Inspection Reports for
Cedar Creek Memory Care Community

All violations noted during previous related inspections have been corrected, resulting in an approved status for this inspection.

The complaint investigation involved two complaint numbers (203909 and 206810) concerning delayed medical records, insulin administration with a bent needle, fluctuating blood sugar levels, retaliation concerns, inappropriate meals, loss of mobility, physical injuries, and failure to notify authorities of resident altercations. Most allegations were unsubstantiated except for failure to notify authorities about resident altercations and failure to provide requested records timely, which resulted in citations.

The investigation found no substantiated allegations related to insulin administration errors, retaliation, or inappropriate meals. However, citations were issued for failure to notify law enforcement and the department about resident-to-resident altercations and failure to provide requested medical records timely. The facility took corrective actions for medication errors and is working with insurance for physical therapy benefits.

The complaint investigation was triggered by the facility's failure of their second fire and life safety inspection and issuance of a State Fire Marshal’s Office Letter of Noncompliance. The investigation confirmed that violations were not corrected in a timely manner and citations were written.

The facility failed to comply with the Washington State Fire Marshal Office requirements during their second follow-up Fire and Life Safety Inspection, placing 55 residents, staff, and visitors at risk. Multiple deficiencies related to fire and life safety documentation and testing were found and citations were written.

The facility was found unable to provide required documentation for monthly smoke alarm testing, carbon monoxide detector testing, annual emergency generator servicing, and completion of unannounced fire drills. The inspection resulted in a disapproved status.

The inspection was triggered by complaint number 173233. The department conducted an unannounced on-site full inspection and complaint investigation on 04/22/2025 and 04/24/2025. The findings included multiple deficiencies related to food sanitation, housekeeping, safe storage of supplies, and tuberculosis testing.

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

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

The report details two uncorrected deficiencies resulting in civil fines: failure to develop a negotiated service agreement for one resident and failure to ensure timely tuberculosis testing for one staff member, placing residents at risk.

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

This was a complaint investigation triggered by an allegation of failure to provide timely CPR and emergency response. The allegation was substantiated as evidenced by the imposition of a civil fine.

The investigation found that the licensee failed to provide cardiopulmonary resuscitation (CPR) and call 911 immediately when a resident was found unresponsive, resulting in a delay of emergency life-saving measures that may have contributed to the resident's death. A civil fine of $2,000 was imposed based on this violation.

The complaint alleged that a resident was found unresponsive with no CPR performed and a delayed 911 call. The investigation confirmed failures in CPR training and emergency response, contributing to the resident's death. Multiple staff interviews and record reviews supported these findings.

The investigation found that the facility failed to ensure staff had current CPR training, did not follow emergency policies for an unresponsive resident, and failed to complete a thorough investigation to rule out abuse and neglect. Citations were written for these deficiencies.

The follow-up inspection found that the facility corrected the cited deficiencies related to alert charting and medication authorizations. The facility meets the Assisted Living Facility licensing requirements as of the inspection date.