7 Reports
Inspection Report — Sep 2, 2025
Life Safety
Date: Sep 2, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire protection inspection at the facility on 09/02/2025.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — Jul 29, 2025
Re-Inspection
Date: Jul 29, 2025
Visit Reason
The inspection was conducted by the Office of the State Fire Marshal as a reinspection to verify correction of previously cited deficiencies.
Findings
The inspection found that the sprinkler system testing and maintenance were corrected. However, the Corridor Fire Door 4 had a broken latch, indicating an unresolved violation.
Deficiencies (2)
IFC 705.2.4 2021 - Swinging fire doors shall close from the full-open position and latch automatically. Corridor Fire Door 4 had a broken latch during the reinspection.
IFC 903.5 2021 - Sprinkler systems shall be tested and maintained in accordance with Section 901.
Inspection Report — Jul 9, 2025
Follow-Up
Date: Jul 9, 2025
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 complaint investigation addressed allegations that resident representatives were not informed or present during care conferences. The investigation found failed provider practice with missing signatures on negotiated service agreements and lack of progress notes for care plans. Citations were written. The follow-up inspection verified correction of these deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected, meeting Assisted Living Facility licensing requirements.
Deficiencies (1)
WAC 388-78A-2150 Signing negotiated service agreement. The assisted living facility must ensure that the negotiated service agreement is agreed to and signed at least annually by the resident or resident's representative, facility representative, and case manager if available. The facility failed to ensure that 2 of 4 sampled residents had signed agreements, placing them at risk for unmet care needs and lack of autonomy.
Report Facts
Total residents: 57
Resident sample size: 3
Closed records sample size: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nikolas Jennings | Community Nurse Complaint Investigator | Named as the investigator who conducted the complaint investigation and follow-up verification |
| Staff A | Resident Care Coordinator | Interviewed regarding difficulty obtaining signatures on negotiated service agreements |
| Staff B | Executive Director | Interviewed regarding missing signatures on resident documents |
| Staff C | Director of Resident Services | Interviewed regarding lack of signed documents within 12 months prior to care conference |
Inspection Report — Jan 27, 2025
Annual Inspection
Date: Jan 27, 2025
Visit Reason
The Department completed a full inspection of the Assisted Living Facility on 01/27/2025 to determine compliance status.
Findings
The inspection found no deficiencies at the facility.
Inspection Report — Jun 14, 2024
Complaint Investigation
Date: Jun 14, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding the facility's failure to accept a resident back after being transferred to the hospital.
Complaint Details
The complaint number 125585 alleged that the facility failed to accept a resident back after hospital transfer. The investigation found the allegation substantiated with failed facility practice identified and citations written. The facility did not attempt care planned interventions prior to hospital transfers and failed to follow policies regarding resident rights and discharge.
Findings
The facility failed to follow its policies and procedures regarding resident rights and discharge, specifically failing to attempt care planned interventions before transferring the resident to the hospital twice. The allegation was substantiated and citations were written.
Deficiencies (1)
WAC 388-78A-2600 Policies and procedures. The assisted living facility failed to allow one sampled resident to return after hospitalization without proper discharge notification, causing emotional distress and diminished quality of life. The facility did not follow its policies on reasonable accommodation, resident discharge, and resident rights.
Report Facts
Total residents: 54
Resident sample size: 4
Closed records sample size: 4
Days resident remained in hospital: 43
Medication refusal opportunities: 10
Inspection Report — Oct 25, 2023
Complaint Investigation
Date: Oct 25, 2023
Visit Reason
The inspection was conducted as a complaint investigation based on allegations including bruises on a resident, irregular food provision, a broken window, lack of resident monitoring, and residents being in rooms with doors closed.
Complaint Details
The complaint investigation involved five allegations: bruises on a resident, irregular food provision, a broken window, lack of resident monitoring, and residents being in rooms with doors closed. Only the allegation regarding food provision was substantiated with a citation issued; the others were unsubstantiated.
Findings
The investigation found one failed practice related to the implementation of the negotiated service agreement concerning meal monitoring and assistance, potentially causing weight loss and hunger for one resident. Other allegations were not substantiated.
Deficiencies (1)
WAC 388-78A-2160 Implementation of negotiated service agreement. The assisted living facility failed to ensure one resident was monitored and provided meal replacements when meals were refused, potentially causing weight loss and hunger.
Report Facts
Resident sample size: 5
Deficiencies cited: 1
Inspection Report — May 22, 2023
Follow-Up
Date: May 22, 2023
Visit Reason
The Department of Social and Health Services conducted a follow-up inspection of the Assisted Living Facility Cascade Park Gardens on 05/22/2023 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.
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