6 Reports
Inspection Report — Mar 12, 2026
Follow-Up
Date: Mar 12, 2026
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 the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (2)
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 complete a background check for 1 of 5 staff, placing residents at risk of abuse or neglect.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure 1 of 5 sampled staff met all training requirements, including basic, specialty, continuing education, and home care aide certification.
Report Facts
Sampled residents: 12
Sampled staff: 5
Days late for background check completion: 97
Inspection Report — Sep 2, 2025
Life Safety
Date: Sep 2, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 09/02/2025.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — Mar 5, 2025
Follow-Up
Date: Mar 5, 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 the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2480-1 - The assisted living facility must develop and implement a system to ensure each staff person is screened for tuberculosis within three days of employment. This requirement was not met as one of four sampled staff did not have a TB skin test within three days of employment.
Report Facts
Sampled residents: 12
Total residents: 102
Sampled staff: 4
Inspection Report — Jul 2, 2024
Life Safety
Date: Jul 2, 2024
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 07/02/2024.
Findings
The facility was found to have multiple deficiencies related to fire safety and maintenance, including failure to provide required documentation and physical deficiencies such as a painted sprinkler head and a fire door that does not latch. The overall approval status was Disapproved.
Deficiencies (7)
IFC 606.3.3 (2021) - Facility failed to provide documentation showing kitchen hood is being cleaned twice a year.
IFC 701.6 (2021) - Facility failed to provide documentation showing annual inspection of all fire-resistance-rated construction (fire wall inspection).
IFC 706.1 (2018) - Damper report states failed dampers, facility shall provide documentation that dampers were fixed.
IFC 903.5 (2021) - Facility failed to maintain fire sprinkler system including painted sprinkler head, accelerator deficiency, missing escutcheon ring, and blocked sprinkler head.
IFC 907.8 (2021) - Facility failed to provide documentation showing monthly inspection of single and multiple station smoke alarms.
IFC 1032.10.1 (2021) - Facility failed to provide documentation showing monthly 30 second inspection of all emergency lights and exit signs.
NFPA 80 - Facility failed to provide documentation showing annual inspection of all fire doors. Second floor, elevator #2, fire door does not latch.
Inspection Report — Dec 8, 2023
Complaint Investigation
Date: Dec 8, 2023
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility due to allegations that the facility did not meet Assisted Living Facility requirements related to quality of care and treatment after a resident was found on the floor following a fall.
Complaint Details
Complaint investigation number 100484 and 97514 regarding quality of care when a resident was found on the floor after a fall and required medical treatment. The allegation was substantiated with citations written for failed provider practice.
Findings
The investigation found that a resident fell and sustained a head injury requiring hospital treatment. The facility failed to provide direct care staff with access to the most current interventions in the resident's care plan. Failed provider practice was identified and citations were written.
Deficiencies (1)
WAC 388-78A-2160 - The assisted living facility failed to provide care and services as agreed upon in the negotiated service agreement, leaving direct care staff without the information needed to provide personal care for a resident. Consultation was provided and failed practice was identified.
Report Facts
Total residents: 83
Resident sample size: 5
Closed records sample size: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Regenia Coleman | Investigator | Department staff who did the inspection and provided consultation |
Inspection Report — Aug 28, 2023
Life Safety
Date: Aug 28, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 08/28/2023.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
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