Inspection Reports for
Callaway Gardens Alzheimer’s Special Care Center

5505 W Skagit Ct, Kennewick, WA 99336, United States, WA, 99336

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6 Reports

2023–2026

Inspection Report — Jun 29, 2026

Life Safety
Date: Jun 29, 2026

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

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

Inspection Report — Jul 30, 2025

Follow-Up
Date: Jul 30, 2025

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

Complaint Details
The inspection was triggered by complaint number 180719. The complaint investigation found multiple deficiencies related to nursing delegation and maintenance. All deficiencies were corrected by the follow-up inspection.
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 (2)
WAC 388-78A-2320-1-b, WAC 388-78A-3090-1-c - The facility failed to ensure registered nurse delegator assessed residents and ensured delegated medication administration was performed by properly trained staff. This was corrected as verified on follow-up.
WAC 388-78A-3090 - The facility failed to keep chairs clean and in good repair in multiple areas, placing residents at risk of injury. This deficiency was corrected as verified on follow-up.
Report Facts
Current residents: 53 Sampled residents: 8 Deficiencies cited: 2

Employees mentioned
NameTitleContext
Staff CMedication TechnicianNamed in findings related to lack of valid credential and training for delegated nursing tasks
Staff FResident Care CoordinatorProvided interview statements regarding Staff C's training and medication administration

Inspection Report — Mar 13, 2024

Follow-Up
Date: Mar 13, 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 conducted on 03/13/2024 found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

Inspection Report — Dec 4, 2023

Enforcement
Date: Dec 4, 2023

Visit Reason
The Department of Social and Health Services conducted a complaint investigation at the assisted living facility related to medication and food service failures.

Complaint Details
The visit was a complaint investigation conducted on December 4, 2023, triggered by allegations related to medication and food service failures that led to a resident aspirating during a dental procedure.
Findings
The investigation found violations related to unsafe medication services and failure to provide a modified diet as ordered, which contributed to a resident aspirating during a dental procedure. Civil fines totaling $1,000 were imposed based on these violations.

Deficiencies (2)
WAC 388-78A-2210(1)(b) Medication services. The licensee failed to implement safe medication services when a resident was not supposed to receive any food or medication prior to a dental procedure, contributing to the resident aspirating during the procedure.
WAC 388-78A-2300(3)(a) Food and nutrition services. The licensee failed to provide a modified diet of nothing by mouth (NPO) as per the resident's temporary service plan prior to a dental appointment, contributing to the resident aspirating during the procedure.
Report Facts
Civil fines total: 1000 Civil fine: 500 Civil fine: 500

Inspection Report — Oct 25, 2023

Complaint Investigation
Date: Oct 25, 2023

Visit Reason
The inspection was conducted in response to a complaint alleging that a named resident aspirated at a dental appointment after being fed when they were supposed to have had nothing by mouth.

Complaint Details
The complaint investigation involved a resident who aspirated at a dental appointment after being fed despite instructions for nothing by mouth. Multiple staff interviews revealed communication breakdowns and lack of awareness about the resident's NPO status. The complaint was substantiated with citations issued.
Findings
The investigation found that the facility failed to implement safe medication and food protocols for one resident, resulting in aspiration during a dental procedure. The facility was cited for deficiencies related to medication services and food and nutrition services, and corrective actions were planned.

Deficiencies (2)
WAC 388-78A-2210 Medication services. The facility failed to implement safe medication service protocols, contributing to a resident aspirating during a dental procedure after being given medication in pudding despite a no-food order.
WAC 388-78A-2300 Food and nutrition services. The facility failed to provide a modified diet of nothing by mouth (NPO) as per the resident's care plan prior to a dental appointment, leading to aspiration.
Report Facts
Total residents: 47 Resident sample size: 3

Employees mentioned
NameTitleContext
Staff AMedication TechnicianNamed in medication administration failure and communication issues
Staff BRegistered Nurse (RN)Interviewed regarding communication book and care plan reading expectations
Staff CCaregiverCaregiver for resident on day of incident, unaware of NPO status
Staff DHealth Services DirectorStated caregiver responsibilities regarding resident care changes
Staff FDietary ManagerResponsible for communicating NPO slip to dietary staff
Staff ECaregiverConfirmed seeing resident eating, unaware who served food

Inspection Report — Feb 6, 2023

Life Safety
Date: Feb 6, 2023

Visit Reason
The Office of the State Fire Marshal conducted a scheduled inspection at the facility on 02/06/2023.

Findings
No violations were observed during this inspection. The facility was approved and no deficiencies were cited.

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