Inspection Reports for
Cogir of Vancouver

All violations noted during previous related inspections have been corrected. The facility is currently approved.

The visit was complaint-related and resulted in a substantiated finding that staff failed to monitor a resident's well-being, leading to a serious pressure injury and subsequent civil fine.

The licensee failed to ensure staff observed residents consistent with their assessed needs and failed to identify changes in resident functioning for one resident. This failure led to an undiscovered unstageable pressure injury requiring emergent hospitalization and hospice referral, resulting in a civil fine.

The complaint investigation involved allegations of neglect related to failure to identify and treat a resident's wound. The investigation substantiated failed provider practices with citations written. Multiple staff interviews and record reviews confirmed inadequate skin assessments and monitoring, leading to serious harm to the resident.

The investigation found failed provider practices related to neglect in wound care and monitoring. The facility failed to complete required weekly skin checks and did not identify changes in resident functioning, resulting in delayed treatment of a serious wound requiring hospitalization and hospice referral.

The complaint investigation (Complaint #203640) included allegations about kitchen cleanliness, staff safety, dietary protein adequacy, financial exploitation, and unqualified kitchen staff. Only the kitchen cleanliness allegation was substantiated with a citation; all others were unsubstantiated.

The investigation found one failed provider practice related to the facility kitchen cleanliness, with a citation written. All other allegations were not substantiated and no other failed practices were identified.

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

The complaint investigation (Compliance Determination #55878) was based on allegations that facility staff were not knowledgeable on mandated reporting requirements. The investigation found failed provider practice and citations were written.

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

The facility failed to correct multiple fire safety violations related to sprinkler system testing, commercial cooking system maintenance, fire-extinguishing system service, and fire alarm system inspection. The overall approval status is Disapproved.

The follow-up inspection on 05/14/2025 found no deficiencies; all previously cited issues were corrected.

Complaint investigation #153291 involved allegations that the facility violated resident rights and failed to report physical abuse of Resident 1 by Resident 2. The investigation substantiated these allegations and citations were written.

The follow-up inspection found no deficiencies and confirmed that previously cited violations related to resident rights and failure to report abuse were corrected.

The complaint investigation included complaint numbers 159866, 161387, and 160080. The main allegation was that the facility was resistant to issuing a refund and issued refunds late. The investigation confirmed the facility failed to provide a refund within 30 days to one resident representative, while other refunds were timely. No other failed practices were substantiated.

The investigation found that the facility failed to provide a refund timely to a resident representative within 30 days of discharge. Other resident representatives reported receiving timely refunds. No other failed facility practices were substantiated.

Complaint number 170113 alleged that facility staff were not knowledgeable on mandated reporting requirements. The investigation substantiated this allegation with citations written for failed provider practice.

The investigation found a failed provider practice where staff failed to report correct knowledge on mandated reporting requirements. Citations were written for this deficiency.

All violations noted during previous related inspections have been corrected as of this inspection.

Complaint number 105725 involved infection control related to a COVID outbreak. The allegation was substantiated with citations written for failure to follow CDC gowning protocols.

The facility failed to have its staff don and doff gowns according to Federal Centers for Disease Control recommendations during a coronavirus outbreak. Staff were reusing disposable gowns for the duration of their shifts instead of discarding them after each use. Citations were written for this failed provider practice.

The complaint investigation referenced complaint numbers 98386 and 96675. Allegations included failure to provide medications as prescribed and falsification of medication delivery times. Both allegations were substantiated with citations written.

The investigation found failed practices in medication administration and documentation. The facility did not provide medication as prescribed for one resident and documented incorrect medication delivery times. Citations were written for these deficiencies.

The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected, meeting Assisted Living Facility licensing requirements.

The facility was found to have multiple fire safety deficiencies and failed to provide required inspection reports and documentation. The overall approval status was Disapproved, indicating unresolved violations.