Inspection Reports for
Cascade Inn

11613 SE 7th St, Vancouver, WA 98683, United States, WA, 98683

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11 Reports

2023–2026

Inspection Report — May 29, 2026

Life Safety
Date: May 29, 2026

Visit Reason
The Office of the State Fire Marshal conducted a fire protection inspection at Cascade Retirement Inn to assess compliance with fire safety codes and regulations.

Findings
The inspection found multiple fire safety violations including failure to maintain fire-resistance rated construction, incomplete fire door inspections and repairs, and other fire safety deficiencies. The facility was disapproved due to these unresolved issues.

Deficiencies (2)
IFC 701.6 2021 - The owner failed to maintain an inventory of all required fire-resistance-rated construction and failed to ensure corridors were properly rated. The City of Vancouver has been contacted to lead the permit and construction inspection for repairs.
IFC 705.2 2021 - Fire doors did not have required inspections and repairs completed as mandated by fire protection standards.

Inspection Report — Apr 2, 2026

Follow-Up
Date: Apr 2, 2026

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

Complaint Details
The inspection was complaint-driven, referencing multiple complaint numbers and involving unannounced on-site visits with a sample of 8 current and 4 former residents reviewed. The complaints included failure to report significant changes in resident condition and inadequate emergency lighting.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

Deficiencies (2)
WAC 388-78A-2640 Reporting significant change in a resident's condition. The facility failed to notify the resident's physician about adverse effects after a non-injury fall for 1 of 5 residents, resulting in delayed treatment and increased pain.
WAC 388-78A-2700 Emergency and disaster preparedness. The facility failed to provide emergency lighting in all resident access areas during a power outage, resulting in a resident fall and injury.
Report Facts
Sampled residents: 8 Sampled former residents: 4 Complaint numbers referenced: 10 Duration of power outage: 251

Inspection Report — Mar 12, 2025

Annual Inspection
Date: Mar 12, 2025

Visit Reason
The Department of Social and Health Services conducted a full inspection of the Assisted Living Facility to determine compliance with Assisted Living Facility requirements.

Findings
The facility was found not to meet requirements due to failure to ensure one of nine sampled residents had a signed Medicaid policy in the resident's records. The facility provided an immediate plan of correction and is required to begin correcting the deficiency promptly.

Deficiencies (1)
WAC 388-78A-2665 - The facility failed to ensure one of nine sampled residents had a signed Medicaid policy in the resident's records as required by policy.
Report Facts
Sampled residents: 9 Residents without signed Medicaid policy: 1

Inspection Report — Mar 2, 2025

Life Safety
Date: Mar 2, 2025

Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the facility to evaluate fire safety compliance and outstanding violations.

Findings
The inspection found that the corridors failed to be rated as required for fire resistance, leading to a disapproved status. The City of Vancouver is involved in the permit and construction process to address these issues.

Deficiencies (1)
IFC 701.6 2021 - The owner failed to maintain an inventory of all required fire-resistance-rated construction and failed to ensure corridors were fire resistance rated as required. The corridors were found to be rated incorrectly, requiring permit and construction repairs.

Inspection Report — Jan 28, 2025

Re-Inspection
Date: Jan 28, 2025

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

Findings
The facility remains disapproved due to multiple unresolved fire safety violations including improper storage of dumpsters, combustible items near heaters, missing electrical covers, failure to maintain fire resistance rated construction, and blocked fire sprinklers. Several violations remain uncorrected as noted in the detailed citations.

Deficiencies (13)
IFC 304.3.3 (2021) - Dumpsters with capacity of 1.5 cubic yards or more shall not be stored within 5 feet of combustible walls. Multiple dumpsters found within 5 feet of building eave outside laundry area without sprinkler protection.
IFC 305.1 (2021) - Clearance between ignition sources and combustible materials shall be maintained. Combustible items found placed against heater in room 152.
IFC 603.2.2 (2021) - Open junction boxes and wiring splices shall be prohibited and approved covers provided. Electrical cover in kitchen found missing.
IFC 606.4 (2021) - Gas-fired cooking appliances on casters shall have strain protection connected to piping system. Strain protection failed to be maintained in kitchen for wheeled appliances.
IFC 701.6 (2021) - Owner shall maintain inventory and inspection of fire resistance rated construction. Facility has scheduled fire door inspection; items on fire doors exceed 5% coverage.
IFC 705.2 (2021) - Opening protectives in fire-resistance assemblies shall be inspected and maintained. Facility failed to provide annual fire resistance rated construction inspection and inventory.
IFC 806.1.1 (2015), 2018 WAC 51-54A - Natural cut trees prohibited in certain occupancies. Live wreath found on fire door in room 426.
IFC 903.5 (2021) - Sprinkler systems shall be tested and maintained. Main drain on wet fire sprinkler riser in kitchen found leaking; facility failed to provide quarterly sprinkler inspection report.
IFC 904.13.5.2 (2021) - Fire extinguishing systems shall be serviced at least every six months and records maintained. Instructions and records of compliance shall be provided to employees.
IFC 904.10 (2021) - Portable fire extinguisher general requirements. Fire sprinkler in kitchen found blocked by cart.
IFC 907.8 (2021) - Maintenance and testing schedules for fire alarm and detection systems shall be maintained. Facility shall provide semi-annual fire alarm inspection report.
IFC 1013.6.2 (2021) - Exit signs shall be illuminated with minimum intensity. Exit sign in club room failed to be illuminated.
IFC 5303.5.3 (2021) - Compressed gas containers shall be secured to prevent falling. Unsecured oxygen found in room 152.

Inspection Report — Apr 24, 2024

Re-Inspection
Date: Apr 24, 2024

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

Findings
The facility remains disapproved due to multiple unresolved fire safety violations including failure to provide required inspection reports, defective fire doors, damaged fire-resistance-rated construction, and non-functional exit signs. Numerous deficiencies remain uncorrected as documented in the report.

Deficiencies (11)
IFC 903.5 2009, 2012, 2015, 2018 - Sprinkler systems shall be tested and maintained in accordance with Section 901. Deficiencies shall be corrected from sprinkler system report.
IFC 1013.3 2015, 2018 - Exit signs shall be internally or externally illuminated. Facility failed to repair or replace exit signs that are not illuminated during inspection.
NFPA 80 Fire /Smoke Dampers Inspection and Testing - Fire dampers shall have access provided and testing shall be completed as required. Documentation shall be provided for fire 33 fire dampers that were replaced.
IFC 701.6 2018 WAC 51-54A - The owner shall maintain an inventory of all required fire-resistance-rated construction and visually inspect annually. Facility failed to provide fire-resistance-rated construction inspection and inventory of building that is free of damage, including holes in ceilings in multiple locations.
IFC 904.12.5.2 2018 - Automatic fire-extinguishing systems shall be serviced at least every six months and after activation. Facility failed to provide semi-annual hood system inspection report and heat survey.
IFC 705.2.4 2021 - Swinging fire doors shall close from the full-open position and latch automatically. Multiple doors fail to close and latch including cross corridor fire doors by room 225 and room 117 door not self-closing.
IFC 907.8 2018 - Fire alarm and detection systems shall be maintained and tested per NFPA 72. Fire alarm panel found in trouble at time of inspection.
IFC 907.8.3 2012, 2015, 2018 - Smoke detector sensitivity shall be checked within one year after installation and every alternate year thereafter. Facility shall provide sensitivity testing of all smoke detectors in building.
IFC 1010.1.3 2021 - Exit door by room 177 fails to open with 30 lbs of pressure; door opening force exceeds allowed limits.
IFC 1013.6.3 2018 - Exit signs shall be illuminated at all times and connected to emergency power system. Facility failed to provide report of annual exit sign testing that is deficiency free.
Fire Drills - At least twelve planned and unannounced fire drills shall be held every year. Facility failed to provide fire drills once per shift per quarter.
Report Facts
Fire dampers replaced: 33 Fire drills required: 12

Inspection Report — Dec 15, 2023

Complaint Investigation
Date: Dec 15, 2023

Visit Reason
The inspection was conducted as a complaint investigation triggered by complaint number 106944 regarding sanitation and infection control issues related to a salmonella outbreak at the assisted living facility.

Complaint Details
The complaint investigation (number 106944) involved allegations of sanitation failure and infection control related to a salmonella outbreak. The outbreak was not linked to facility kitchen practices. The investigation concluded with citations for failed provider practices.
Findings
The investigation found that the facility failed to prevent a salmonella outbreak. However, the outbreak was determined to be multistate and not caused by kitchen practices. The facility was advised to use pasteurized eggs for serving soft cooked eggs. Citations were written for failed provider practices.

Deficiencies (1)
WAC 388-78A-2305 Food sanitation. The facility failed to manage food service in compliance with regulations by serving undercooked eggs to residents upon request, which is forbidden unless using pasteurized eggs.
Report Facts
Total residents: 101 Resident sample size: 1 Closed records sample size: 0

Employees mentioned
NameTitleContext
Michael BurdickAFH Nurse Field ManagerInvestigator and department staff who conducted the inspection and provided consultation

Inspection Report — Jun 29, 2023

Follow-Up
Date: Jun 29, 2023

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.

Findings
The follow-up inspection found no deficiencies and the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

Deficiencies (1)
WAC 388-78A-2040-2 The assisted living facility must have its building approved by the Washington state fire marshal to be licensed. The facility failed to remain in compliance with the Washington State Patrol Fire Protection Bureau for three consecutive inspections, placing residents, visitors, and staff at risk. This is an uncorrected deficiency previously cited.
Report Facts
Resident sample size: 96

Inspection Report — May 30, 2023

Follow-Up
Date: May 30, 2023

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 (5)
WAC 388-78A-2950 Water supply. The assisted living facility must provide all sinks in resident rooms, toilet rooms and bathrooms, and bathing fixtures used by residents with hot water between 105 F and 120 F at all times. The facility failed to ensure hot water temperature was within this range for 4 of 6 sinks. The boiler was set to 130 degrees but readjusted.
WAC 388-78A-2140 Negotiated service agreement contents. The assisted living facility must develop and document in the resident's record the agreed upon plan to address and support each resident's assessed capabilities, needs and preferences. The facility failed to document necessary health support services for 6 of 11 sampled residents, including home health and hospice services.
WAC 388-78A-2305 Food sanitation. The assisted living facility must manage food and maintain any on-site food service facilities in compliance with chapter 246-215 WAC. The facility failed to ensure the deli refrigerator temperature was maintained at or below 41 degrees Fahrenheit, resulting in removal of all food items from the deli refrigerator.
WAC 388-78A-2466 Background checks. The assisted living facility must ensure a Washington state name and date of birth background check is valid for two years. The facility failed to ensure 1 of 5 sampled staff had a current Washington State name and date of birth background check prior to exit.
WAC 388-78A-2090 Full assessment topics. The assisted living facility must obtain sufficient information to assess capabilities, needs, and preferences for each resident and complete a full assessment within fourteen days of move-in. The facility failed to ensure 2 of 3 sampled residents had current assessments for medical devices.
Report Facts
Sampled residents: 11 Total current residents: 102 Sampled staff: 5 Sampled residents for assessments: 3

Inspection Report — Apr 28, 2023

Enforcement
Date: Apr 28, 2023

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Cascade Retirement Inn to assess compliance and issue a civil fine based on unresolved violations.

Findings
The facility failed to remain in compliance with the Washington State Patrol Fire Protection Bureau for three consecutive inspections, resulting in a civil fine of $2,000. The cited deficiency remains uncorrected from a prior citation dated February 3, 2023.

Deficiencies (1)
WAC 388-78A-2040 (2) Other requirements. The licensee failed to remain in compliance with the Washington State Patrol Fire Protection Bureau for three consecutive inspections, placing residents, visitors, and staff at risk in the event of a fire.
Report Facts
Civil fine amount: 2000 Days to return SOD: 10 Days to request formal hearing: 28

Inspection Report — Jan 13, 2023

Complaint Investigation
Date: Jan 13, 2023

Visit Reason
The inspection was conducted as a complaint investigation triggered by multiple allegations including misappropriation of property, abuse, fraud/false billing, quality of care issues, neglect, and life safety concerns at the assisted living facility.

Complaint Details
The investigation covered multiple allegations: theft of personal property (found to be facility towels, no personal property taken), mental abuse (insufficient evidence), fraud/false billing related to medication management (consultation noted but no citation), self-neglect by resident (unable to substantiate), discomfort with medication supervision (resolved), missed pain medication doses (investigated and retrained staff), call bells not answered timely (audit showed timely response, no regulation for response time), unexpected death (insufficient evidence), facility doors unlocked allowing wandering (facility is assessed living, residents allowed to come and go), call lights not answered promptly and toilet paper limits (audit showed appropriate response, no limit on toilet paper), and power outage with no light/heat in resident rooms (backup generator provided light and heat in common areas). No failed practices were identified or cited.
Findings
The investigation found no substantiated failed provider practices or citations. Several allegations such as medication management issues, call light response times, and facility security were reviewed but insufficient evidence was found to support failed practices. The facility took corrective actions where applicable.

Report Facts
Total residents: 92 Resident sample size: 6 Closed records sample size: 0

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