Inspection Reports for
Brookdale College Place

WA

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13 Reports

2022–2026

Inspection Report — Jul 1, 2026

Life Safety
Date: Jul 1, 2026

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

Findings
The inspection identified multiple deficiencies related to fire safety systems, documentation, and maintenance. Several violations were corrected on site, but key documentation for annual inspections and testing was deficient, resulting in a disapproved status.

Deficiencies (19)
IFC 603.2 (2021) - Abatement of unsafe electrical hazards was required. Conditions that constitute an electrical shock or fire hazard were to be abated.
IFC 603.5 (2021) - Relocatable power taps and current taps must be constructed and used in accordance with NFPA 70 and this code.
IFC 603.6 (2021) - Extension cords shall not substitute for permanent wiring and must be listed and labeled per UL 817, used only with portable appliances, and not used outdoors.
IFC 701.6 (2021) - The owner must maintain an inventory and visually inspect fire-resistance-rated construction annually. Facility was unable to provide documentation that the annual inspection had been performed.
IFC 703.1 (2021) - Materials and firestop systems protecting penetrations in fire-resistance-rated construction must be maintained. This was corrected.
IFC 705.2 (2021) - Opening protectives in fire-resistance-rated assemblies and smoke barriers must be inspected and maintained. Facility was unable to provide documentation of annual fire door inspection.
IFC 705.2.4 (2021) - Swinging fire doors must close from full-open position and latch automatically.
IFC 706.1 (2018) - Dampers protecting ducts and air transfer openings must be inspected and maintained. Facility provided deficient documentation for the 4-year fire/smoke damper inspection dated 2023.
IFC 903.5 (2021) - Sprinkler systems must be tested and maintained. Facility was unable to provide documentation for annual sprinkler inspection and 5-year hydro testing was deficient in accessibility.
IFC 904.13.5.2 (2021) - Automatic fire-extinguishing systems must be serviced at least every six months and after activation. This was corrected.
IFC 906.2 (2021) - Portable fire extinguishers must be selected, installed, and maintained per NFPA 10. This was corrected.
IFC 906.6 (2021) - Portable fire extinguishers must not be obstructed or obscured from view. This was corrected.
IFC 907.8 (2021) - Fire alarm maintenance and testing schedules must be maintained. Facility's annual fire alarm for 09/2025 was deficient.
IFC 907.8.3 (2021) - Smoke detector sensitivity must be checked within one year and every alternate year thereafter. Sensitivity test log was deficient and sensitivity test performed on 10-31-2025 had deficiencies.
IFC 915.1.1 (2021) WAC 51-54A - Carbon monoxide detection must be provided in specified occupancies. This was corrected.
IFC 915.6 (2021) WAC - Carbon monoxide alarms and detection systems must be maintained and replaced if inoperable or end-of-life. This was corrected.
IFC 1032.2 (2021) - Required exit accesses, exits, and exit discharges must be maintained free from obstructions. This was corrected.
IFC 1203.4 (2021) - Emergency and standby power systems must be maintained to supply service within required time. Facility was unable to provide documentation of annual servicing of generator.
IFC 5303.5.3 (2021) - Compressed gas containers, cylinders, and tanks must be secured to prevent falling. This was corrected.
Report Facts
Next inspection scheduled date: Jul 31, 2026

Inspection Report — Dec 19, 2025

Follow-Up
Date: Dec 19, 2025

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

Complaint Details
The visit was complaint-related under complaint numbers 197016, 197181, and 197184. The facility failed a reinspection by the State Fire Marshal due to fire safety violations involving grounded surge protectors and fire alarm system issues. The facility administrator reported corrections and awaited re-inspection. The follow-up inspection confirmed corrections and no deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited violations were corrected as of the follow-up date.

Deficiencies (1)
WAC 388-78A-2040 - The assisted living facility must comply with all applicable federal, state, county, and municipal statutes, rules, codes, and ordinances, including those prohibiting discrimination. The facility failed to maintain compliance with fire safety regulations during prior inspections but corrected the issues by the follow-up inspection.
Report Facts
Total residents: 70 Resident sample size: 3

Inspection Report — Nov 24, 2025

Life Safety
Date: Nov 24, 2025

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 following this inspection.

Inspection Report — Apr 1, 2025

Follow-Up
Date: Apr 1, 2025

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to medication administration and compliance with licensing laws.

Complaint Details
The complaint investigation was triggered by allegations that identified resident's physician orders were not followed. The investigation found that the resident did not receive the appropriate medicated wash prior to surgery as ordered, confirming deficient practice and resulting in citations.
Findings
The follow-up inspection on 04/01/2025 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to medication services were corrected.

Deficiencies (1)
WAC 388-78A-2210 Medication services. The assisted living facility failed to ensure residents received medications as prescribed, including failure to implement a safe medication system for one resident resulting in missed ordered treatments prior to surgery.
Report Facts
Total residents: 79 Resident sample size: 3

Employees mentioned
NameTitleContext
Krista ConnellyCommunity Nurse ConsultantPerformed on-site verification during follow-up inspection
Laurel KnightCommunity Complaint InvestigatorInvestigated the complaint related to medication administration

Inspection Report — Mar 4, 2025

Follow-Up
Date: Mar 4, 2025

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

Complaint Details
The complaint investigation (Complaint #166947) found that the facility failed to maintain carpets in two common areas, posing a risk to residents. Observations, interviews, and record reviews confirmed the issue. The deficiency was a repeated citation from 09/17/2024. The facility was in the process of replacing the carpets with installation scheduled for 02/10/2025.
Findings
The follow-up inspection found no deficiencies; previously cited issues with carpet maintenance and housekeeping were corrected.

Deficiencies (1)
WAC 388-78A-3090 Maintenance and housekeeping. The assisted living facility must provide a safe, sanitary and well-maintained environment for residents, keep exterior grounds and facility structure in good repair, and keep facilities, equipment and furnishings clean and in good repair. The facility previously failed to maintain carpets in two common areas used frequently by residents and visitors, leaving residents at risk for an unsafe environment.
Report Facts
Total residents: 55 Resident sample size: 2

Employees mentioned
NameTitleContext
Krista ConnellyCommunity Nurse ConsultantInvestigator who conducted the complaint investigation and follow-up inspection
Staff AAdministratorNamed in interview regarding carpet replacement and complaint follow-up

Notice — Jan 29, 2025

Date: Jan 29, 2025

Visit Reason
The document informs the facility administrator that their Informal Dispute Resolution (IDR) request for the Statement of Deficiencies dated January 29, 2025, was denied due to late submission.

Findings
The IDR request was denied because it was received after the required deadline. The letter explains the facility's right to request an IDR meeting within ten days of receiving the deficiency notice.

Report Facts
Date of Statement of Deficiencies: Jan 29, 2025 Date IDR request received: Feb 28, 2025 Deadline for IDR request: Feb 27, 2025

Inspection Report — Dec 30, 2024

Complaint Investigation
Date: Dec 30, 2024

Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility regarding failure to meet Assisted Living Facility requirements related to resident unit furnishings.

Complaint Details
Complaint number 155691 was investigated. The allegation that the facility did not provide required resident furnishings was substantiated with citations written.
Findings
The facility failed to provide required furnishings including a pillow, bed sheets, bed comforter, mattress cover, lotion, and towels when a resident moved in. The facility administration was unaware of these requirements, resulting in the resident's family having to purchase these items. A failed provider practice was identified and citations were written.

Deficiencies (1)
WAC 388-78A-3011 Resident unit furnishings. The facility failed to provide required furnishings such as a pillow, bed sheets, bed comforter, mattress cover, lotion, and towels when a resident moved in.
Report Facts
Total residents: 78 Resident sample size: 4 Closed records sample size: 0

Inspection Report — Nov 12, 2024

Follow-Up
Date: Nov 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 on 11/12/2024 found no deficiencies and confirmed that all previously cited deficiencies were corrected. The facility meets the Assisted Living Facility licensing requirements.

Report Facts
Compliance Determinations referenced: 2

Employees mentioned
NameTitleContext
Jessica ClappAssisted Living Facility LicensorNamed as Department staff who did the on-site verification
Anna CairnsALF Long Term Care SurveyorNamed as Department staff who did the on-site verification

Inspection Report — Jul 19, 2023

Re-Inspection
Date: Jul 19, 2023

Visit Reason
The Office of the State Fire Marshal conducted a fire safety re-inspection at the facility to verify correction of previously cited deficiencies.

Findings
All violations noted during previous related inspections have been corrected. The facility achieved an Approved status.

Deficiencies (13)
IFC 404.2 (2018) - The fire/evacuation plan does not refer to shelter in place or partial evacuation but instead calls for a total evacuation of the entire building.
IFC 405.2 (2015, 2018) - Required emergency drills documentation is missing for 1st quarter days and 4th quarter night shifts.
IFC 605.4 (2012, 2015) - An unapproved three way power tap was discovered plugged into the wall outlet of room 211.
IFC 701.6 (2018) WAC 51-54A - The facility is unable to produce documentation of current inspections of the fire resistance rated construction.
IFC 705.2 (2018) - The facility is unable to produce documentation of current testing of the fire rated doors.
IFC 705.2.4 (2018) - Self-closing doors failed to close and latch at resident rooms 108 and 224. The 2nd floor laundry room was wedged open with appliances running and nobody present.
IFC 706.1 (2018) - The facility is unable to produce documentation of current testing of the fire/smoke dampers.
IFC 903.5 (2009, 2012, 2015, 2018) - Quick response sprinkler heads are past due for testing and/or replacement. The facility is unable to produce documentation of the 4th quarter test of the automatic fire sprinkler system.
IFC 907.8 - The facility is unable to produce documentation of monthly testing of the single station smoke detectors.
IFC 907.8.3 (2012, 2015, 2018) - The facility is unable to produce documentation of current sensitivity testing of the smoke detectors.
IFC 915.6 (2018) - The facility is unable to produce documentation of current testing of the carbon monoxide detectors.
IFC 1031.10.2 (2018) - The facility is unable to produce documentation of current testing of the annual (90 minute) testing of the battery back-up emergency lighting.
IFC 5304.1 (2012, 2015, 2018) - Five unsecured M cylinders (oxygen) were discovered in the closet of room 242.
Report Facts
Unsecured compressed gas cylinders: 5

Inspection Report — Jun 27, 2023

Follow-Up
Date: Jun 27, 2023

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

Complaint Details
The complaint investigation (Complaint #78919) found that a named resident was not given their prescribed medications as ordered, placing the resident at risk of health decline. The allegation was substantiated with citations written.
Findings
The follow-up inspection on 06/27/2023 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements.

Deficiencies (1)
WAC 388-78A-2240 Nonavailability of medications. The assisted living facility failed to obtain medications in a correct and timely manner for one resident, causing missed doses of prescribed medications.
Report Facts
Total residents: 84 Resident sample size: 3 Deficiencies cited: 1

Inspection Report — Jun 27, 2023

Complaint Investigation
Date: Jun 27, 2023

Visit Reason
The inspection was conducted as a complaint investigation regarding the facility's medication storage and handling practices.

Complaint Details
The complaint investigation referenced complaint number 90350 and found that the facility did not meet Assisted Living Facility requirements related to medication storage. The allegation was substantiated with citations written.
Findings
The facility's medication room was found to have unsecured piles of expired or discontinued medications in cabinets and drawers that were too full to close. A consultation was issued for failure to have safe, secure storage of medications.

Deficiencies (1)
WAC 388-78A-2260 Storing, securing, and accounting for medications. The medication room had piles of expired or discontinued medications unsecured in cabinets and drawers that were too full to close.
Report Facts
Total residents: 72

Employees mentioned
NameTitleContext
Krista ConnellyCommunity Nurse ConsultantConducted the inspection and provided consultation

Inspection Report — Feb 9, 2023

Complaint Investigation
Date: Feb 9, 2023

Visit Reason
The inspection was conducted in response to a complaint regarding a sprinkler system burst at the facility.

Complaint Details
Complaint #68362 alleged a sprinkler system burst. The report confirmed the burst pipe and related events but no fire or injuries occurred. The complaint was substantiated as the pipe burst was verified and repairs were made.
Findings
The investigation found that a burst pipe caused water to leak into rooms, triggering the fire alarm. No fire occurred, sprinklers did not activate, two residents were relocated without injury, and the system was repaired and restored to service.

Report Facts
Number of residents relocated: 2

Inspection Report — Sep 8, 2022

Complaint Investigation
Date: Sep 8, 2022

Visit Reason
The inspection was conducted as a complaint investigation regarding a named resident who did not receive prescribed medication because it was not in the facility's system.

Complaint Details
The complaint investigation (Complaint #46242) found that the facility failed to administer medication to a named resident, delaying treatment. The allegation was substantiated with citations written.
Findings
The facility failed to administer an antibiotic to the named resident, delaying treatment and placing residents at risk. Deficiencies were identified and citations were written.

Deficiencies (1)
WAC 388-78A-2210 Medication services. The assisted living facility failed to give two sampled residents their prescribed antibiotics for treatment of infections, placing them at risk of harm and worsening infections.
Report Facts
Total residents: 75 Resident sample size: 1 Closed records sample size: 1

Employees mentioned
NameTitleContext
Elaine LopezLicensorNamed as the investigator who conducted the complaint investigation
Krista ConnellyCommunity Nurse ConsultantConducted on-site verification during follow-up inspection

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