Inspection Reports for
Brookdale Allenmore

3615 S 23rd St, Tacoma, WA 98405, United States, WA, 98405

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12 Reports

2023–2026

Inspection Report — Mar 5, 2026

Follow-Up
Date: Mar 5, 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 deficiencies were corrected.

Deficiencies (3)
WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to ensure 2 of 2 sampled staff were delegated by a Registered Nurse to administer medications and perform blood sugar checks, placing residents at risk of medical complications.
WAC 388-78A-2210 Medication services. The facility failed to ensure medications were given as prescribed for 5 of 5 residents, placing them at risk of illness and decline in health.
WAC 388-112A-0200 Orientation training. The facility failed to ensure 2 of 3 sampled staff met all training requirements for long-term care workers, placing all residents at risk of harm from untrained staff.
Report Facts
Residents sampled: 5 Total residents: 54 Residents sampled: 10 Total residents: 53

Inspection Report — Jan 14, 2026

Enforcement
Date: Jan 14, 2026

Visit Reason
This document is a formal notice of civil fines imposed on Brookdale Allenmore AL (WA) following a follow-up visit by the Department of Social and Health Services Residential Care Services on January 14, 2026.

Findings
The report details multiple uncorrected deficiencies related to medication administration, staff training, and nursing services delegation that placed residents at risk. Civil fines totaling $1,800 were imposed based on these violations.

Deficiencies (3)
WAC 388-78A-2320 (1)(a)(b)(2)(b) Intermittent nursing services systems. The licensee failed to ensure two staff members were delegated by a Registered Nurse to administer medications and perform blood sugar checks. This placed four residents at risk.
WAC 388-78A-2210 (1)(a)(b)(2)(a)(b) Medication services. The licensee failed to ensure medications were given as prescribed for five residents, placing them at risk of illness and health decline.
WAC 388-112A-0200 (1), WAC 388-112A-0700, WAC 388-78A-2474 (2)(a)(d) Training and home care aide certification requirements. The licensee failed to ensure two staff members met all training requirements, placing all 54 residents at risk of harm from untrained staff.
Report Facts
Civil fines total: 1800 Residents at risk: 54 Residents affected by medication errors: 5 Residents affected by nursing delegation failure: 4

Inspection Report — Oct 13, 2025

Enforcement
Date: Oct 13, 2025

Visit Reason
The Department of Social and Health Services conducted a Full Inspection and Complaint Investigation at the assisted living facility Brookdale Allenmore AL (WA) on October 13, 2025, resulting in a civil fine.

Complaint Details
The visit was a Full Inspection and Complaint Investigation triggered by a complaint. The deficiency cited was recurring and resulted in a civil fine.
Findings
The facility was fined $600 for failing to implement safe medication services for three residents, resulting in two residents receiving medications against physicians’ orders and one resident receiving medications without any physician's orders. This deficiency was recurring from previous citations.

Deficiencies (1)
WAC 388-78A-2210 (1)(a)(b)(2)(a)(b) Medication services. The licensee failed to implement medication services that were safe and supported the needs of three residents, resulting in medication errors against physicians’ orders. This placed residents at risk for illness and health decline.
Report Facts
Civil fine amount: 600 Number of residents affected: 3

Inspection Report — Jan 14, 2025

Complaint Investigation
Date: Jan 14, 2025

Visit Reason
The inspection was conducted as an unannounced complaint investigation triggered by an allegation that a resident was sent to the hospital and later diagnosed with a condition. The investigation focused on medication administration and reporting practices at the Assisted Living Facility.

Complaint Details
The complaint investigation (Complaint #161197) was initiated due to an allegation that a resident was sent to the hospital and later diagnosed with a condition. The investigation substantiated that the facility failed to administer medication as ordered and failed to report a medication error. Staff interviews and record reviews confirmed these findings.
Findings
The investigation found that the facility failed to ensure that one resident received their medication as ordered and failed to report a medication error to the department's Complaint Resolution Unit. These failures placed residents at risk for poor health outcomes. Staff involved were written up and re-trained, and the facility committed to corrective actions.

Deficiencies (2)
WAC 388-78A-2210 Medication services. The facility failed to ensure that one resident received their prescribed insulin medication as ordered, with multiple missed doses and missing blood sugar checks documented. This failure placed residents at risk for poor health outcomes.
WAC 388-78A-2650 Reporting fires and incidents. The facility failed to report a medication error involving one resident to the department’s Complaint Resolution Unit as required, placing residents at risk for poor health outcomes.
Report Facts
Total residents: 51 Resident sample size: 1 Missed insulin doses: 9 Missed blood sugar checks: 11

Employees mentioned
NameTitleContext
Staff BClinical Service SpecialistInterviewed regarding missed insulin doses and medication error investigation
Staff AAdministratorInterviewed regarding medication administration failures and reporting practices
Staff CMedication TechnicianNamed in medication error finding for not administering insulin and retraining
Staff DMedication TechnicianNamed in medication error finding for not administering insulin and retraining

Inspection Report — Jun 12, 2024

Follow-Up
Date: Jun 12, 2024

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.

Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. All previously cited deficiencies were corrected as documented.

Report Facts
Sampled residents: 7 Sampled staff: 6 Sampled staff: 4 Sampled staff: 6 Sampled staff: 3

Inspection Report — May 1, 2024

Follow-Up
Date: May 1, 2024

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

Complaint Details
The complaint investigation involved multiple allegations including delayed call light response resulting in a fall, lack of nurse coverage, and untrained staff performing delegated nursing tasks. Investigations found failed provider practices and citations were written for each allegation.
Findings
The follow-up inspection on 05/01/2024 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

Deficiencies (2)
WAC 388-78A-2600-1-b - The facility failed to implement policies and procedures to respond timely to call system alerts for residents, placing all residents at risk for serious negative health outcomes and poor quality of life.
WAC 388-112A-0550 - The facility failed to ensure that staff had completed required nurse delegation core training before performing delegated nursing tasks, placing residents at risk for serious negative health consequences.
Report Facts
Resident sample size: 10 Former residents sampled: 1 Residents at risk: 56 Call light wait time: 40 Call light wait time: 240

Inspection Report — Apr 25, 2024

Follow-Up
Date: Apr 25, 2024

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to compliance determinations 38333 and 30186.

Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

Inspection Report — Nov 17, 2023

Enforcement
Date: Nov 17, 2023

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Brookdale Allenmore AL (WA) to assess compliance with previously cited deficiencies and to impose a civil fine based on uncorrected violations.

Findings
The facility failed to implement its own policy on call system alerts for two residents, placing all 60 residents at risk. This deficiency was uncorrected from a prior citation dated August 17, 2023, resulting in a $400 civil fine.

Deficiencies (1)
WAC 388-78A-2600 (1)(b) Policies and procedures. The licensee failed to ensure implementation of their own policy on call system alerts for two residents, placing all 60 residents at risk for serious negative health outcomes and poor quality of care.
Report Facts
Civil fine amount: 400

Inspection Report — Aug 17, 2023

Enforcement
Date: Aug 17, 2023

Visit Reason
The Department of Social and Health Services conducted a Complaint Investigation at the assisted living facility due to allegations related to failure in responding to residents' calls for help.

Complaint Details
The complaint investigation was based on failure to respond to residents’ calls for help. The deficiency was substantiated and resulted in a civil fine of $400.00. The issue was recurring from a prior citation.
Findings
The investigation found that the licensee failed to implement policies and procedures to respond timely to residents' calls for assistance for two residents, placing all 56 residents at risk. This deficiency is recurring from a previous citation dated October 22, 2022, and resulted in a civil fine.

Deficiencies (1)
WAC 388-78A-2600 (1)(b) Policies and procedures. The licensee failed to implement their policies and procedures to respond to residents’ calls for help for two residents, resulting in untimely responses and risk to all residents.
Report Facts
Civil fine amount: 400

Inspection Report — Aug 9, 2023

Life Safety
Date: Aug 9, 2023

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 08/09/2023.

Findings
All violations noted during previous related inspections have been corrected. The facility was approved at this inspection with no open violations.

Inspection Report — Jun 2, 2023

Follow-Up
Date: Jun 2, 2023

Visit Reason
The Department conducted a follow-up inspection and complaint investigation of the assisted living facility to verify correction of previously cited deficiencies from a July 20, 2021 report.

Complaint Details
The complaint investigation included allegations of delayed call light response, missed meals, failure to notify a resident's representative of weight loss, and COVID infections. The investigation substantiated failure to notify the representative and missed meals, but did not substantiate delayed call light response or infection control failures.
Findings
The follow-up inspection found no deficiencies and confirmed correction of prior issues. The complaint investigation substantiated a failure to notify a resident's representative of significant weight loss and failure to ensure delivery of all meals, resulting in citations.

Deficiencies (2)
WAC 388-78A-2300 Food and nutrition services. The assisted living facility failed to ensure one resident received all three meals at regular intervals when the facility did not deliver the resident's meal to their room. This placed the resident at risk of unmet care needs.
WAC 388-78A-2640 Reporting significant change in condition. The assisted living facility failed to notify a resident's representative of a significant change in condition related to weight loss.
Report Facts
Sample residents reviewed: 4

Employees mentioned
NameTitleContext
Woodetta MaulanaDepartment staff who conducted the follow-up inspection and complaint investigation.

Inspection Report — Feb 9, 2023

Follow-Up
Date: Feb 9, 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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