Inspection Reports for
Brookdale Meadow Springs

WAC 388-78A-2040 Other requirements. The facility failed to maintain compliance with fire codes as the Deputy State Fire Marshal found continued violations including wall penetrations in the dining supervisor’s office/electrical room, ceiling penetrations in laundry, mechanical, and staff break rooms, cracks in fire doors near rooms 217, 238, and emergency exit door by room 208, failing fire rated caulk in the electrical room, and use of non-fire rated caulk to repair holes. The facility was also unable to provide inspection reports verifying the kitchen suppression system had no deficiencies and documentation of monthly smoke alarm testing for the past 12 months.

IFC 701.6 2021 - The owner must maintain an inventory of all required fire-resistance-rated construction and visually inspect it annually. Violations observed included wall penetrations in multiple rooms and non-fire-rated repair materials.

IFC 705.2 2021 - Opening protectives in fire-resistance-rated assemblies must be inspected and maintained. Cross corridor fire doors and emergency exit stairwell door had cracks in the upper portions.

IFC 705.2.3 2021 - Hold-open devices and automatic door closers must be maintained. This requirement was met and corrected.

IFC 705.2.4 2021 - Swinging fire doors must close from the full-open position and latch automatically. This was corrected.

IFC 901.4.7.2 2021 - Access doors for sprinkler system riser rooms and fire pump rooms must be labeled with approved signs. This was corrected.

IFC 903.5 2021 - Sprinkler systems must be tested and maintained per code. This was corrected.

IFC 904.13.5.2 2021 - Automatic fire-extinguishing systems must be serviced semi-annually with documentation. Facility failed to provide documentation for the 2025 kitchen suppression system inspection.

IFC 906.2 2021 - Portable fire extinguishers must be selected, installed, and maintained per code. This was corrected.

IFC 907.8 2021 - Fire alarm systems must be inspected, tested, and maintained with records. Facility was unable to provide documentation for monthly testing of single station smoke alarms for the past twelve months.

IFC 915.6 2021 WAC - Carbon monoxide alarms and detectors must be maintained and replaced when inoperable. This was corrected.

IFC 1008.3.5 2021 - Emergency illumination levels must meet minimum footcandle requirements. This was corrected.

IFC 1032.10.1 2021 - Emergency lighting equipment must be tested monthly for at least 30 seconds. This was corrected.

WAC 388-78A-24642 Background checks National fingerprint background check. The facility failed to ensure a national fingerprint background check was completed for 2 of 5 staff (Staff D and G), placing residents at risk of being cared for by disqualified staff.

WAC 388-78A-2466 Background checks Washington state name and date of birth background check Valid for two years National fingerprint background check Valid indefinitely. The facility failed to maintain a valid two-year name and date of birth background check for 1 of 2 staff (Staff F), placing residents at risk of being cared for by disqualified staff.

WAC 388-78A-2468 Background checks Employment Conditional hire Pending results of Washington state name and date of birth background check. The facility failed to submit a name and date of birth background check within one business day of hire for 1 of 1 staff (Staff G), placing residents at risk of being cared for by disqualified staff.

WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure caregivers completed specialty mental health and dementia training for 2 of 4 staff (Staff A and D) and failed to ensure caregivers met long-term care worker training requirements for 2 of 4 staff (Staff D and G), placing residents at risk of being cared for by untrained staff.

WAC 246-980-030 Can a nonexempt long-term care worker work before obtaining certification as a home care aide? The facility failed to ensure Staff D and Staff G completed the required 70-hour long-term care worker training and worked as caregivers for extended periods without certification.

WAC 388-78A-2480 Tuberculosis Testing Required. The facility failed to ensure staff were screened for tuberculosis within three days of hire for 3 of 4 staff (Staff A, B, and D), placing residents at risk of exposure to a communicable disease.

WAC 388-78A-3090 Maintenance and housekeeping. The assisted living facility failed to maintain a safe, sanitary and well-maintained environment in facility common areas and in two resident rooms, posing potential risk of exposure to disease-producing bacteria and decreased quality of life. The facility lacked a housekeeping and environmental services policy.

WAC 388-78A-2150 Signing negotiated service agreement. The assisted living facility failed to ensure the negotiated service agreement was agreed to and signed by the resident or their representative for 1 former resident and 1 current resident. This placed residents at risk for not being part of decision making and care planning.

WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to implement a safe nurse delegation system for 4 residents receiving delegated nursing tasks, risking unmet needs and incorrect task performance.

WAC 388-78A-2466 Background checks (Valid for two years). The facility failed to submit Washington state background checks every two years for 2 staff, risking care by disqualified personnel.

WAC 388-78A-2468 Background checks (Conditional hire). The facility failed to submit a background check within one business day after hire for 1 staff and failed to obtain three positive references for 2 staff, risking care by unfit staff.

WAC 388-78A-24681 Background checks (Employment provisional hire). The facility failed to ensure a fingerprint background check was pending for 1 provisionally hired staff with unsupervised resident access, risking care by disqualified staff.

WAC 388-78A-2480 Tuberculosis Testing Required. The facility failed to ensure tuberculosis screening within three days of hire for 4 staff, risking resident exposure to communicable disease.

WAC 388-78A-2620 Pets. The facility failed to maintain vaccination and examination records for pets of 3 residents, risking exposure to transmittable diseases.

RCW 70.129.030 Notice of rights and services -- Admission of individuals. The facility failed to inform 2 residents in writing at least every 24 months of available services, activities, and facility rules, limiting informed resident decisions.

WAC 388-78A-3000 Ventilation. The facility failed to provide and maintain intact sixteen mesh screens on operable windows in 4 areas, risking pest and bug entry into resident apartments.

WAC 388-78A-3040 Laundry. The facility failed to provide a safe and sanitary laundry environment in 1 of 2 laundry rooms, with wet towels in utility sink, soiled laundry on counters, and limited folding space, risking resident exposure to unsanitary conditions.

WAC 388-78A-3090 Maintenance and housekeeping. The facility failed to provide a safe, sanitary, and well-maintained environment in hallways, common areas, and exterior, with stained carpets, damaged ceilings, peeling floors, odors, and pest presence, risking resident health and quality of life.

WAC 388-112A-0200 Facility orientation training. The facility failed to complete facility orientation before routine resident interaction for 3 staff and failed to complete two-hour orientation training before care provision for 2 staff, risking care by untrained personnel.

WAC 388-112A-0720 CPR and first-aid training requirements. The facility failed to ensure CPR certification for 2 staff required to have it, risking residents not receiving emergency treatment by qualified staff.

WAC 388-112A-0220 Safety training. The facility failed to complete required three-hour safety training before care provision for 2 staff hired as long-term care workers, risking care by untrained staff.

WAC 388-78A-2660 - The facility failed to ensure resident care and services were provided per resident choice, including timely brief changes and response to call lights.

WAC 388-78A-2600-2-d The assisted living facility failed to ensure staff followed policies related to care for an unresponsive resident, placing residents at risk for not receiving lifesaving measures when needed.