11 Reports
Inspection Report — Mar 31, 2026
Life Safety
Date: Mar 31, 2026
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 03/31/2026.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — Jan 12, 2026
Follow-Up
Date: Jan 12, 2026
Visit Reason
This is a follow-up inspection to verify correction of previously cited deficiencies at Bayview Manor Homes Assisted Living Facility.
Findings
The Department found no deficiencies during the follow-up inspection on 01/12/2026. The previously cited deficiencies related to tuberculosis testing, staff licensing, and medication services were corrected.
Deficiencies (3)
WAC 388-78A-2483 Tuberculosis One test. The assisted living facility is only required to have a staff person take one test if the staff person has any of the following: a documented negative result from one skin or blood test in the previous twelve months. The facility failed to ensure one staff member completed the required one-step tuberculin skin test prior to employment.
WAC 388-78A-2450 Staff. The assisted living facility must verify prior to hiring that staff persons have the required licenses, certifications, registrations, or other credentials for the position, and that such credentials are current and in good standing. The facility failed to ensure one of five staff obtained the required licensing credentials, resulting in unlicensed care provided to residents.
WAC 388-78A-2210 Medication services. The assisted living facility must develop and implement systems that support and promote safe medication service for each resident. The facility failed to ensure safe medication systems were implemented when five of six residents did not get medications as prescribed and one resident was assessed as independent but was not properly monitored.
Report Facts
Residents at risk: 38
Sampled residents: 7
Staff reviewed: 5
Residents with medication errors: 5
Residents assessed independent but at risk: 1
Inspection Report — Oct 7, 2025
Re-Inspection
Date: Oct 7, 2025
Visit Reason
The inspection was a reinspection conducted by the Office of the State Fire Marshal to verify compliance with fire safety and life safety code requirements at Bayview Manor Homes.
Findings
The facility was disapproved due to multiple deficiencies including lack of documentation for required fire drills, annual fire-resistance inspections, fire door inspections, hydrostatic testing of fire department connections, monthly smoke alarm and carbon monoxide detector testing, monthly smoke alarm testing, and monthly generator battery testing. Some deficiencies related to fire protection systems and portable fire extinguishers were corrected on site.
Deficiencies (11)
IFC 404.2 (2021) - Facility cannot provide documentation for the completion of unannounced fire drills, one drill per shift, per quarter, in the previous 12 months.
IFC 701.6 (2021) - No documentation was provided to verify that the facility is conducting the required annual inspection of fire-resistance-rated construction.
IFC 705.2 (2021) - The fire door in the AL dining room 263 was blocked and the facility could not provide documentation that the annual fire door inspection has been completed.
IFC 901.6 (2021) - Fire protection and life safety systems shall be maintained in an operative condition. This deficiency was corrected.
IFC 903.5 (2021) - Facility was unable to provide documentation that the Fire Department Connection has been hydrostatically tested in accordance with NFPA 25 every 5 years.
IFC 906.2 (2021) - Portable fire extinguishers shall be selected, installed and maintained in accordance with NFPA 10. This deficiency was corrected.
IFC 907.8 (2021) - Facility is unable to provide documentation for the monthly single or multi station smoke alarm testing.
IFC 915.6 (2021) WAC 51-54A - Facility is unable to provide documentation for the monthly carbon monoxide detector testing as required by NFPA 720.
IFC 1003.6 (2021) - The 2nd floor Memory Care Activity exit and the dining room area exit were blocked, obstructing means of egress.
IFC 1031.10.2 (2021) - Facility is unable to provide documentation for the annual 90 minute power test for the emergency lights.
IFC 1203.4 (2021) - Facility failed to provide documentation indicating a monthly generator battery test was being conducted in accordance with NFPA 110 2021 edition section 8.3.6.1.
Report Facts
Next inspection scheduled: Nov 20, 2025
Inspection Report — Jun 30, 2025
Follow-Up
Date: Jun 30, 2025
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 policies and procedures.
Complaint Details
The complaint investigation was triggered by an allegation that a resident exited the secured memory care unit through a faulty fire door that did not lock or alarm. The investigation found the facility failed to maintain a secured and alarmed emergency exit, placing residents at risk. Multiple staff interviews confirmed the door alarm was not working and no policy existed for routine checks. The complaint was substantiated and citations were written.
Findings
The follow-up inspection on 06/30/2025 found no deficiencies; all previously cited issues regarding policies and procedures were corrected.
Deficiencies (1)
WAC 388-78A-2600 Policies and procedures. The assisted living facility must develop and implement policies and procedures in support of services provided, including supervision and monitoring of residents. This requirement was not met previously but was corrected.
Report Facts
Total residents: 37
Resident sample size: 3
Residents at risk: 10
Inspection Report — Nov 5, 2024
Follow-Up
Date: Nov 5, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to licensing laws and regulations.
Complaint Details
The original complaint investigation was triggered by a COVID outbreak involving 15 residents and 4 staff. The investigation found the facility failed to have medical clearance records for 17 of 37 healthcare workers as required, placing 44 residents at risk for respiratory infection.
Findings
The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies were corrected.
Report Facts
Residents in COVID outbreak: 15
Staff in COVID outbreak: 4
Total residents: 44
Resident sample size: 3
Healthcare workers without medical clearance: 17
Healthcare workers total: 37
Residents at risk: 44
Inspection Report — Jul 3, 2024
Follow-Up
Date: Jul 3, 2024
Visit Reason
The Department conducted a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection on 07/03/2024 found no deficiencies and the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-24642-1, WAC 388-78A-2410-8-a-iii, WAC 388-78A-2305-1, WAC 388-78A-2305-2 - Deficiencies cited in prior inspections were corrected as verified by the Department.
Report Facts
Sampled residents: 8
Sampled staff: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erin Steinbrenner | Nursing Consultant Institutional | Department staff who did the on-site verification |
| Faith Le | NCI | Department staff who did the on-site verification |
Inspection Report — Oct 4, 2023
Complaint Investigation
Date: Oct 4, 2023
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility due to allegations related to medication administration and staffing issues.
Complaint Details
Complaint number 98573 was investigated. Allegations included late medication administration, missed medications due to supply issues, unsafe medication system, and insufficient nursing coverage. The complaint was substantiated with citations written.
Findings
The investigation found that the facility had isolated occasions of delayed medications and missed doses due to staffing and communication issues. The facility failed to notify the physician when a resident refused morning medications on 09/02/2023. A failed provider practice was identified and citations were written.
Deficiencies (1)
WAC 388-78A-2230 Medication refusal. The facility failed to notify the prescribing physician and evaluate when a resident refused their medication, placing residents at risk of health decline.
Report Facts
Total residents: 39
Resident sample size: 3
Closed records sample size: 1
Inspection Report — Jul 19, 2023
Life Safety
Date: Jul 19, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 07/19/2023.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved at this inspection with no open violations.
Inspection Report — Jan 4, 2023
Complaint Investigation
Date: Jan 4, 2023
Visit Reason
The inspection was conducted in response to a complaint alleging long call light wait times of 45 to 50 minutes and possible soiled undergarments for a named resident.
Complaint Details
The complaint investigation (Compliance Determination #18094) involved allegations of long call light wait times and possible soiled undergarments for a named resident. The investigation substantiated the allegation of delayed call light response, resulting in a citation. The complaint number referenced is 60982.
Findings
The investigation found that the facility failed to provide timely assistance to the named resident, resulting in delayed call light response times exceeding a reasonable threshold. A citation was written for the failed provider practice, but a follow-up inspection on 03/15/2023 found no deficiencies and the facility met licensing requirements.
Deficiencies (1)
WAC 388-78A-2160 Implementation of negotiated service agreement. The assisted living facility failed to respond to call lights in a timely manner for 1 of 3 residents, placing Resident 1 at risk of harm due to delayed call light response times.
Report Facts
Total residents: 35
Resident sample size: 5
Call light calls: 129
Call light wait times: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Prentice | Complaint Investigator | Conducted the complaint investigation and on-site verification |
Inspection Report — Dec 13, 2022
Follow-Up
Date: Dec 13, 2022
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Complaint Details
A complaint investigation was conducted on 10/20/2022 regarding a COVID case at the facility. The investigation found that the facility failed to implement a Respiratory Protection Program by not fit-testing staff for respirator masks, placing 43 residents at risk. Citations were written for this deficient practice.
Findings
The Department found no deficiencies during the follow-up inspection and confirmed that the previously cited infection control deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2610 Infection control. The assisted living facility must institute appropriate infection control practices to prevent and limit the spread of infections. The facility failed to ensure staff were fit-tested for respiratory mask use, placing all residents at risk of COVID-19 exposure.
Report Facts
Total residents: 43
Resident sample size: 43
Report
Viewing
Loading inspection reports...
