11 Reports
Inspection Report — May 6, 2026
Life Safety
Date: May 6, 2026
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The Office of the State Fire Marshal conducted a fire safety inspection at the residential care facility to assess compliance with fire protection and life safety codes.
Findings
The inspection identified multiple fire safety violations including unsealed fire-resistance-rated construction, lack of required monthly maintenance on portable fire extinguishers, obstruction of an emergency exit, and unsecured compressed gas cylinders. The facility was disapproved due to these unresolved issues.
Deficiencies (4)
IFC 701.2 2021 - The fire-resistance rating of fire-resistance-rated construction was not maintained due to two 24 inch by 24 inch holes in the ceiling of the mechanical room near room 100 where a leak was repaired but the ceiling fire barrier was not repaired.
IFC 906.2 2021 - The required monthly maintenance for the portable fire extinguisher in the elevator equipment room near the activities office and near the wellness center was not completed.
IFC 1003.6 2021 - The path of egress travel was interrupted by a cart blocking the emergency exit in the kitchen.
IFC 5303.5.3 2021 - A compressed gas cylinder in the activities office was not secured to prevent it from falling.
Inspection Report — Feb 5, 2026
Follow-Up
Date: Feb 5, 2026
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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 Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Report Facts
Sampled residents: 9
Total meals served: 237
Meals without temperature documentation: 138
Inspection Report — Dec 9, 2025
Complaint Investigation
Date: Dec 9, 2025
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The inspection was conducted in response to a complaint of a water leak at Brookdale Arbor Place.
Complaint Details
Complaint #204436 alleged a water leak caused by a damaged sprinkler head during painting work. The investigation confirmed the incident but found no injuries or violations.
Findings
The complaint investigation found that a sprinkler head was damaged and activated during contract painters' work, causing water damage to several rooms. The sprinkler system was restored by 2130, no injuries occurred, and no violations were observed.
Report Facts
Rooms affected: 4
Inspection Report — Jul 30, 2025
Complaint Investigation
Date: Jul 30, 2025
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The inspection was conducted in response to multiple complaints alleging unsanitary kitchen conditions, a persistent odor of human feces in the kitchen, insufficient kitchen staffing, and issues with food service and menu management at Brookdale Arbor Place Assisted Living Facility.
Complaint Details
The document references three complaint numbers (187120, 187608, 193017) related to kitchen sanitation, odor issues, staffing shortages, and food service concerns. The investigation substantiated the allegation of noncompliance with food sanitation regulations due to unlicensed food handlers. Other allegations about kitchen odor and menu management were investigated with ongoing remediation and no failed practice identified for menu issues.
Findings
The investigation found failed provider practices related to food sanitation, specifically that five dietary and dining services staff lacked valid food handler cards, placing 106 residents at risk for foodborne illness. The facility was undergoing kitchen repairs and odor remediation. The facility followed approved menus and had processes for food ordering and cleaning, but failed to ensure all dietary staff were properly certified. Citations were issued for noncompliance with WAC 388-78A-2305 (2).
Deficiencies (1)
WAC 388-78A-2305 Food sanitation. The facility failed to ensure employees working as food service workers obtained a valid food worker card as required. Five of fifteen dietary and dining services staff lacked current food handler cards, placing 106 residents at risk for foodborne illness.
Report Facts
Total residents: 106
Dietary and Dining Services staff without valid food handler cards: 5
Total dietary and dining services staff: 15
Resident sample size: 3
Inspection Report — Jun 3, 2025
Follow-Up
Date: Jun 3, 2025
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This document addresses a follow-up inspection conducted on 06/03/2025 to verify correction of previously cited deficiencies related to medication services at the Assisted Living Facility.
Complaint Details
The complaint investigation (Compliance Determination #56299) was triggered by an allegation that a named resident did not have medications available. The investigation found failed practice in medication services, including missed medications and lack of communication, resulting in a citation.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited medication service deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2210 Medication services. The facility failed to ensure one resident received medications as prescribed, resulting in missed medications during January 2025 and risk of medical complications. The failure involved lack of timely medication reconciliation and communication.
Report Facts
Total residents: 96
Resident sample size: 3
Inspection Report — Apr 2, 2025
Life Safety
Date: Apr 2, 2025
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The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.
Findings
The inspection identified multiple fire and life safety code violations including improper storage of fueled equipment, unapproved power strips, missing documentation for fire safety maintenance, and obstructed sprinkler heads. The facility was unable to provide required documentation for several fire safety inspections and maintenance tasks.
Deficiencies (17)
IFC 313.1 (2021) - Fueled equipment including motorcycles, mopeds, lawn-care equipment, portable generators and portable cooking equipment shall not be stored, operated or repaired within a building. There was a gas grill with propane tank stored in the main laundry room.
IFC 0603.5.1 (2021) - Relocatable power taps shall be listed and labeled in accordance with UL 498A. There were multiple multi-plug adapters without over current protection in rooms 306, 111, and 112.
IFC 603.5.2 (2021) - Relocatable power taps and current taps shall be directly connected to a permanently installed receptacle. There was a power strip plugged into a non-compliant multi-plug adapter in the maintenance office.
IFC 603.6 (2021) - Extension cords shall not be a substitute for permanent wiring and shall be listed and labeled. Extension cords were utilized as permanent wiring in room 306 and the business office manager's office.
IFC 606.3.3 (2021) - Hoods, grease-removal devices, fans, ducts and other appurtenances shall be cleaned at required intervals. Facility is unable to provide documentation for the semi-annual hood cleaning.
IFC 606.4 (2021) - Gas-fired commercial cooking appliances on casters shall be connected with a restraining device. The gas appliances on casters in the kitchen are not limited by a restraining device.
IFC 701.3 (2021) - The fire-resistance rating and smoke-resistant characteristics of smoke barriers shall be maintained. There was an unsealed penetration in corridor near 211 and several unsealed penetrations in the kitchen ceiling.
IFC 701.6 (2021) - The owner shall maintain an inventory of all required fire-resistance-rated construction and ensure annual inspection. Facility is unable to provide documentation that the annual fire resistance rated construction material inspection has been completed.
IFC 705.2 (2021) - Opening protectives in fire-resistance-rated assemblies shall be inspected and maintained. Resident room 318 door had a deadbolt lock removed leaving a hole. Rooms 324 and 329 doors had unauthorized magnet hold open devices not connected to the fire alarm system.
IFC 705.2.4 (2021) - Swinging fire doors shall close from the full-open position and latch automatically. Fire doors near rooms 338, 328, 205, and the 1st floor mechanical room would not close and latch from the fully open position.
IFC 706.1 (2018) - Dampers protecting ducts and air transfer openings shall be inspected and maintained. Facility is unable to provide documentation for the 4 year fire and smoke damper inspection.
IFC 903.3.3 (2021) - Automatic sprinklers shall be installed with regard to obstructions that delay activation or obstruct water distribution. The sprinkler head in the walk-in freezer had boxes and food obstructing the flow pattern.
IFC 903.5 (2021) - Sprinkler systems shall be tested and maintained. Annual sprinkler inspection documents from 8/24/2024 showed deficiencies that have not been corrected including mixed standard and quick response sprinkler heads and missing hydraulic calculation placard.
IFC 906.2 (2021) - Portable fire extinguishers shall be maintained and tested. Facility was unable to provide documentation for monthly fire extinguisher maintenance in accordance with NFPA 10.
IFC 907.8 (2021) - Fire alarm and detection systems shall be maintained and tested. Facility was unable to provide documentation for the monthly single station smoke alarm testing.
IFC 1003.6 (2021) - Means of egress shall not be obstructed. There was a multiple floor mat and trash blocking the emergency exit in the kitchen.
IFC 1008.3.1 (2021) - Emergency power shall illuminate required exits and access areas. The emergency egress light in the 2nd floor stairwell 2 did not illuminate when tested. Emergency lighting was also missing in the first floor stairwells 1, 2, 3, and 4.
Report Facts
Multi-plug adapters without over current protection: 4
Fire doors not closing and latching: 4
Unauthorized magnet hold open devices: 3
Sprinkler inspection deficiencies: 3
Inspection Report — Mar 13, 2025
Complaint Investigation
Date: Mar 13, 2025
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The Department completed a complaint investigation of the Assisted Living Facility on 03/13/2025 based on complaint numbers 162921, 164468, and 165680.
Complaint Details
The complaint investigation included complaint numbers 162921, 164468, and 165680. The deficiency related to medication storage was found and corrected on site.
Findings
The investigation found that one of three medication carts was disorganized with ointments, lotions, and inhalers from multiple residents not properly stored. The facility corrected the issue by organizing the cart and separating medications for each resident.
Deficiencies (1)
WAC 388-78A-2260 Storing, securing, and accounting for medications. The assisted living facility must ensure all medications under its control are properly stored in containers with pharmacist-prepared or original manufacturer's labels and physically separated for each resident. One medication cart drawer was disorganized with medications not fully in original packaging and mixed together.
Inspection Report — Jul 25, 2024
Follow-Up
Date: Jul 25, 2024
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This document is a follow-up inspection of the Assisted Living Facility Brookdale Arbor Place to verify correction of previously cited deficiencies.
Findings
The follow-up inspection conducted on 07/25/2024 found no deficiencies and confirmed that all previously cited licensing law and regulation deficiencies were corrected.
Report Facts
Compliance Determinations referenced: 2
Inspection Report — Sep 11, 2023
Follow-Up
Date: Sep 11, 2023
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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.
Findings
The follow-up inspection on 09/11/2023 found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies under WAC 388-78A-2160 were corrected.
Inspection Report — Jun 13, 2023
Life Safety
Date: Jun 13, 2023
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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.
Deficiencies (17)
IFC 604.1 2018 - Identified electrical hazards shall be abated. Found power cord for copier running through doorway to medical office.
IFC 604.5 2018 - Extension cords shall not be a substitute for permanent wiring. There was an extension cord utilized as permanent wiring in medical office.
IFC 607.3.3 2018 - Hoods, grease-removal devices, fans, ducts and other appurtenances shall be cleaned at required intervals.
IFC 701.6 2018 WAC 51-54A - Owner shall maintain an inventory of fire-resistance-rated construction and inspect annually.
IFC 705.2 2018 - Opening protectives in fire-resistance-rated assemblies shall be inspected and maintained per NFPA 80 and NFPA 105.
IFC 705.2.4 2018 - Swinging fire doors shall close from full-open position and latch automatically.
IFC 903.5 2009, 2012, 2015, 2018 - Sprinkler systems shall be tested and maintained per Section 901.
IFC 904.12.5.2 2018 - Automatic fire-extinguishing systems shall be serviced at least every six months and after activation.
IFC 906.2 2015, 2018 - Portable fire extinguishers shall be selected, installed and maintained per NFPA 10. Required annual maintenance tag dated December 2023 instead of 2022.
IFC 906.6 2015, 2018 - Portable fire extinguishers shall not be obstructed or obscured. Portable fire extinguisher in kitchen area was obstructed by dry goods delivery.
IFC 907.8 2018 - Fire alarm and detection systems shall be maintained and tested per NFPA 72. Power breaker for fire alarm is missing locking device.
IFC 915.6 2018 - Carbon monoxide alarms and detection systems shall be maintained per NFPA 720. Facility unable to provide documentation for monthly carbon monoxide detector testing.
IFC 1008.3.1 2015, 2018 - Emergency electrical system shall illuminate aisles, corridors, and exit access stairways and ramps upon power failure. Emergency egress lights in staircase 1 level 3 and kitchen by mechanical would not illuminate when tested.
IFC 1013.5 2018 - Electrically powered exit signs shall be listed, labeled, and illuminated at all times. Exit signs near rooms 333, 107, and 125 did not illuminate in normal operation.
IFC 1031.10.2 2018 - Battery-powered emergency lighting equipment shall be tested annually for not less than 90 minutes. Facility unable to provide documentation for annual 90 minute power test.
NFPA 10 (2016) - Facility unable to provide documentation for monthly fire extinguisher maintenance on 3rd floor.
IFC 1013.5 2018 - Facility cannot provide documentation for completion of twelve planned and unannounced fire drills in previous 12 months; several shifts and quarters missing.
Report Facts
Missing fire drills: 5
Fire extinguisher maintenance tag year: 2023
Annual fire drills required: 12
Emergency lighting test duration: 90
Inspection Report — May 8, 2023
Life Safety
Date: May 8, 2023
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The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the residential care facility Brookdale Arbor Place on 05/08/2023.
Findings
The inspection found multiple fire safety violations including electrical hazards, extension cords used as permanent wiring, missing locking devices on fire alarm power breakers, emergency lighting failures, and incomplete fire drill documentation. Several deficiencies were corrected on site, but the overall approval status was Disapproved.
Deficiencies (27)
IFC 604.1 2018 - Identified electrical hazards were found including a power cord for a copier running through a doorway to the medical office.
IFC 604.5 2018 - Extension cords were utilized as permanent wiring in the medical office.
IFC 607.3.3 2018 - Hoods, grease-removal devices, fans, ducts and other appurtenances shall be cleaned at required intervals. This was corrected.
IFC 701.6 2018 WAC 51-54A - Owner must maintain inventory and inspection records of fire-resistance-rated construction. This was corrected.
IFC 705.2 2018 - Opening protectives in fire-resistance-rated assemblies must be inspected and maintained per NFPA 80. This was corrected.
IFC 705.2.4 2018 - Swinging fire doors must close and latch automatically. This was corrected.
IFC 903.5 2009, 2012, 2015, 2018 - Sprinkler systems must be tested and maintained per Section 901. This was corrected.
IFC 904.12.5.2 2018 - Automatic fire-extinguishing systems must be serviced at least every six months and inspection certificates forwarded. This was corrected.
IFC 906.2 2015, 2018 - Portable fire extinguishers must be selected, installed, and maintained per NFPA 10. The required annual maintenance was tagged December 2023 instead of 2022.
IFC 906.6 2015, 2018 - Portable fire extinguishers must not be obstructed or obscured. The power breaker for the fire alarm is missing a locking device.
IFC 1008.3.1 2015, 2018 - Emergency power must illuminate aisles, corridors, and exit access stairways. Emergency egress light in staircase 1 level 3 and kitchen exit sign did not illuminate when tested.
IFC 1013.5 2018 - Internally illuminated exit signs must be listed, labeled, and illuminated at all times. Exit signs near rooms 333 and 107 did not illuminate in normal operation.
IFC 1013.5 2018 - Internally illuminated exit signs near room 125 did not illuminate in normal operation.
IFC 1031.10.2 2018 - Battery-powered emergency lighting must be tested annually for at least 90 minutes. Documentation for the annual 90 minute power test was not provided.
IFC 1008.3.1 2015, 2018 - Emergency egress light and exit sign combo in kitchen by mechanical did not illuminate when tested.
IFC 705.2 2018 - Facility unable to provide documentation that annual fire door inspection has been completed. NFPA 80 items including labels, door condition, latching hardware, and self-closing device must be verified.
IFC 705.2.4 2018 - Several fire doors including cross corridor doors near rooms 338 and 232, resident door 319, clean linen door, and kitchen door would not close and latch from fully open position.
IFC 903.5 2009, 2012, 2015, 2018 - Facility unable to provide documentation for annual sprinkler system inspection, 5 year internal piping inspection, and 3 year dry system full flow trip test.
IFC 904.12.5.2 2018 - Facility unable to provide documentation for semi-annual kitchen suppression system servicing.
IFC 906.2 2015, 2018 - Facility unable to provide documentation for monthly fire extinguisher maintenance for the 3rd floor and monthly fire extinguisher maintenance documentation for the 3rd floor was missing.
IFC 906.6 2015, 2018 - Portable fire extinguisher in kitchen area was obstructed by dry goods delivery.
IFC 907.8 2018 - Power breaker for fire alarm is missing locking device.
IFC 915.6 2018 - Facility unable to provide documentation for monthly carbon monoxide detector testing. Carbon monoxide alarms must be inspected and tested monthly per manufacturer's instructions.
IFC 1008.3.1 2015, 2018 - Emergency egress light in staircase 1 level 3 and emergency egress light/exit sign combo in kitchen by mechanical did not illuminate when tested.
IFC 1013.5 2018 - Internally illuminated exit signs near rooms 333, 107, and 125 did not illuminate in normal operation.
IFC 1031.10.2 2018 - Facility cannot provide documentation for annual 90 minute power test for emergency lights.
IFC 1604 - Facility cannot provide documentation for completion of twelve planned and unannounced fire drills in the previous 12 months. Several shifts and quarters are missing fire drill documentation.
Report Facts
Missing fire drills: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mike Cook | Maintenance Supervisor | Named as Owner or Authorized Representative signing the inspection report. |
| Wendy S. Rebec | Named as Owner or Authorized Representative signing the inspection report. |
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