Inspection Reports for
Canterbury Inn Assisted Living Community

IFC 304.1 2021 - Combustible waste material creating a fire hazard was found accumulating on premises. Bed mattresses were found in the electrical room and excessive storage was noted.

IFC 315.2.3 2021 - Combustible material was stored improperly in mechanical room outside the compactor.

IFC 603.2.2 2021 - Open electrical junction boxes and missing electrical covers were found in multiple locations including the laundry room and a 3rd floor storage room.

IFC 701.6 2021 - Facility failed to provide an annual resistance rated construction inspection. Dry kitchen storage had a hole in the ceiling and a door in the maintenance director's office had a hole and failed to self-close.

IFC 705.2 2021 - Fire doors numbered 404, 405, 302, 312, 218, 178, 120, 153, 150, and 606 were found with items on them.

IFC 903.5 2021 - Sprinkler system reports from 06/05/2025 and 09/03/2025 showed unresolved deficiencies. Sprinkler heads had ice buildup and excessive dust. Room 106 had mixed quick and standard response heads. Several required reports were missing.

IFC 1010.1.3 2021 - Exit door at back of employee entrance was broken and screwed shut. Cross corridor door by employee entrance failed to open fully.

IFC 1203.4 2021 - Facility failed to provide weekly generator inspection reports as required for emergency and standby power systems.

WAC 212-12-044 - Facility failed to provide required fire drill records for multiple shifts including first quarter swing and night shifts, second quarter swing shift, and fourth quarter night shift.

WAC 388-78A-2210 Medication services. The facility failed to develop and implement systems supporting safe medication service when 2 of 9 residents were administered medications not as prescribed.

WAC 388-78A-2090 Full assessment topics. The facility failed to complete safety assessments for smoking, medical devices, and/or self-administration of medications for 4 of 6 sampled residents.

WAC 388-78A-2290 Family assistance with medications and treatments. The facility failed to ensure the written family medication assistance plan included all required information for 1 of 4 residents with family assistance.

WAC 388-78A-2130 Service agreement planning. The facility failed to complete the Negotiated Service Agreement upon admission or within 30 days for 6 of 12 sampled residents.

WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to document specific resident care and service needs in the Negotiated Service Agreements for 4 of 12 sampled residents.

WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure 2 of 5 sampled staff completed required 12 hours of continuing education.

WAC 388-78A-2390 Resident records. The facility failed to maintain a current characteristic roster accurately documenting resident care needs and services for 5 of 12 residents.

WAC 388-78A-2620 Pets. The facility failed to ensure 1 of 4 pets had regular examinations, immunizations, and certification of being free of diseases transmittable to humans.

WAC 388-78A-2040 Other requirements. The facility failed to ensure 14 of 14 observed fire extinguishers were inspected monthly as required.

WAC 388-78A-2665 Resident rights Notice Policy on accepting medicaid as a payment source. The facility failed to ensure Medicaid policy was on a separate page and signed on or before admission for 3 of 9 sampled residents.

IFC 603.2.2 (2021) - Open junction boxes and open-wiring splices shall be prohibited. Approved covers shall be provided for all switch and electrical outlet boxes. Electrical covers are missing in maintenance office and room 313.

IFC 705.2 (2021) - Opening protectives in fire-resistance-rated assemblies shall be inspected and maintained in accordance with NFPA 80 and NFPA 105. The facility failed to provide the annual fire door inspection report and several doors were found out of compliance including attic access door not self-closing, cross corridor door by room 601 with side gap, and door 605 with bottom gap.

IFC 310.6 (2021) - Suitable noncombustible ash trays or match receivers shall be provided in smoking areas. Suitable noncombustible ash trays or match receivers were not provided in the smoking area.

IFC 310.7 (2021) - Lighted matches, cigarettes, cigars, or other burning objects shall not be discarded in a manner that could cause ignition. A cigarette was found in a garbage can with no ashtray present.

IFC 603.2.2 (2021) - Open junction boxes and open-wiring splices shall be prohibited. Approved covers shall be provided for all switch and electrical outlet boxes. Electrical covers missing in boiler room, laundry room, maintenance office, and room 313; culinary manager broken electrical flex conduit.

IFC 603.4 (2021) - Working space and clearances around electrical equipment shall be provided. Electrical panel blocked by item near room 122.

IFC 603.6 (2021) - Extension cords shall not be a substitute for permanent wiring and shall be used only with portable appliances. Extension cord found as permanent wiring in laundry room.

IFC 606.1 (2021) - Commercial kitchen exhaust hoods shall comply with the International Mechanical Code. Kitchen appliance shall be restrained from movement.

IFC 701.6 (2021) - Owner shall maintain an inventory of all required fire-resistance-rated construction and inspect annually. Facility failed to provide reports; boiler room has holes in wall, hole in stairwell by room 608, hole in wall trash by room 508.

IFC 705.2 (2018) - Opening protectives in fire-resistance-rated assemblies shall be inspected and maintained. Facility failed to provide annual fire door inspection report; several doors out of compliance including attic access door not self-closing, cross corridor door by room 601 side gap, door 605 bottom gap.

IFC 705.2 (2021) - Opening protectives in fire-resistance-rated assemblies shall be inspected and maintained. Facility failed to provide fire damper fusible link inspection report; fusible link painted in storage room by rooms 508 or 608.

IFC 705.2.3 (2021) - Hold-open devices and automatic door closers shall be maintained. Several doors (rooms 105, 103, 106, 104, 118, 101, 124) were found wedged open at time of inspection.

IFC 903.5 (2021) - Sprinkler systems shall be tested and maintained. Facility in process of replacing dry pendant fire sprinkler heads; annual trip test and 3 year trip test noted.

IFC 915.6 (2021 WAC) - Carbon monoxide alarms and detection systems shall be maintained. Carbon monoxide detector in room 148 is in trouble.

IFC 1031.10.2 (2021) - Battery-powered emergency lighting equipment shall be tested annually for not less than 90 minutes. Facility failed to provide annual emergency light testing; exit sign by dining room failed to be illuminated.

IFC 5303.5.3 (2021) - Compressed gas containers, cylinders and tanks shall be secured to prevent falling. Facility failed to secure oxygen tank in room 124; repair required during inspection.

IFC 1001 (implied by fire drill requirements) - At least twelve planned and unannounced fire drills shall be held every year with records maintained. Facility failed to provide fire drills for 2023 and 2024.

WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to ensure a registered nurse delegated nursing tasks properly and supervised staff administering insulin injections weekly for the first four weeks for 4 residents, placing them at risk of harm.

WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to update and have signed negotiated service agreements annually for 6 of 12 residents, risking unmet care needs.

WAC 388-78A-2130 Service agreement planning. The facility failed to complete the negotiated service agreement within 30 days of admission for 1 of 12 residents, risking unmet care needs.

WAC 388-78A-2150 Signing negotiated service agreement. The facility failed to ensure negotiated service agreements were signed at least annually by the resident or representative for 6 of 12 residents.