report — Jan 8, 2024
Complaint Investigation
Date: Jan 8, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding the facility's policy of calling EMS or fire department to lift residents from the floor instead of facility staff lifting them.
Complaint Details
Complaint #109819 alleged that facility staff called EMS/9-11 only to lift an uninjured resident from the floor. The investigation confirmed the allegation and cited the facility for failing to have appropriate policies and procedures to safely lift residents without outside assistance.
Findings
The investigation found that the facility failed to ensure residents could be safely lifted from the floor by staff without outside assistance, placing one resident at risk. The resident was not injured, but the facility policy requires calling EMS or fire department for lifting. A citation was issued for noncompliance with WAC 388-78A-2600 (1b).
Deficiencies (1)
WAC 388-78A-2600 Policies and procedures. The assisted living facility failed to ensure residents could be safely lifted from the floor without outside agency intervention, placing one resident at risk of harm and unmet care needs.
Report Facts
Resident sample size: 1
Inspection Report — May 25, 2023
Routine
Date: May 25, 2023
Visit Reason
The Department completed a full inspection of the Assisted Living Facility to assess compliance with Assisted Living Facility requirements.
Findings
The facility was found not to meet Assisted Living Facility requirements due to loose pavers on the common patio outside the dining area. The facility administrator and maintenance director implemented a safety plan and planned to begin repairs within a week.
Deficiencies (1)
WAC 388-78A-2703 Safety of the built environment. The assisted living facility must provide a safe environment and maintain premises and equipment free of hazards. Loose pavers were observed on the common patio outside the dining area.
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