Inspection Reports for
Clearwater Springs Assisted Living

201 NW 78th St, Vancouver, WA 98665, United States, WA, 98665

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12 Reports

2022–2025

Inspection Report — Oct 17, 2025

Enforcement
Date: Oct 17, 2025

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Clearwater Springs Assisted Living to enforce compliance related to previously cited deficiencies, resulting in the imposition of a civil fine.

Findings
The facility was fined $1,200 for failing to provide timely refunds to resident representatives for 13 residents within 30 days after discharge. This deficiency was recurring and previously cited on July 8, 2025, and April 30, 2025.

Deficiencies (1)
WAC 388-78A-2660 (1)(2)(4)(5)(6) Resident rights. The licensee failed to provide a timely refund to a resident representative for 13 residents within 30 days after discharge, placing residents at risk for financial exploitation.
Report Facts
Civil fine amount: 1200 Number of residents affected: 13

Inspection Report — Sep 24, 2025

Enforcement
Date: Sep 24, 2025

Visit Reason
A follow-up inspection was conducted due to repeated and uncorrected deficiencies related to fire ordinance compliance, resulting in a stop placement order prohibiting admissions at the assisted living facility.

Findings
The licensee failed to comply with local and state fire ordinances, placing residents, visitors, and staff at risk. This repeated and uncorrected deficiency led to a stop placement order prohibiting admissions effective October 6, 2025.

Deficiencies (1)
WAC 388-78A-2040 (1)(2) Other requirements. The licensee failed to stay in compliance with local and state fire ordinances, placing all residents, visitors, and staff at risk of injury and harm in the event of a fire.

Inspection Report — Aug 1, 2025

Enforcement
Date: Aug 1, 2025

Visit Reason
This document is a formal notice of a civil fine imposed on Clearwater Springs Assisted Living following a follow-up visit conducted by the Department of Social and Health Services on August 1, 2025. The fine is based on a recurring violation related to failure to comply with local and state fire ordinances.

Findings
The facility failed to comply with local and state fire ordinances, placing residents, visitors, and staff at risk. This deficiency is recurring and was previously cited on June 16, 2025, and April 29, 2025. The civil fine of $2,000 is imposed due to this uncorrected violation.

Deficiencies (1)
WAC 388-78A-2040 (1)(2) Other requirements. The licensee failed to stay in compliance with local and state fire ordinances for the assisted living facility, placing residents, visitors, and staff at risk of injury and harm in the event of a fire.
Report Facts
Civil fine amount: 2000

Inspection Report — Jul 8, 2025

Enforcement
Date: Jul 8, 2025

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Clearwater Springs Assisted Living to address previously cited deficiencies and impose a civil fine related to resident rights violations.

Findings
The facility was fined $600 for failing to provide timely refunds to resident representatives within 30 days after discharge. This deficiency was uncorrected from a prior citation dated April 30, 2025.

Deficiencies (1)
WAC 388-78A-2660 (1)(2)(4)(5)(6) Resident rights. The licensee failed to provide a timely refund to a resident representative for three residents within 30 days after discharge. This resulted in residents’ representatives not receiving refunds owed after discharge.
Report Facts
Civil fine amount: 600 Residents reviewed for refund: 3

Inspection Report — Jun 16, 2025

Enforcement
Date: Jun 16, 2025

Visit Reason
This document is a formal notice of a civil fine imposed on Clearwater Springs Assisted Living following a follow-up visit conducted on June 16, 2025, due to failure to comply with local and state fire ordinances.

Findings
The licensee failed to comply with fire safety regulations, placing 71 residents at risk. This deficiency was uncorrected from a prior inspection on April 29, 2025, resulting in a $1,500 civil fine.

Deficiencies (1)
WAC 388-78A-2040 (1)(2) Other requirements. The licensee failed to stay in compliance with local and state fire ordinances, placing residents' lives and safety at risk.
Report Facts
Civil fine amount: 1500

Inspection Report — Mar 5, 2025

Follow-Up
Date: Mar 5, 2025

Visit Reason
The Department of Social and Health Services conducted a follow-up inspection of Clearwater Springs Assisted Living Facility to verify correction of previously cited deficiencies related to nursing delegation and medication administration.

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

Deficiencies (1)
WAC 388-78A-2310 Intermittent nursing services. The facility failed to ensure a registered nurse delegated nursing tasks and supervised staff administering insulin injections to sampled residents as required, placing residents at risk of harm.
Report Facts
Sampled residents: 2 Sampled residents: 3 Sampled residents: 7 Sampled residents: 12 Sampled residents: 5 Deficiencies cited: 1 Laundry rooms: 4 Fire extinguishers: 7 Residents at risk: 73

Inspection Report — Jan 14, 2025

Enforcement
Date: Jan 14, 2025

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Clearwater Springs Assisted Living to assess compliance with previously cited deficiencies and to impose a civil fine based on ongoing violations.

Findings
The facility was fined $1,000 for failing to ensure a registered nurse delegated nursing tasks and supervised staff administering insulin injections to two residents. This deficiency was uncorrected and recurring, having been previously cited multiple times in 2024.

Deficiencies (1)
WAC 388-78A-2310 (2)(a)(c) Intermittent nursing services. The licensee failed to ensure a registered nurse delegated nursing tasks and supervised staff administering insulin injections to two residents. This placed residents at risk for harm.
Report Facts
Civil fine amount: 1000

Inspection Report — Nov 20, 2024

Enforcement
Date: Nov 20, 2024

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Clearwater Springs Assisted Living to assess compliance with previously cited deficiencies and to impose a civil fine based on unresolved violations.

Findings
The facility was cited for failing to ensure that a registered nurse delegated required nursing tasks and supervised staff administering insulin injections to two residents. This deficiency was uncorrected and recurring, resulting in a $600 civil fine.

Deficiencies (1)
WAC 388-78A-2310 (2)(a)(c) Intermittent nursing services. The licensee failed to ensure a registered nurse delegated required nursing tasks and supervised staff administering insulin injections to two residents. This placed residents at risk due to untrained and unsupervised care staff.
Report Facts
Civil fine amount: 600 Number of residents affected: 2

Inspection Report — Sep 19, 2024

Enforcement
Date: Sep 19, 2024

Visit Reason
This document is a follow-up visit resulting in the imposition of civil fines due to uncorrected deficiencies previously cited in July 2024 at Clearwater Springs Assisted Living.

Findings
The report details multiple uncorrected deficiencies related to nursing supervision, staff training, service agreement signing, tuberculosis testing, chemical storage, and fire extinguisher inspections. Civil fines totaling $1,200 were imposed based on these violations.

Deficiencies (6)
WAC 388-78A-2310(2)(a)(c) Intermittent nursing services. The licensee failed to ensure a registered nurse delegated nursing tasks and supervised staff administering insulin injections to one resident at least every two weeks for the first four weeks. This deficiency remains uncorrected.
WAC 388-78A-2474(2)(a)(b)(c)(d)(e)(3) Training and home care aide certification requirements. The licensee failed to ensure five staff had completed or documented required training to work as long-term care workers. This deficiency remains uncorrected.
WAC 388-78A-2150(1)(2)(3) Signing negotiated service agreement. The licensee failed to ensure the Negotiated Service Agreement was signed by the responsible party at least annually or within a reasonable timeframe for five residents. This deficiency remains uncorrected.
WAC 388-78A-2480(1)(2) Tuberculosis—Testing—Required. The licensee failed to complete tuberculosis testing within three days of hire for three staff. This deficiency remains uncorrected.
WAC 388-78A-2920(4)(a)(i)(ii)(iii)(b)(i)(ii)(iii)(vi)(v) Area for nursing supplies and equipment. The licensee failed to properly secure chemicals for carpet cleaning in one laundry room accessed by residents, posing a health and safety risk to all 85 residents. This deficiency remains uncorrected.
WAC 388-78A-2040(1)(2) Other requirements. The licensee failed to ensure one fire extinguisher had been inspected monthly to verify proper operation. This deficiency remains uncorrected.
Report Facts
Civil fines total: 1200 Residents at risk: 85 Staff without required training: 5 Residents without signed service agreements: 5 Staff without timely tuberculosis testing: 3

Inspection Report — Apr 8, 2024

Follow-Up
Date: Apr 8, 2024

Visit Reason
The Department completed a follow-up inspection of Clearwater Springs Assisted Living Facility to verify correction of previously cited deficiencies related to cardiopulmonary resuscitation and resident care.

Complaint Details
The original complaint investigation (Complaint #119154) involved allegations of a resident death with no facility intervention and failure to follow CPR policy. The investigation found failed provider practices and citations were written.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

Report Facts
Total residents: 73 Resident sample size: 3 Closed records sample size: 1

Inspection Report — Dec 28, 2022

Re-Inspection
Date: Dec 28, 2022

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

Findings
The facility was found to have multiple unresolved fire safety violations including failure to provide smoke detector sensitivity testing, failure to provide a 5-year fire department connection hydro test, failure to provide a 4-year fire damper inspection report, failure to repair fire sprinkler system deficiencies, and failure to conduct required fire drills.

Deficiencies (7)
Facility failed to provide sensitivity testing of the fire alarm system
Facility failed to provide 5 year FDC hydro test
Med room door that was replaced failed to have fire rating in compliance with NFPA 80. Door frame listed for 1 1/2 hour
Facility failed to provide 4 year fire damper inspection report
Facility failed to conduct repairs of the fire sprinkler system deficiencies listed in the annual fire sprinkler report
Storage in room 210 found to be blocking exiting
Facility failed to conduct fire drills as required; missing shifts in all four quarters
Report Facts
Next inspection scheduled date: Jan 27, 2023 Next inspection scheduled date: Dec 22, 2022 Fire drills required: 12

Employees mentioned
NameTitleContext
Nicholas WaldenDeputy State Fire MarshalSigned as Deputy State Fire Marshal on the inspection report

Inspection Report — Dec 9, 2022

Complaint Investigation
Date: Dec 9, 2022

Visit Reason
The inspection was conducted as a complaint investigation based on allegations of fraud/false billing and failure to notify the case manager of hospitalization in a timely manner.

Complaint Details
The complaint investigation included two allegations: 1) Fraud/false billing, which was not substantiated as the family was credited for services not received; 2) Failure to notify the case manager of hospitalization timely, which was substantiated with a failed practice and citation written.
Findings
The investigation found no failed practice related to fraud/false billing, with the family credited for services not received. However, the facility failed to notify the case manager of hospitalization in a timely manner and was provided consultation on this deficiency.

Deficiencies (1)
WAC 388-78A-2640 Reporting significant change in a resident's condition. The facility failed to notify the case manager of resident discharge to hospital in a timely manner, fifty-one days after discharge. The facility will notify case manager of discharged resident by next business day after discharge.
Report Facts
Total residents: 80 Resident sample size: 3

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