Inspection Reports for
Brookdale Admiral Heights

WA, 98116

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7 Reports

2023–2026

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.

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

Inspection Report — Dec 23, 2025

Follow-Up
Date: Dec 23, 2025

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.

Findings
The facility was found to have corrected all previously cited deficiencies. The Department found no deficiencies during the follow-up inspection and the facility meets Assisted Living Facility licensing requirements.

Deficiencies (8)
WAC 388-78A-2100 Ongoing assessments. The facility failed to annually assess dementia-related special needs for 2 sampled residents, placing them at risk for improper care.
WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to ensure negotiated service agreements contained necessary care information for 4 sampled residents, risking unmet care needs.
WAC 388-78A-2210 Medication services. The facility failed to implement systems to promote safe medication services for 2 sampled residents, resulting in medications not being administered as prescribed.
WAC 388-78A-2350 Coordination of health care services. The facility failed to follow a dietary order for 1 sampled resident, resulting in the resident not receiving the prescribed sodium-restricted diet since June 2025.
WAC 388-78A-2305 Food sanitation. The facility failed to maintain cold food temperatures at or below 41°F in the salad bar and allowed a staff member to work with an expired food worker card, risking foodborne illness.
WAC 388-78A-2480 Tuberculosis Testing Required. The facility failed to ensure 1 of 4 sampled staff were screened for tuberculosis within three days of employment, risking resident exposure to communicable disease.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure 2 newly hired staff completed facility orientation and 1 staff completed required mental health specialty training, risking inadequate care.
WAC 388-78A-3011 Resident unit furnishings. The facility failed to maintain carpeting in 2 sampled resident apartments free of hazards and stains, resulting in unclean living conditions and diminished quality of life.
Report Facts
Residents sampled: 8 Residents in facility: 39 Medication holds: 109 Losartan not held: 27 Food temperature readings above 41°F: 0 Staff hired: 4 Staff orientation missing: 2 Residents with mental illness diagnosis: 4 Staff with missing mental health specialty training: 1 Resident apartments with carpet issues: 2

Inspection Report — Dec 31, 2024

Life Safety
Date: Dec 31, 2024

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.

Findings
The inspection identified multiple fire safety violations including exposed wiring, blocked electrical panels, missing carbon monoxide alarms, and lack of required inspection documentation. Some deficiencies were corrected on site, but the overall approval status was Disapproved.

Deficiencies (8)
IFC 603.2.1 2021 Electrical wiring, devices, equipment and appliances that are modified or damaged shall not be used until repaired or replaced. Exposed wires were found on soup warmer in kitchen.
IFC 603.2.2, 2021 Open junction boxes and open-wiring splices are prohibited. Approved covers shall be provided. Loose receptacle in kitchen entrance and broken receptacle cover found in kitchen.
IFC 603.4, 2021 Working space and clearances shall be provided around electrical equipment. Blocked electrical panels in 3rd and 4th floor PPE rooms were observed.
IFC 903.5 2021 Sprinkler systems shall be tested and maintained per Section 901. Annual forward flow test paperwork was not provided.
IFC 904.1 2021 Automatic fire-extinguishing systems shall be designed, installed, inspected, tested and maintained. Hood filters in kitchen need verification that no gaps are present allowing grease past filters.
IFC 906.9.1 2021 Portable fire extinguishers shall be installed with tops not more than 5 feet above floor. Fire extinguisher found above 5 feet from floor.
IFC 915.1 2021 WAC 51-54A Carbon monoxide detection shall be installed in new and existing buildings. Missing carbon monoxide alarms inside area connected to fossil fuel burning appliance.
NFPA 80 Fire Door Inspection and Testing Annual inspections and testing shall be performed and documented. Facility must establish schedule for fire door inspections and provide documentation.

Inspection Report — Jul 12, 2024

Follow-Up
Date: Jul 12, 2024

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 deficiencies were corrected.

Deficiencies (6)
RCW 70.129.050, WAC 388-78A-2400 - The facility failed to maintain confidentiality of resident information by including a confidential 2017 resident/staff sample list in a public binder. This was corrected by removing the document.
WAC 388-78A-2480 - The facility failed to ensure 1 of 5 staff members was screened for tuberculosis within three days of employment. The staff member was tested four months after hire. This was corrected by administering the test.
WAC 388-78A-2620 - The facility failed to ensure 3 of 3 sampled pets were certified by a veterinarian to be free of diseases transmittable to humans. This was corrected by obtaining the required certifications.
WAC 388-78A-2130 - The facility failed to develop the Negotiated Service Agreement for 1 of 7 sampled residents to include protocols for recognizing signs of hyperglycemia and hypoglycemia and monitoring side effects of anticoagulation therapy. This was corrected by updating the service agreement.
WAC 388-78A-2170 - The facility failed to ensure 1 of 1 sampled resident using an Adult Portable Bed Rail participated in assessments for safe use, risk review, and proper installation. The bed rail was unsecured and lacked a cloth cover. This was corrected by addressing these issues.
WAC 388-78A-3011 - The facility failed to maintain carpeting in 3 of 7 sampled resident apartments in a clean and hazard-free condition, with significant dirt and staining observed. This was corrected by scheduling carpet cleaning and maintenance.
Report Facts
Residents at risk: 51 Sampled residents: 7 Sampled staff: 5 Sampled pets: 3

Inspection Report — Mar 22, 2023

Life Safety
Date: Mar 22, 2023

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 03/22/2023.

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

Inspection Report — Jan 24, 2023

Life Safety
Date: Jan 24, 2023

Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility to assess compliance with fire protection and safety codes.

Findings
The facility was found to be non-compliant with multiple fire safety requirements, including inadequate working space around electrical panels, lack of documentation for annual fire wall inspection, missing documentation for fire damper inspections, semi-annual kitchen suppression system servicing, annual fire alarm system testing, smoke detector sensitivity testing, and absence of emergency lighting in the first floor emergency exit hallway.

Deficiencies (7)
Storage was found in front of electrical panels on multiple floors, violating required working space and clearance.
Facility unable to provide documentation that the annual fire wall inspection has been completed.
Facility unable to provide documentation for the 4 year fire and smoke damper inspection.
Facility unable to provide documentation for the semi-annual kitchen suppression system servicing.
Facility unable to provide documentation for the annual fire alarm system testing.
Facility unable to provide documentation for the required smoke detector sensitivity testing.
First floor emergency exit hallway to California Avenue has no emergency lighting in the path of egress.
Report Facts
Next inspection scheduled: Feb 23, 2023

Employees mentioned
NameTitleContext
Arthur Jesse WardDeputy State Fire MarshalNamed as the inspecting official conducting the fire safety inspection

Inspection Report — Jan 6, 2023

Follow-Up
Date: Jan 6, 2023

Visit Reason
This was a follow-up inspection to verify correction of previously cited deficiencies at the Assisted Living Facility.

Findings
The Department found that all previously cited deficiencies were corrected and the facility meets licensing requirements.

Report Facts
Sampled residents: 7 Former residents sampled: 1 Current residents: 38 Staff screened for tuberculosis: 1 Residents with unmet needs: 3 Residents with wound care issues: 1 Residents with behavior intervention needs: 3

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