Inspection Reports for
Brookdale Richland

WA, 99354

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26 Reports

2022–2026

Inspection Report — Jul 13, 2026

Re-Inspection
Date: Jul 13, 2026

Visit Reason
The Office of the State Fire Marshal conducted a fire safety re-inspection at Brookdale Richland to verify correction of previously cited deficiencies.

Findings
All violations noted during previous related inspections have been corrected. The facility achieved an Approved status with no open violations.

Deficiencies (31)
IFC 606.3.3 (2021) - Hoods, grease-removal devices, fans, ducts and other appurtenances shall be cleaned at required intervals. This deficiency was corrected.
IFC 705.2 (2021) - Opening protectives in fire-resistance-rated assemblies shall be inspected and maintained. The fusible link on the first-floor chute door needed replacement but was corrected.
IFC 903.5 (2021) - Sprinkler systems shall be tested and maintained. Multiple sprinkler head issues including corrosion, missing escutcheon rings, unsecured heads, and insufficient spare heads were corrected.
IFC 315.2.1 (2021) - Storage shall maintain required ceiling clearance in nonsprinklered and sprinklered areas. This was corrected.
IFC 315.2.3 (2021) - Combustible materials shall not be stored in boiler, mechanical, electrical rooms or fire command centers. This was corrected.
IFC 0405.6 (2021) - Records of emergency evacuation drills shall be maintained with specified information. This was corrected.
IFC 603.2 (2021) - Electrical hazards shall be abated. This was corrected.
IFC 603.2.2 (2021) - Open electrical junction boxes and wiring splices shall be prohibited and covered. This was corrected.
IFC 603.4 (2021) - Working space and clearance around electrical equipment shall be maintained. This was corrected.
IFC 603.5 (2021) - Relocatable power taps and current taps shall be installed per code. This was corrected.
IFC 603.5.2 (2021) - Application and use of relocatable power taps shall comply with exceptions. This was corrected.
IFC 603.5.3 (2021) - Relocatable power tap cords shall not extend through walls or be subject to damage. This was corrected.
IFC 606.3.3 (2021) - Hood cleaning documentation was missing but has now been provided.
IFC 701.6 (2021) - Owner shall maintain inventory and inspection records of fire-resistance-rated construction. This was corrected.
IFC 703.1 (2021) - Materials and firestop systems shall be maintained to resist smoke passage. This was corrected.
IFC 705.2 (2021) - Opening protectives shall be inspected and maintained. The fusible link on the first-floor chute door was replaced and corrected.
IFC 705.2.3 (2021) - Hold-open devices and automatic door closers shall be maintained. This was corrected.
IFC 705.2.4 (2021) - Swinging fire doors shall close and latch automatically. This was corrected.
IFC 906.3.1 (2018) - Portable fire extinguishers shall be sized and distributed per hazard classification. This was corrected.
IFC 906.7 (2021) - Portable fire extinguishers shall be installed on hangers or brackets. This was corrected.
IFC 907.8 (2021) - Fire alarm and detection systems shall be maintained and tested. This was corrected.
WAC 388-915-006 (2021) - Carbon monoxide alarms and detectors shall be maintained. This was corrected.
IFC 1003.6 (2021) - Means of egress shall be maintained free of obstructions. This was corrected.
IFC 1008.3.5 (2021) - Illumination levels under emergency power shall meet minimum requirements. This was corrected.
IFC 1013.5 (2021) - Internally illuminated exit signs shall be maintained and illuminated at all times. This was corrected.
IFC 1032.10 (2021) - Emergency lighting equipment shall be inspected and tested. This was corrected.
IFC 1032.10.1 (2021) - Emergency lighting equipment shall be tested monthly for at least 30 seconds. This was corrected.
IFC 1031.10.2 (2021) - Battery-powered emergency lighting equipment shall be tested annually for at least 90 minutes. This was corrected.
IFC 1103.3.2 (2021) - Elevator emergency operations shall comply with ASME A17.3 requirements. This was corrected.
IFC 1103.4.9.5 (2021) - Chute discharges shall have self-closing or automatic-closing opening protectives with a 1-hour fire rating. This was corrected.
IFC 5303.5.3 (2021) - Compressed gas containers, cylinders and tanks shall be secured to prevent falling. This was corrected.

Inspection Report — May 13, 2026

Enforcement
Date: May 13, 2026

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Brookdale Richland to assess compliance and enforce a civil fine due to continued violations.

Findings
The facility was found in continued violation of WAC 388-78A-2040 (1) related to fire protection requirements, resulting in a $600 civil fine. The deficiency was uncorrected and previously cited, placing residents, staff, and visitors at risk.

Deficiencies (1)
WAC 388-78A-2040 (1) Other requirements. The licensee failed to maintain compliance with the Washington State Patrol Fire Protection Bureau, resulting in continued violations during reinspections. This failure placed residents, staff, and visitors at risk for harm in the event of a fire.
Report Facts
Civil fine amount: 600

Inspection Report — Apr 21, 2026

Life Safety
Date: Apr 21, 2026

Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Brookdale Richland residential care facility on April 21, 2026.

Findings
The inspection identified multiple fire safety violations including issues with fire door fusible links, sprinkler system corrosion, missing escutcheon rings, and improperly secured sprinkler heads. One cleaning-related violation was corrected on site, but other violations remain uncorrected, resulting in a disapproved status.

Deficiencies (3)
IFC 606.3.3 (2021) - Hoods, grease-removal devices, fans, ducts and other appurtenances shall be cleaned at required intervals.
IFC 705.2 (2021) - Opening protectives in fire-resistance-rated assemblies must be inspected and maintained; the fusible link on the first-floor chute door needs replacement.
IFC 903.5.2 (2021) - Sprinkler systems must be tested and maintained; sprinkler heads have excessive particulate buildup and corrosion in multiple locations, missing escutcheon rings, sprinkler heads pushed above ceiling tiles, unsecured sprinkler heads, lack of required spare heads, and paint on bulbs.

Inspection Report — Nov 6, 2025

Complaint Investigation
Date: Nov 6, 2025

Visit Reason
The inspection was conducted to investigate a complaint regarding fire alarm system replacement at Brookdale Richland.

Complaint Details
Complaint #188632 alleged issues with fire alarm system replacement. The investigation found no violations and the complaint was unsubstantiated.
Findings
The fire alarm system was found installed and in normal status after replacement. Documentation for fire watch and approvals were provided. No fire code violations were observed and the facility passed the inspection with an approved status.

Inspection Report — Nov 6, 2025

Life Safety
Date: Nov 6, 2025

Visit Reason
An unannounced fire and life safety code re-inspection was conducted by the Office of the State Fire Marshal to determine compliance with applicable codes.

Findings
Multiple fire and life safety code deficiencies were cited, including storage of combustible materials in resident rooms, missing fire drill records, electrical hazards, and malfunctioning fire doors. Several violations were corrected on site, but the overall approval status was disapproved.

Deficiencies (10)
IFC 0305.1 2021 - Combustible materials were stored on the stovetop/cooking appliance in Resident Rooms 119 and 118.
IFC 0405.6 2021 - Facility was unable to provide fire drill records with participation sheets for 3rd quarter 2025 day and night shifts.
IFC 603.2 2021 - Appliances were plugged into multiplug adapter power strips in Resident Rooms 128A and 128B; exposed wires were observed in the ceiling in room 239.
IFC 603.4 2021 - Electrical room by Room 337 had access to electrical panels blocked by storage; corrected during re-inspection.
IFC 606.3.3 2021 - Facility failed to provide documentation of semi-annual hood cleaning.
IFC 703.1 2021 - Penetrations were observed in ceiling/walls in corridors of 2nd and 3rd floors and kitchen ceiling by trash room door.
IFC 705.2 2021 - Penetrations were observed in doors including 3rd floor housekeeping door room 314, 3rd floor attic access door room 314, and Electrical Stock Room; fusible link on first-floor chute door needs replacement.
IFC 705.2.4 2021 - Doors failed to close and latch at Door A-8; Sofa Lounge door was corrected during re-inspection.
IFC 903.5 2021 - Sprinkler heads had excessive particulate buildup and corrosion in multiple locations; sprinkler head on corridor by Room 212 was pushed above ceiling tile; sprinkler head not secured in rooms 326 and 320; sprinkler cabinet lacked required spare heads; sprinkler heads had paint on bulbs in mail pickup cove and 1st floor resident laundry room.
IFC 1013.5 2021 - Emergency exit signs failed to activate when tested at exit sign 311.
Report Facts
Next inspection scheduled: Dec 6, 2025

Inspection Report — Apr 30, 2025

Follow-Up
Date: Apr 30, 2025

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to fire and life safety inspections.

Complaint Details
The visit was complaint-related, investigating multiple complaint numbers including 159014, 161625, 161944, and 162154. The complaint involved failure to pass two fire and life safety inspections. Citations were written for failed provider practice.
Findings
The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies related to fire and life safety inspections were corrected.

Deficiencies (1)
WAC 388-78A-2040 Other requirements. The assisted living facility must have its building approved by the Washington state fire marshal in order to be licensed. The facility failed their second Fire and Life Safety Inspection, placing residents, staff, and visitors at risk.
Report Facts
Deficiencies cited: 6 Licensed beds: 159 Residents present: 100 Resident sample size: 8

Employees mentioned
NameTitleContext
Staff AExecutive DirectorNamed in interviews regarding awareness of failed fire inspections and ongoing maintenance work.
Staff BMaintenance DirectorNamed in interview regarding role duration and efforts to address fire safety issues.

Inspection Report — Apr 10, 2025

Follow-Up
Date: Apr 10, 2025

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 related to maintenance and housekeeping.

Complaint Details
The complaint investigation conducted on 09/04/2024 found that the facility failed to maintain a clean and safe environment due to stained, bubbled, and worn carpets on the 2nd and 3rd floors, which caused difficulty for residents using wheelchairs and posed fall risks. Multiple interviews with residents and staff confirmed these issues. The facility had previously been cited for this deficiency and had not corrected it by the time of the complaint investigation.
Findings
The follow-up inspection on 04/10/2025 found no deficiencies. The previously cited deficiency regarding maintenance and housekeeping (WAC 388-78A-3090) was corrected as verified on site.

Deficiencies (1)
WAC 388-78A-3090 Maintenance and housekeeping. The assisted living facility must keep exterior grounds, structure, and component parts safe, sanitary and in good repair. The facility failed to maintain a clean, sanitary environment on the 2nd and 3rd floors, resulting in resident dissatisfaction and safety risks. This deficiency was corrected as of the follow-up inspection.
Report Facts
Total residents: 93 Resident sample size: 4

Employees mentioned
NameTitleContext
Staff AAdministratorNamed in interviews regarding carpet condition and maintenance delays

Inspection Report — Apr 3, 2025

Enforcement
Date: Apr 3, 2025

Visit Reason
The Department of Social and Health Services conducted a Complaint Investigation at the assisted living facility Brookdale Richland on April 3, 2025, resulting in the imposition of a civil fine.

Complaint Details
This inspection was a complaint investigation conducted on April 3, 2025. The complaint resulted in a civil fine due to medication administration failure. The deficiency was substantiated as it caused harm requiring hospitalization.
Findings
The licensee failed to ensure medication was administered as prescribed for one resident, resulting in the resident not receiving medications as ordered and requiring hospitalization. This deficiency is recurring and has been previously cited multiple times.

Deficiencies (1)
WAC 388-78A-2210 (1)(b)(2)(a) Medication services. The licensee failed to ensure medication was administered as prescribed for one resident, resulting in hospitalization. This is a recurring deficiency.
Report Facts
Civil fine amount: 600

Inspection Report — Feb 11, 2025

Complaint Investigation
Date: Feb 11, 2025

Visit Reason
The inspection was conducted in response to a complaint alleging that an identified resident did not receive their medications as prescribed.

Complaint Details
The complaint alleged that an identified resident did not get their medications as prescribed. The investigation confirmed the medication was inadvertently discontinued, causing the resident to be hospitalized. Notifications were made to the primary care provider, representative, and department hotline. The allegation was substantiated and citations were written.
Findings
The investigation found that the facility failed to ensure medication was administered as prescribed to one resident, resulting in hospitalization. A citation was written for this medication service deficiency.

Deficiencies (1)
WAC 388-78A-2210 (1)(b)(2)(a) - The assisted living facility failed to ensure that residents received their medications as prescribed, resulting in one resident missing medication doses and requiring hospitalization.
Report Facts
Total residents: 71 Resident sample size: 12 Closed records sample size: 2

Inspection Report — Jan 16, 2025

Enforcement
Date: Jan 16, 2025

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Brookdale Richland to assess compliance and enforce a civil fine based on repeated and uncorrected deficiencies related to maintenance and housekeeping.

Findings
The facility was cited for failing to maintain a clean, sanitary environment on two floors, resulting in resident dissatisfaction, risk of falls, and decreased quality of life. This deficiency was repeated and uncorrected from prior citations, leading to a $400 civil fine.

Deficiencies (1)
WAC 388-78A-3090(1)(b) Maintenance and housekeeping. The licensee failed to maintain a clean, sanitary environment on two floors, causing resident dissatisfaction and safety risks.
Report Facts
Civil fine amount: 400

Inspection Report — Jan 9, 2025

Life Safety
Date: Jan 9, 2025

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire protection inspection at the facility.

Findings
The inspection found multiple fire safety violations, including issues with door closers, smoke detector sensitivity, and testing and maintenance documentation. The facility was disapproved and is actively working with contractors and vendors to correct and document repairs and testing.

Deficiencies (6)
IFC 0704.2 - Opening protectives shall be maintained self-closing or automatic-closing by smoke detection. Existing fusible-link-type automatic door-closing devices are permitted if the fusible link rating does not exceed 135°F (57°C).
IFC 705.2 (2021) - Opening protectives in fire-resistance-rated assemblies shall be inspected and maintained per 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.
IFC 706.1 (2018) - Dampers protecting ducts and air transfer openings shall be inspected and maintained per NFPA 80 and NFPA 105. Any damaged products shall be repaired or replaced.
IFC 903.5 (2021) - Sprinkler systems shall be tested and maintained per Section 901.
IFC 907.8.3 (2021) - Smoke detector sensitivity shall be checked within one year after installation and every alternate year thereafter. Calibration tests shall be performed as required.

Inspection Report — Dec 10, 2024

Complaint Investigation
Date: Dec 10, 2024

Visit Reason
The inspection was conducted as a complaint investigation regarding a broken pipe and possible mold in the dining room.

Complaint Details
The complaint investigation involved allegations of a broken pipe and possible mold in the dining room. The facility was found to have failed to report the incident to the department, confirming the complaint.
Findings
The facility had a water leak causing damage to the kitchen and dining room area, putting residents at risk for service discontinuation and mold exposure. The facility failed to report the incident to the department as required under WAC 388-78A-2650 (3).

Deficiencies (1)
WAC 388-78A-2650 (3) - The assisted living facility failed to report a water leak that damaged the kitchen and dining room area, risking resident safety and service continuity.
Report Facts
Total residents: 92 Resident sample size: 92

Employees mentioned
NameTitleContext
Melissa MilanezCommunity Complaint InvestigatorInvestigator who conducted the complaint investigation
Laurel KnightCommunity Complaint InvestigatorInvestigator who conducted the complaint investigation

Inspection Report — Oct 30, 2024

Enforcement
Date: Oct 30, 2024

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Brookdale Richland to assess compliance with previously cited deficiencies and to impose a civil fine for uncorrected violations.

Findings
The facility failed to maintain a clean, sanitary environment on the 2nd and 3rd floors, resulting in resident dissatisfaction, increased fall risk, and decreased quality of life. This deficiency was uncorrected from a prior citation and resulted in a $300 civil fine.

Deficiencies (1)
WAC 388-78A-3090 (1)(b) Maintenance and housekeeping. The licensee failed to maintain a clean, sanitary environment on two floors (2nd and 3rd floors), causing resident dissatisfaction and increased fall risk.
Report Facts
Civil fine amount: 300

Inspection Report — Jun 25, 2024

Follow-Up
Date: Jun 25, 2024

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

Complaint Details
The complaint investigation involved multiple allegations including missed insulin administration to 10 residents, resident neglect, and lack of care plans. The investigation found one failed provider practice related to staff training and certification deficiencies, while other allegations were not substantiated.
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 (5)
WAC 388-112A-0220 What is safety training, who must complete it, and when should it be completed - The facility failed to ensure staff completed orientation and safety trainings before providing care, placing residents at risk of being cared for by untrained staff.
WAC 388-78A-2474 Training and home care aide certification requirements - The facility failed to ensure that a Home Care Aide application was sent to the department within 14 days of hire for 2 of 2 current staff, placing residents at risk of being cared for by unqualified 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 that staff submitted HCA applications and were assigned to HCA courses, placing residents at risk of being cared for by unqualified staff.
WAC 388-78A-2474 Training and home care aide certification requirements - The facility failed to ensure staff were assigned to HCA safety and ORSA training, placing residents at risk of being cared for by untrained staff.
WAC 388-78A-2450 Staff - The facility failed to ensure 3 current staff received facility orientation training, placing residents at risk of being cared for by untrained staff.
Report Facts
Total residents: 85 Resident sample size: 19 Closed records sample size: 1 Residents missed insulin: 10 Staff affected by deficient practice: 3

Inspection Report — Jun 19, 2024

Follow-Up
Date: Jun 19, 2024

Visit Reason
The Department completed a full inspection of the Assisted Living Facility on 06/19/2024 and found that the facility does not meet licensing requirements due to multiple deficiencies. This visit followed complaint investigations and prior compliance determinations.

Complaint Details
The inspection was triggered by multiple complaint numbers (131660, 133111, 132889, 132127) alleging injury due to lack of footrest use, failure to investigate abuse and neglect, and other care concerns. The complaint investigation found no citations written but identified failed provider practice. The full inspection found multiple deficiencies as detailed.
Findings
The inspection found multiple deficiencies including failure to investigate resident injuries, incomplete resident assessments, medication administration errors, delayed staff response to call lights, missing admission agreements, incomplete staff background checks and respirator fit testing, and failure to timely complete tuberculosis screening. A follow-up inspection on 08/13/2024 found all deficiencies corrected and the facility approved.

Deficiencies (10)
WAC 388-78A-2371 Investigations. The assisted living facility failed to investigate and document investigative actions for a resident with injuries, placing residents at risk of further injury.
WAC 388-78A-2100 Ongoing assessments. The facility failed to complete focused assessments on safety considerations for residents using mobility devices or self-administering medications, risking unmet care needs.
WAC 388-78A-2120 Monitoring residents' well-being. The facility failed to observe and evaluate residents with changes in condition or incidents, risking unmet needs and harm.
WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to develop a negotiated service agreement addressing a resident's blood pressure monitoring and reporting needs, risking unmet needs.
WAC 388-78A-2210 Medication services. The facility failed to ensure residents received medications as prescribed and documented medication errors, risking complications from missed or incorrect doses.
WAC 388-78A-2660 Resident rights. The facility failed to ensure timely staff response to call lights for multiple residents and failed to provide residents with written information about services, charges, and facility rules every 24 months.
WAC 388-78A-2730 Licensee's responsibilities. The facility failed to ensure staff completed respirator mask medical clearance and fit testing prior to resident care, risking exposure to respiratory infection.
WAC 388-78A-2466 Background checks. The facility failed to submit valid Washington state background checks every two years for staff employed more than two years, risking care by disqualified staff.
WAC 388-78A-24701 Background checks Employment Nondisqualifying information. The facility failed to complete character, competency, and suitability reviews for staff with non-disqualifying criminal background checks, risking care by unqualified staff.
WAC 388-78A-2480 Tuberculosis Testing Required. The facility failed to ensure tuberculosis screening was completed within three days of hire for some staff, risking exposure to communicable disease.
Report Facts
Total residents: 91 Resident sample size: 12 Missing window screens: 26 Days medication missed: 15 Background check delay days: 659 Background check delay days: 583

Inspection Report — Apr 24, 2024

Follow-Up
Date: Apr 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 Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

Inspection Report — Feb 2, 2024

Enforcement
Date: Feb 2, 2024

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Brookdale Richland to assess correction of previously cited deficiencies and enforce compliance.

Findings
The facility was cited for failing to maintain a clean, sanitary environment on three floors, resulting in resident complaints and risk to dignity. This deficiency was uncorrected from a prior citation and resulted in a civil fine.

Deficiencies (1)
WAC 388-78A-2660(2)(6) Resident rights. The licensee failed to maintain a clean, sanitary environment in three floors of the facility, causing resident complaints about carpet condition and smell and contributing to an unsanitary environment and risk to resident dignity.
Report Facts
Civil fine amount: 300

Inspection Report — Jan 17, 2024

Follow-Up
Date: Jan 17, 2024

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

Complaint Details
The complaint investigation was triggered by allegations of missing money. The investigation found failed provider practices related to resident rights and lockable storage, resulting in citations. The facility was not aware of the prohibition on waivers of liability and lacked lockable storage for residents. Interviews and observations confirmed these issues.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies regarding resident waivers of liability and lack of lockable storage were corrected.

Deficiencies (2)
WAC 388-78A-2660 Resident rights. The assisted living facility must comply with long-term care resident rights. The facility failed to protect residents’ rights by requiring residents to sign waivers of liability for lost money and personal property for 3 residents, placing them at risk of rights infringement and loss of property.
WAC 388-78A-3010 Resident units. The assisted living facility resident units must have a lockable drawer, cupboard, or other secure space measuring at least one-half cubic foot with a minimum dimension of four inches. The facility failed to provide such lockable storage for 3 residents, placing them at risk of personal property loss and inability to secure valuables.
Report Facts
Total residents: 103 Resident sample size: 3

Employees mentioned
NameTitleContext
Staff AExecutive Director / AdministratorNamed in findings regarding lack of awareness of RCW 70.129.105 and missing lockable storage

Inspection Report — Oct 19, 2023

Plan of Correction
Date: Oct 19, 2023

Visit Reason
This document reports the results of an Informal Dispute Resolution (IDR) process regarding disputed deficiencies from a Statement of Deficiencies (SOD) report dated October 19, 2023.

Findings
After review, no changes were made to the original SOD report dated October 19, 2023. 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 Statement submission timeframe: 10

Notice — Oct 19, 2023

Date: Oct 19, 2023

Visit Reason
This letter confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility to dispute a Statement of Deficiencies dated October 19, 2023.

Findings
The letter outlines the date, time, and type of the IDR review meeting and lists the citation being disputed (WAC 388-78A-2660). It also identifies facility representatives participating in the process and instructions for submitting additional documentation.

Report Facts
Date of Statement of Deficiencies: Oct 19, 2023 IDR Review Meeting Date: Dec 13, 2023 IDR Review Meeting Time: 930

Inspection Report — Jul 28, 2023

Complaint Investigation
Date: Jul 28, 2023

Visit Reason
The inspection was conducted as a complaint investigation regarding an identified resident not receiving diabetic medications as ordered.

Complaint Details
The complaint investigation involved allegation that an identified resident did not receive diabetic medications as ordered. The investigation substantiated the allegation with citations written for medication service deficiencies.
Findings
The investigation confirmed that the resident received incorrect insulin doses twice due to transcription and administration errors, resulting in medical intervention and evaluation. Citations were written for deficient medication services practices.

Deficiencies (1)
WAC 388-78A-2210 Medication services. The assisted living facility failed to ensure safe medication systems were implemented for one of three residents reviewed, resulting in incorrect insulin doses and risk to residents.
Report Facts
Total residents: 95 Resident sample size: 5

Inspection Report — Jun 12, 2023

Follow-Up
Date: Jun 12, 2023

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

Findings
The facility was found to meet Assisted Living Facility licensing requirements with no deficiencies at the follow-up inspection. Previously cited deficiencies regarding medication storage were corrected.

Inspection Report — Feb 15, 2023

Complaint Investigation
Date: Feb 15, 2023

Visit Reason
The inspection was conducted as a complaint investigation regarding allegations that a named resident missed several doses of medications and that a named resident's narcotic pain medication went missing from the Assisted Living Facility.

Complaint Details
The complaint investigation involved multiple allegations including missed medication doses and missing narcotic medication. The investigation confirmed that the facility failed to follow policies for medication administration and controlled substance tracking, resulting in citations for failed provider practices.
Findings
The investigation found failed provider practices under WAC 388-78A-2210 related to medication administration and tracking. The facility failed to ensure residents had updated physician orders and proper medication receipt and tracking, resulting in missed doses and missing narcotic medication. Citations were written for these deficiencies.

Deficiencies (2)
WAC 388-78A-2210 - The Assisted Living Facility failed to ensure residents received their medications as prescribed due to lack of updated physician orders and failure to follow medication policies.
WAC 388-78A-2210 - The Assisted Living Facility failed to properly log and store controlled medications, resulting in missing narcotic pain medication.
Report Facts
Total residents: 104 Resident sample size: 4

Inspection Report — Jan 18, 2023

Complaint Investigation
Date: Jan 18, 2023

Visit Reason
The inspection was conducted in response to a complaint (#65541) regarding flooding and fire watch at the facility.

Complaint Details
Complaint #65541 involved flooding caused by a broken sprinkler pipe and subsequent fire watch. The complaint was investigated and documented with no injuries or fire occurring.
Findings
A sprinkler pipe in the attic failed and flooded multiple floors, triggering the fire alarm and fire watch. Six residents were relocated within the building, no injuries occurred, and the facility staff responded according to the emergency plan.

Deficiencies (1)
Admin Complaint - On 12/21/2022 a sprinkler pipe in the attic failed and flooded the 3rd, 2nd, and 1st floors, causing the fire alarm to sound and fire watch to be initiated until the system was restored on 01/17/2023. Six residents were relocated within the building with no injuries.
Report Facts
Number of residents relocated: 6

Inspection Report — Sep 12, 2022

Complaint Investigation
Date: Sep 12, 2022

Visit Reason
The inspection was a complaint investigation triggered by multiple allegations regarding resident care and facility conditions, including soiled bedding, inadequate repositioning during end-of-life care, and unsanitary resident rooms.

Complaint Details
The complaint investigation included multiple allegations such as soiled bedding, dirty rooms, lack of repositioning during end-of-life care, and food/drink left out of reach. The investigation confirmed failed provider practices and citations were written. The facility was found not in compliance with licensing requirements.
Findings
The investigation found failed provider practices related to maintenance and housekeeping, and medication administration policies were not followed for two residents. The facility was cited for deficiencies including unsafe medication handling and poor environmental conditions. Some residents had skin breakdown and food/drink was left out of reach. The facility did not meet licensing requirements at the time of inspection.

Deficiencies (1)
WAC 388-78A-2600 Policies and procedures. The facility failed to follow policies on safe medication administration for two residents, leaving medications unattended and not observing ingestion. This placed residents at risk of missed or incorrect medication.
Report Facts
Total residents: 109 Resident sample size: 5

Inspection Report — Aug 18, 2022

Complaint Investigation
Date: Aug 18, 2022

Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations that a named resident was found requiring medical attention and soaked in urine.

Complaint Details
The complaint investigation involved a resident found severely dehydrated, soaked in urine, and requiring emergency medical care. The investigation confirmed failed practices in monitoring and care for this resident and another with significant weight loss and skin breakdown. Citations were issued.
Findings
The investigation found failed provider practices related to monitoring and addressing residents' conditions, including significant weight loss and skin breakdown for two residents. Citations were written for these deficiencies.

Deficiencies (2)
WAC 388-78A-2120 Monitoring residents' well-being. The assisted living facility failed to monitor and identify changes in residents' conditions and take appropriate action for two residents, contributing to delays in treatment and risk to residents.
WAC 388-78A-2600 Policies and procedures. The assisted living facility failed to ensure staff followed policies and procedures for one resident requiring assistance with care and services, contributing to delays in addressing weight loss and skin breakdown and placing other residents at risk.
Report Facts
Total residents: 109 Resident sample size: 5

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