6 Reports
Inspection Report — Apr 15, 2026
Re-Inspection
Date: Apr 15, 2026
Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previously cited fire safety deficiencies.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following the re-inspection.
Deficiencies (7)
IFC 703.1 (2021) - Materials and firestop systems used to protect membrane and through penetrations in fire-resistance-rated construction shall be maintained to resist passage of smoke with no visible openings.
IFC 705.2 (2021) - Opening protectives in fire-resistance-rated assemblies shall be inspected and maintained in accordance with NFPA 80 and NFPA 105; fire doors and smoke and draft control doors shall not be blocked or obstructed.
IFC 705.2.4 (2021) - Swinging fire doors shall close from the full-open position and latch automatically; fire doors to second floor cinema room failed to self-close and latch when retested.
IFC 706.1 (2018) - Dampers protecting ducts and air transfer openings shall be inspected and maintained; damaged products or materials shall be repaired or replaced.
IFC 903.5 (2021) - Sprinkler systems shall be tested and maintained in accordance with Section 901; documentation confirming correction of noted deficiencies must be provided.
IFC 907.8 (2021) - Maintenance and testing schedules for fire alarm and detection systems shall be maintained with records of inspection, testing, and maintenance.
IFC 915.6 (2021) WAC - Carbon monoxide alarms and detection systems shall be maintained and replaced if inoperable or producing end-of-life signals.
Inspection Report — Aug 5, 2025
Re-Inspection
Date: Aug 5, 2025
Visit Reason
The inspection was conducted by the Office of the State Fire Marshal as a reinspection to verify correction of previously cited fire safety deficiencies at the Brookdale Courtyard Puyallup residential care facility.
Findings
Several deficiencies from prior inspections were corrected as noted. However, some violations remain uncorrected, including fire doors failing to self-close and latch, missing documentation for emergency lighting tests, and door clearance issues. The facility was disapproved due to these outstanding violations.
Deficiencies (3)
IFC 705.2.4 (2021) - Fire doors to second floor cinema room failed to self-close and latch when retested during reinspection.
IFC 1031.10.2 (2021) - Facility did not provide documentation for emergency lights and exit signs that failed the 90-minute annual battery test; must provide correction documentation including dates.
NFPA 80 (5.2.1, 5.2.4) - Corridor doors throughout the facility have a center door gap exceeding the allowed 1/16 inch.
Report Facts
Next inspection scheduled: Sep 4, 2025
Inspection Report — Jun 16, 2025
Follow-Up
Date: Jun 16, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to negotiated service agreements and resident care.
Complaint Details
The complaint investigation found that staff refused to shower residents as agreed upon in their negotiated service agreements, resulting in nine residents not receiving showers as scheduled. Documentation was inconsistent or missing, and some residents or their representatives reported missed or refused showers. The facility failed to ensure negotiated service agreements were signed by residents or representatives for eight of nine sampled residents.
Findings
The follow-up inspection found no deficiencies; all previously cited deficiencies related to negotiated service agreements and resident care were corrected.
Deficiencies (1)
WAC 388-78A-2160 Implementation of negotiated service agreement. The assisted living facility must provide the care and services as agreed upon in the negotiated service agreement to each resident unless a deviation is mutually agreed upon at the time the care or services are scheduled.
Report Facts
Sampled residents: 9
Residents with shower deficiencies: 9
Residents with unsigned negotiated service agreements: 8
Inspection Report — Jun 16, 2025
Follow-Up
Date: Jun 16, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Complaint Details
This report references multiple complaint investigations with allegations including safety issues, staffing shortages, cleanliness, food temperature, bed bugs, and failure to follow reporting and service agreement requirements. Multiple deficiencies were identified and citations written, with detailed findings documented in statements of deficiency dated 03/24/2025 and earlier. The follow-up inspection on 06/16/2025 found all deficiencies corrected.
Findings
The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected. The facility meets Assisted Living Facility licensing requirements.
Report Facts
Total residents: 78
Closed records sample size: 9
Inspection Report — Feb 27, 2025
Complaint Investigation
Date: Feb 27, 2025
Visit Reason
The Department completed a full inspection of the Assisted Living Facility on 02/27/2025 due to a complaint investigation.
Complaint Details
This was a complaint investigation involving one medication technician lacking a valid CPR/First-Aid card. The deficiency was substantiated and corrected on-site.
Findings
One of four medication technicians failed to possess a valid CPR/First-Aid card. The deficiency was corrected on-site during the visit.
Deficiencies (1)
WAC 388-112A-0710 and WAC 388-78A-2474 - One medication technician did not have a valid Cardiopulmonary/First-Aid (CPR/FA) card as required. The deficiency was corrected on-site at the time of the visit.
Report Facts
Medication technicians without valid CPR/FA card: 1
Total medication technicians: 4
Inspection Report — Feb 20, 2025
Enforcement
Date: Feb 20, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Brookdale Courtyard Puyallup to address previously cited deficiencies and impose a civil fine for noncompliance with negotiated service agreements.
Findings
The facility failed to provide showers as agreed upon in the negotiated service agreement for four residents, resulting in a civil fine of $600.00. This deficiency was uncorrected from a prior citation dated October 18, 2024.
Deficiencies (1)
WAC 388-78A-2160 Implementation of negotiated service agreement. The licensee failed to provide showers as agreed upon in the negotiated service agreement for four residents, placing them at risk for skin infections and decreased quality of life.
Report Facts
Civil fine amount: 600
Residents affected: 4
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