Inspection Reports for
Brookdale Foundation House in Federal Way

WA, 98003

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9 Reports

2023–2026

Inspection Report — Feb 9, 2026

Life Safety
Date: Feb 9, 2026

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Brookdale Foundation House facility on 02/09/2026.

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

Inspection Report — Nov 7, 2025

Follow-Up
Date: Nov 7, 2025

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. The facility meets the Assisted Living Facility licensing requirements.

Deficiencies (11)
WAC 388-78A-2462 Background checks Who is required to have. The facility failed to conduct Washington State Name and Date of Birth background checks for multiple staff and private caregivers, placing residents at risk of potential abuse or neglect.
WAC 388-78A-2464 Background checks Process Background authorization form. The facility failed to complete and submit a DSHS background authorization form prior to employment for one staff member, placing residents at risk of abuse or neglect.
WAC 388-78A-2481 Tuberculosis Testing method Required. The facility failed to ensure one staff member was screened for tuberculosis within three days of employment, placing residents at risk of contracting a contagious respiratory disease.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure one staff member completed all required training, placing residents at risk of unmet care needs.
WAC 388-78A-2700 Emergency and disaster preparedness. The facility failed to ensure first aid kits were unlocked, clearly marked, and readily available in the assisted living unit, placing 75 residents at risk of delayed emergency response.
WAC 388-78A-3090 Maintenance and housekeeping. The facility failed to ensure mechanical air exchange vents were functional in multiple laundry rooms, janitor closets, and bathrooms, and failed to maintain exterior benches, placing 100 residents at risk of poor air quality, respiratory distress, injury, and diminished quality of life.
WAC 388-78A-2290 Family assistance with medications and treatments. The facility failed to obtain written family plans for medication assistance for multiple residents, placing them at risk for unmet medication management needs.
WAC 388-78A-2150 Signing negotiated service agreement. The facility failed to ensure four residents or their representatives agreed to and signed their Personal Service Plans at least annually, placing them at risk of being uninformed about their care and services.
WAC 388-78A-2100 Ongoing assessments. The facility failed to complete full assessments for six sampled residents, placing them at risk of injury, entrapment, health decline, and unmet care needs related to medical device use and self-administration.
WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to implement a safe nursing services system when non-licensed staff administered medications without a nurse delegation program for three residents, placing them at risk for compromised health status.
WAC 388-78A-2130 Service agreement planning. The facility failed to document service agreements and plans to monitor and address clinical needs for four residents, placing them at risk for unmet care needs and potential harm.
Report Facts
Residents in assisted living unit: 75 Residents at risk due to mechanical air exchange vents and benches: 100 Sampled residents for assessment review: 6 Residents without signed Personal Service Plans: 4 Residents receiving nurse delegation without proper documentation: 3

Inspection Report — Jul 18, 2024

Complaint Investigation
Date: Jul 18, 2024

Visit Reason
The inspection was conducted in response to a complaint regarding a fire in a dryer at Brookdale Foundation House.

Complaint Details
Complaint #138773 involved a dryer fire. The fire department responded, and no violations were found during the inspection.
Findings
The fire department responded and the fire was contained and extinguished by maintenance. The dryer is out of commission. No violations were observed during the inspection.

Inspection Report — Jun 3, 2024

Follow-Up
Date: Jun 3, 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 all previously cited licensing law violations were corrected. The facility meets the Assisted Living Facility licensing requirements.

Report Facts
Days worked by Staff F: 1127 Sample size: 11 Sample size: 0 Staff screened for Tuberculosis: 3 Staff total: 6 Days prior to employment TB test: 274

Employees mentioned
NameTitleContext
Staff FNamed in findings related to lack of required credentials, training, and continuing education.
Staff ENamed in findings related to incomplete training and continuing education.
Staff AExecutive DirectorNamed in findings related to Tuberculosis screening failures and interview statements.
Staff BCaregiverNamed in findings related to Tuberculosis screening failures.
Staff DCaregiverNamed in findings related to Tuberculosis screening failures.
Staff IAdministrative AssistantNamed in interview regarding lack of documentation for Staff F credentials.

Inspection Report — Jan 18, 2024

Complaint Investigation
Date: Jan 18, 2024

Visit Reason
The inspection was conducted in response to complaint #114474 regarding broken water pipes and a busted sprinkler pipe at Brookdale Foundation House.

Complaint Details
Complaint #114474 alleged broken water pipes and a busted sprinkler pipe in resident room 117. The complaint was investigated, and no violations were found at the time of inspection.
Findings
No violations were observed at the time of inspection. The facility is currently conducting a fire watch while awaiting repairs to the sprinkler system.

Inspection Report — Sep 18, 2023

Life Safety
Date: Sep 18, 2023

Visit Reason
On 09/18/2023 the Office of the State Fire Marshal conducted an inspection at Brookdale Foundation House to verify compliance with fire safety regulations and confirm correction of previous violations.

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

Inspection Report — Jul 24, 2023

Complaint Investigation
Date: Jul 24, 2023

Visit Reason
The inspection was conducted in response to a complaint about a sprinkler pipe leak at the facility.

Complaint Details
Complaint #89658 alleged a sprinkler pipe leak. The maintenance director confirmed a tiny hole was found and repaired. No deficiencies were found during the inspection.
Findings
The inspection found a tiny hole in the sprinkler piping which was sealed by a contractor. The facility performed a fire watch while the repair dried and all systems were confirmed to be back in working order. No deficiencies were cited.

Report Facts
Number of injuries: 0

Inspection Report — Jun 28, 2023

Complaint Investigation
Date: Jun 28, 2023

Visit Reason
The inspection was conducted in response to a complaint about a power outage at Brookdale Foundation House.

Complaint Details
Complaint #86450 concerned a power outage. The allegation was investigated and no deficiencies were found, indicating the complaint was unsubstantiated.
Findings
The facility experienced a power outage caused by a vehicle hitting a power pole. All fire systems functioned properly, the generator activated, and safety checks were conducted every 15 minutes. No deficiencies were cited at this time.

Inspection Report — Jan 11, 2023

Complaint Investigation
Date: Jan 11, 2023

Visit Reason
The inspection was conducted in response to a complaint about a fire in the laundry room involving a commercial dryer.

Complaint Details
Complaint #65286 involved a fire in the dryer caused by greasy rags. The sprinklers activated, no injuries occurred, and the fire department responded. The facility took corrective action promptly and no violations were found.
Findings
The fire was caused by greasy rags in the dryer, the sprinklers activated and extinguished the fire, and the facility implemented a fire watch until the sprinkler head was replaced the same day. No deficiencies were found during the inspection.

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