Inspection Reports for
Brookdale Olympia East

616 LILLY RD NE, OLYMPIA, WA, 98506

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22 Reports

2022–2026

Inspection Report — May 5, 2026

Follow-Up
Date: May 5, 2026

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

Complaint Details
The investigation involved complaints about quality of care, physical environment, and resident rights. The facility failed to answer call lights timely, substantiating a failed provider practice with citations written. Other allegations about raised toilet seats and scooter use were unsubstantiated.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies cited under WAC 388-78A-2660-1 and WAC 388-78A-2660-2 were corrected.

Deficiencies (1)
WAC 388-78A-2660 Resident rights. The assisted living facility must comply with chapter 70.129 RCW and ensure all staff provide care consistent with resident rights. The facility failed to promote care by not responding timely to call lights for 4 of 5 residents, placing residents at risk of harm.
Report Facts
Total residents: 67 Resident sample size: 5 Call light response times: 57 Call light response times: 50

Inspection Report — Mar 17, 2026

Follow-Up
Date: Mar 17, 2026

Visit Reason
This document is a follow-up inspection of an Assisted Living Facility conducted to verify correction of previously cited deficiencies related to medication services and policies and procedures.

Complaint Details
The original complaint investigation (Complaint #207490) was regarding failure to have residents' medications available for administration, resulting in missed medications for residents 2, 4, and 5. The investigation found failed provider practice and citations were written. The facility failed to ensure medication availability, failed to implement alert charting policies for missed medications, and failed to monitor residents for adverse effects from missed medications. The facility changed pharmacies, and errors in paperwork caused delays in medication administration. The facility acknowledged responsibility and planned corrective actions.
Findings
The follow-up inspection conducted on 03/17/2026 found no deficiencies. Previously cited deficiencies related to medication services and policies and procedures were corrected.

Report Facts
Total residents: 62 Resident sample size: 5 Closed records sample size: 1 Missed medications: 3

Inspection Report — Mar 10, 2026

Enforcement
Date: Mar 10, 2026

Visit Reason
The Department of Social and Health Services conducted a complaint investigation at the assisted living facility Brookdale Olympia East on March 10, 2026, resulting in a civil fine.

Complaint Details
This was a complaint investigation completed on March 10, 2026, concerning delayed staff response to residents' call lights. The deficiency was substantiated and resulted in a civil fine.
Findings
The facility was fined $1,500 for failing to respond timely to residents activating call lights, resulting in unreasonable delays in care and distress for four residents, including one who soiled themselves while waiting. This deficiency was recurring from a previous citation dated March 27, 2025.

Deficiencies (1)
WAC 388-78A-2660 (1)(2) Resident rights. The licensee failed to promote care that maintained residents’ dignity by not responding timely to call lights for four residents, causing unreasonable delays and distress. One resident soiled themselves while awaiting staff response.
Report Facts
Civil fine amount: 1500 Number of residents affected: 4

Inspection Report — Aug 18, 2025

Complaint Investigation
Date: Aug 18, 2025

Visit Reason
The inspection was conducted as a complaint investigation based on allegations including resident neglect, staff payment and break issues, physical environment concerns (slugs in kitchen), and misappropriation of property.

Complaint Details
The complaint investigation (Complaint #187707) addressed four allegations: resident neglect, administration/personnel issues, physical environment concerns, and misappropriation of property. The neglect allegation was partially substantiated due to staffing and medication administration failures. The administration/personnel and physical environment allegations were unsubstantiated. The misappropriation of property concern was previously investigated and referenced in a separate deficiency statement dated 09/11/2025.
Findings
The investigation found a failed provider practice related to medication administration and staffing levels, with citations written. Other allegations such as resident neglect regarding showers and medications, physical environment issues, and misappropriation of property were not substantiated or addressed in this report.

Deficiencies (2)
WAC 388-78A-2210 Medication services. The facility failed to ensure staff followed professional standards for medication administration, including pre-pouring medications, placing residents at risk of medication errors and health complications.
WAC 388-78A-2450 Staff. The facility failed to provide sufficient, trained staff to meet resident needs and failed to provide required weekly staffing schedules as planned and worked, placing residents at risk for unmet care needs and safety issues.
Report Facts
Total residents: 66 Resident sample size: 6

Inspection Report — Jul 22, 2025

Complaint Investigation
Date: Jul 22, 2025

Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding a report of a resident missing money from their apartment.

Complaint Details
The complaint investigation concerned misappropriation of property involving a resident missing money. Interviews with multiple staff and the resident revealed the facility failed to investigate the incident properly. The complaint numbers referenced are 185498 and 186657. The complaint was substantiated as citations were written.
Findings
The Department found that the facility failed to investigate and document investigative actions after a resident reported missing money, identifying a failed provider practice and citing deficiencies under WAC 388-78A-2371. The deficiencies were not corrected at the time of the investigation.

Deficiencies (1)
WAC 388-78A-2371 Investigations. The assisted living facility must investigate and document investigative actions and findings for any alleged or suspected abuse, neglect, or financial exploitation; or accident or incident jeopardizing or affecting a resident health or life. The facility failed to investigate and document investigative actions and findings for an incident involving one resident, placing the resident at risk for unmet care needs.
Report Facts
Total residents: 66 Resident sample size: 4

Inspection Report — May 28, 2025

Follow-Up
Date: May 28, 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; all previously cited deficiencies were corrected as documented in the report.

Deficiencies (15)
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure all sampled staff completed required orientation and training, placing 68 of 68 residents at risk of improper care by untrained staff.
WAC 388-78A-3170 Circumstances that may result in enforcement remedies. The facility failed to ensure a staff member was properly characterized, competent, and suitable to work with vulnerable adults, placing residents at risk.
WAC 388-78A-24642 Background checks National fingerprint background check. The facility failed to ensure fingerprint background checks were completed timely for sampled staff, placing residents at risk.
WAC 388-78A-24646 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 ensure background checks were completed and reviewed for all administrators, caregivers, staff, volunteers, and students.
WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to ensure medication assistance was provided within scope of practice, placing a resident at risk of receiving unsupervised and unqualified nursing services.
WAC 388-78A-2260 Storing, securing, and accounting for medications. The facility failed to secure medications in resident rooms, placing residents at risk of access and potential ingestion of harmful substances.
WAC 388-78A-2240 Nonavailability of medications. The facility failed to obtain prescribed medications in a correct and timely manner for sampled residents, placing residents at risk for unmet care needs and medical complications.
WAC 388-78A-2400 Protection of resident records. The facility failed to keep sampled resident records confidential, allowing public and unauthorized access to private medical information.
WAC 388-78A-2660 Resident rights. The facility failed to provide care in a dignified manner and resolve grievances for sampled residents, resulting in unresolved concerns and decreased quality of life.
WAC 388-78A-2620 Pets. The facility failed to ensure sampled pets had regular examinations and were certified by a veterinarian to be free of diseases transmittable to humans, placing residents and staff at risk.
WAC 388-78A-3090 Maintenance and housekeeping. The facility failed to provide a safe, sanitary, and well-maintained environment in multiple areas including laundry room, kitchen, dining room, and living room, placing residents and staff at risk.
WAC 388-78A-2950 Water supply. The facility failed to maintain hot water temperatures within required ranges in resident areas, placing residents at risk for burns.
WAC 388-78A-2040 Other requirements. The facility failed to comply with all applicable federal, state, county, and municipal statutes, rules, codes, and ordinances including those prohibiting discrimination.
WAC 388-78A-2610 Infection control. The facility failed to institute appropriate infection control practices including hand hygiene, placing residents, staff, and visitors at risk of infectious disease spread.
WAC 388-78A-2040 Other requirements. The facility failed to maintain fire safety by obstructing fire doors and improperly securing oxygen cylinders, placing residents, staff, and visitors at risk.
Report Facts
Residents at risk: 68 Sampled residents: 9 Sampled staff: 7 Sampled pets: 3

Inspection Report — Mar 25, 2025

Life Safety
Date: Mar 25, 2025

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 03/25/2025.

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

Inspection Report — Dec 17, 2024

Complaint Investigation
Date: Dec 17, 2024

Visit Reason
The inspection was conducted due to a complaint alleging potential staff to resident abuse at the Assisted Living Facility.

Complaint Details
The complaint investigation involved allegations of potential staff to resident abuse. The investigation found substantiated deficiencies related to failure to ensure required background checks for staff, resulting in citations.
Findings
The investigation found that the facility failed to ensure that staff had required national fingerprint background checks, placing 67 residents at risk. Citations were written for these deficiencies.

Deficiencies (2)
WAC 388-78A-2462 Background checks Who is required to have. The facility failed to ensure staff had required national fingerprint background checks for 3 of 3 sampled employees, placing 67 residents at risk. This deficiency was not corrected at the time of the report.
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 conditional hire requirements for 1 of 3 sampled employees, resulting in 67 residents receiving unsupervised care by a potentially unqualified person. This deficiency was not corrected at the time of the report.
Report Facts
Total residents: 67 Resident sample size: 3 Employees without required fingerprint background checks: 3

Inspection Report — Apr 29, 2024

Complaint Investigation
Date: Apr 29, 2024

Visit Reason
A complaint investigation was conducted due to a reported sprinkler malfunction at Brookdale Olympia East.

Complaint Details
Complaint #127407 alleged a sprinkler malfunction. Investigation confirmed the sprinkler activation without fire or evacuation. No violations or injuries were found.
Findings
The investigation found that one sprinkler head was activated for unknown reasons without any fire present. There was no evacuation, no injuries, and the fire department did not respond; the facility's fire watch system was restored to normal status.

Inspection Report — Mar 29, 2024

Complaint Investigation
Date: Mar 29, 2024

Visit Reason
The inspection was conducted as a complaint investigation regarding allegations that the facility failed to provide a 30-day written discharge notice when a resident exceeded the level of care and that the facility moved a resident's belongings out of the room without notice.

Complaint Details
The complaint investigation involved three complaint numbers and focused on two allegations: failure to provide a 30-day written discharge notice and misappropriation of property. The first allegation was substantiated with a citation written; the second was not substantiated as no failed practice was found.
Findings
The investigation found a failed practice regarding the facility's failure to provide a 30-day written discharge notice as required. The allegation of misappropriation of property was not substantiated, as the facility paid for professional packing and stored the resident's belongings on-site until family pickup.

Deficiencies (1)
WAC 388-78A-2660 Resident rights. The assisted living facility failed to provide residents or their representatives a thirty-day written notice of discharge when the resident exceeded the facility's level of care. This resulted in a resident being discharged without required notice and belongings moved without notice.
Report Facts
Total residents: 67 Resident sample size: 2 Closed records sample size: 1

Inspection Report — Feb 7, 2024

Follow-Up
Date: Feb 7, 2024

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

Complaint Details
The investigation was complaint-related, triggered by an allegation that a medication cart was unlocked and accessible while unattended. The complaint was substantiated with a citation written.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies regarding medication cart security were corrected.

Deficiencies (1)
WAC 388-78A-2260 Storing, securing, and accounting for medications. The facility failed to ensure the medication cart was locked and accessible only to designated staff, placing residents at risk of ingesting harmful medications.
Report Facts
Total residents: 63 Resident sample size: 6

Inspection Report — Jan 24, 2024

Follow-Up
Date: Jan 24, 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 found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

Deficiencies (1)
WAC 388-78A-2160 Implementation of negotiated service agreement. The facility failed to provide the care and services as agreed upon in the negotiated service agreement for 1 of 4 residents, preventing the resident from summoning staff after a fall and placing them at risk of unmet care needs.
Report Facts
Total residents: 65 Resident sample size: 4

Inspection Report — Sep 28, 2023

Plan of Correction
Date: Sep 28, 2023

Visit Reason
This document communicates the results of the Informal Dispute Resolution (IDR) process regarding disputed deficiencies from the Statement of Deficiencies report dated July 25, 2023.

Findings
After review, the decision was made not to change the original Statement of Deficiencies report. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 calendar days.

Report Facts
Correction timeframe: 45 Plan/Attestation submission timeframe: 10

Inspection Report — Sep 21, 2023

Enforcement
Date: Sep 21, 2023

Visit Reason
The Department of Social and Health Services conducted a complaint investigation at the assisted living facility Brookdale Olympia East on September 21, 2023, resulting in a civil fine.

Complaint Details
This was a complaint investigation triggered by an allegation that the facility failed to provide agreed-upon care, resulting in a resident being on the ground all night after a fall. The violation was substantiated and resulted in a civil fine.
Findings
The licensee failed to provide care and services as agreed upon in the negotiated service agreement for one resident, which led to the resident being unable to summon staff after a fall and being at risk of unmet care needs. This violation resulted in a $200 civil fine.

Deficiencies (1)
WAC 388-78A-2160 Implementation of negotiated service agreement. The licensee failed to provide the care and services as agreed upon in the negotiated service agreement for one resident, preventing the resident from summoning staff after a fall and placing them at risk of unmet care needs.
Report Facts
Civil fine amount: 200

Notice — Aug 23, 2023

Date: Aug 23, 2023

Visit Reason
The letter confirms the scheduling of an Informal Dispute Resolution meeting requested by the facility to dispute specific citations and associated civil fines.

Findings
The document does not contain inspection findings but serves to schedule a dispute resolution meeting for citations related to RCW 70.129.030 and WAC 388-78A-2371.

Employees mentioned
NameTitleContext
Gwynn ChernysheffExecutive DirectorNamed as participant representing the facility in the IDR process.
Glenna WickettDistrict Director of OperationsNamed as participant representing the facility in the IDR process.
Kim MorrowDistrict Director of Clinical ServicesNamed as participant representing the facility in the IDR process.

Inspection Report — Aug 10, 2023

Complaint Investigation
Date: Aug 10, 2023

Visit Reason
The inspection was conducted as an unannounced complaint investigation based on public reports alleging the facility failed to provide assistance to residents during mealtimes and did not follow physician orders for preparing altered diets.

Complaint Details
Complaint number 91724 alleged failure to provide assistance during mealtimes and failure to follow physician orders for altered diets. The investigation substantiated the failure to update nursing assessments for residents with feeding assistance needs, resulting in citations. Dietary services were found compliant.
Findings
The investigation found that the facility failed to complete updated nursing assessments for residents experiencing a decline in condition requiring feeding assistance, placing residents at risk for unmet care needs. However, the facility prepared residents' trays according to dietary manuals. The complaint was substantiated with citations written.

Deficiencies (1)
WAC 388-78A-2100 On-going assessments. The assisted living facility must complete assessments focused on residents' identified problems and related issues consistent with changes in condition. The facility failed to complete updated nursing assessments for 2 of 4 sampled residents with significant decline in condition, risking unmet care needs.
Report Facts
Total residents: 66 Resident sample size: 4 Closed records sample size: 2

Inspection Report — Jul 25, 2023

Enforcement
Date: Jul 25, 2023

Visit Reason
The Department of Social and Health Services conducted a complaint investigation at the assisted living facility Brookdale Olympia East on July 25, 2023, resulting in a civil fine.

Complaint Details
The visit was a complaint investigation conducted on July 25, 2023. The deficiency involved failure to investigate an incident properly and prevent recurrence. The deficiency was substantiated and resulted in a civil fine.
Findings
The facility failed to determine the circumstances of an incident and take appropriate measures to prevent recurrence for one resident, placing residents at risk. This deficiency was recurring from previous citations and resulted in a $500 civil fine.

Deficiencies (1)
WAC 388-78A-2371 (2)(3) Investigations. The licensee failed to determine the circumstances of an incident and take appropriate measures to prevent reoccurrence for one resident. This failure placed residents at risk for sustaining similar injuries.
Report Facts
Civil fine amount: 500

Inspection Report — Jun 16, 2023

Complaint Investigation
Date: Jun 16, 2023

Visit Reason
The inspection was an unannounced on-site complaint investigation triggered by public reports alleging resident neglect resulting in injury during transferring, quality of care issues, fraud/false billing, and resident rights violations related to charging for services not agreed upon.

Complaint Details
The complaint investigation involved allegations of resident neglect and quality of care related to injury during transferring, and fraud/false billing related to charging for services not agreed upon. The investigation substantiated failed provider practices and citations were issued.
Findings
The investigation found multiple failed provider practices including failure to conduct thorough investigations of injury allegations, failure to provide required 30-day written notices for changes in care and services, and failure to obtain signed agreements for service charges. Citations were written for these deficiencies.

Deficiencies (2)
RCW 70.129.030 Notice of rights and services – Admission of individuals. The facility failed to provide residents or their representatives a thirty-day written notice prior to making changes to charges for services after updating the Negotiated Service Agreement for 2 of 4 residents. The agreements lacked required signatures.
WAC 388-78A-2371 Investigations. The facility failed to determine the circumstances of an incident involving a resident injury and failed to take appropriate measures to prevent recurrence, placing residents at risk for similar injuries.
Report Facts
Total residents: 62 Resident sample size: 3

Inspection Report — Mar 8, 2023

Follow-Up
Date: Mar 8, 2023

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to investigations of alleged abuse, neglect, or exploitation.

Complaint Details
The complaint investigation dated 08/23/2022 found that the facility failed to conduct investigations for 2 of 3 sampled residents who experienced incidents, including alleged theft and injury of unknown origin. This failure placed residents at risk for further injury, delayed care, and emotional distress. The facility was cited for failed provider practice.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to failure to conduct investigations were corrected.

Deficiencies (1)
WAC 388-78A-2371 Investigations. The assisted living facility must investigate and document investigative actions and findings for any alleged or suspected abuse, neglect, or financial exploitation, or accident or incident jeopardizing or affecting a resident's health or life. The facility failed to conduct investigations for sample residents who experienced incidents, placing residents at risk of harm.
Report Facts
Total residents: 54 Resident sample size: 5 Closed records sample size: 1

Inspection Report — Jan 25, 2023

Life Safety
Date: Jan 25, 2023

Visit Reason
The Office of the State Fire Marshal conducted a scheduled inspection at the facility to assess compliance with fire safety and life safety codes.

Findings
The inspection identified multiple fire safety violations including failure to maintain storage clearance, emergency plan documentation, fire drill records, electrical hazards, and fire suppression system maintenance. All violations remain uncorrected and the facility was disapproved.

Deficiencies (15)
IFC 315.3.1 2018 - Facility failed to maintain storage at least 2 feet below ceiling in nonsprinklered areas in multiple storage rooms.
IFC 404.2 2018 - Facility failed to provide an emergency plan book including actions taken by person discovering fire and alarm sounding method.
IFC 0405.5 2018 - Facility failed to provide documentation showing fire drills conducted once per shift per quarter during 2022.
IFC 604.1 2018 - Facility failed to maintain broken electrical outlet in 3rd floor hallway by room 319.
IFC 604.3 2018 - Facility failed to maintain required working space in 3rd floor HVAC/riser room; electrical panel blocked.
IFC 604.4 2018 - Facility failed to maintain power block in wellness center.
IFC 604.4.2 2018 - Facility failed to maintain power cords in maintenance office with daisy chaining.
IFC 607.3.3 2018 - Facility failed to provide documentation showing first semi-annual cleaning of 2022 for kitchen hood.
IFC 701.6 2018 WAC 51-54A - Facility failed to provide documentation showing annual fire wall inspection.
IFC 706.1 2018 - Facility failed to provide documentation showing smoke/fire damper 4 year inspection.
IFC 903.5 2009, 2012, 2015, 2018 - Facility failed to maintain sprinkler heads in kitchen; heads loaded with debris.
IFC 904.12.5.2 2018 - Facility failed to provide documentation showing first semi-annual servicing of 2022 for kitchen suppression system.
IFC 907.8.3 2012, 2015, 2018 - Facility failed to provide documentation showing smoke detector sensitivity testing for fire alarm system.
IFC 915.6 2018 - Facility failed to maintain carbon monoxide detector in private dining area.
IFC 5303.5.3 2018 - Facility failed to maintain oxygen tank in room 105 and tank on ground secured properly.
Report Facts
Next inspection scheduled on or after: Mar 1, 2023

Employees mentioned
NameTitleContext
Ruben Almanzamaintenance managerNamed as Owner's Representative signing the first report

Inspection Report — Nov 30, 2022

Complaint Investigation
Date: Nov 30, 2022

Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding allegations of a facility with a positive COVID-19 resident and a disease outbreak.

Complaint Details
The complaint investigation (Complaint #60152) was based on allegations of a positive COVID-19 resident and disease outbreak. The investigation found multiple failures including lack of outbreak reporting, incomplete staff fit testing, improper PPE removal, and visitation restrictions. Citations were issued.
Findings
The facility failed to report the disease outbreak to the local health jurisdiction and the Residential Care Services department. Staff were not all fit tested for N95 respirators, infection control policies were not properly followed regarding PPE removal, and visitor restrictions impeded residents' rights during a holiday. Citations were written for these deficiencies.

Deficiencies (2)
WAC 388-78A-2610 Infection control. The facility failed to ensure residents' safety and prevent the spread of infectious virus by not adhering to fit testing requirements for all staff and improper PPE removal procedures in a COVID-19 outbreak.
WAC 388-78A-2660 Resident rights. The facility failed to ensure residents' representatives visitations were not restricted for 3 of 3 sampled residents, placing residents at risk for decreased quality of life.
Report Facts
Total residents: 58 Staff fit tested: 6 Resident sample size: 3 Closed records sample size: 2

Inspection Report — Nov 2, 2022

Enforcement
Date: Nov 2, 2022

Visit Reason
The Department of Social and Health Services conducted an investigation at the assisted living facility Brookdale Olympia East due to a failure to conduct an investigation for a resident who experienced an alleged theft incident.

Findings
The licensee failed to investigate an alleged theft incident involving one resident, placing the resident at risk of theft and psycho-social harm. This deficiency was uncorrected and previously cited on August 23, 2022, resulting in a civil fine.

Deficiencies (1)
WAC 388-78A-2371(1)(2)(3)(4) Investigations - The licensee failed to conduct an investigation for one resident who experienced an incident of alleged theft, placing the resident at risk of theft and psycho-social harm.
Report Facts
Civil fine amount: 600

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