Inspection Reports for
Cottages of Lacey

The conditions previously imposed on the facility's license have been officially lifted as of January 26, 2026.

The complaint investigation (Compliance Determination #63541) was triggered by a report that the facility failed to obtain prescribed medication for a resident, leading to worsening condition and hospitalization. The investigation confirmed the failure to obtain medication timely, resulting in delayed treatment and resident death. The deficiency was cited and required correction.

The follow-up inspection found no deficiencies and confirmed that the previously cited medication availability issues were corrected. The facility now meets the Assisted Living Facility licensing requirements.

The inspection identified multiple fire safety violations including failure to provide required fire/smoke damper reports, missing sprinkler system test, and fire door latch failures. The facility was disapproved due to these unresolved deficiencies.

The notice requires the facility to hire a Registered Nurse Consultant to assess and improve the medication ordering system, train staff, and provide weekly progress reports until compliance is demonstrated.

This report is based on a complaint investigation triggered by medication nonavailability that resulted in resident harm and hospitalization. The deficiency was recurring from a previous citation dated October 14, 2024.

The investigation found that the licensee failed to ensure medications were obtained from the pharmacy after a physician ordered them, resulting in untreated infection and resident hospitalization. Conditions were imposed on the facility's license due to recurring deficiencies.

The complaint investigation involved allegations that two caregivers refused to allow a resident to enter their room and locked the door to prevent access. The investigation confirmed failed provider practice and citations were written. The deficiency was recurring from a previous citation dated 08/10/2022.

The follow-up inspection on 10/20/2025 found no deficiencies; all previously cited violations related to resident rights were corrected.

This was a complaint investigation completed on August 22, 2025, regarding a resident being denied free access to their apartment, resulting in distress and anxiety. The deficiency was substantiated and resulted in a civil fine.

The licensee failed to ensure staff promoted care that maintained or enhanced a resident's dignity and respect by restricting the resident's free access to their own apartment. This recurring deficiency caused distress and anxiety for the resident and resulted in a $1,000 civil fine.

The facility was cited for uncorrected and recurring deficiencies related to hot water temperature and insufficient documentation of staff training for administering RN delegated tasks. These violations placed residents at risk and resulted in civil fines totaling $1,750.00.

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

The report details multiple uncorrected and recurring deficiencies related to infection control, water supply temperature, safe storage of supplies, and nursing services. These violations placed residents and staff at risk and resulted in civil fines totaling $2,600.

The visit was a full and complaint investigation conducted on October 14, 2024. The deficiency cited was recurring and resulted in a civil fine of $700.00.

The facility failed to ensure staff washed their hands according to standards and lacked necessary infection control supplies in utility and laundry rooms. These deficiencies placed residents and staff at risk and resulted in a civil fine.

The complaint investigation included allegations of unclean bathrooms, lack of essential items, feces in bathrooms, unlocked cabinets, missing flu shot records, uncredentialed staff, inappropriate food service, and residents charged for unprovided supplies. The investigation found multiple failed practices including unclean bathrooms, lack of handwashing supplies, feces presence, unlocked cabinets, missing vaccination proof, uncredentialed staff, and inadequate housekeeping systems.

The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected.

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

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 was cited for uncorrected deficiencies related to maintenance and housekeeping and infection control, which placed 53 residents at risk. Civil fines totaling $900 were imposed due to failure to maintain a safe, sanitary environment and ensure availability of hand washing supplies in memory care laundry rooms.

The document does not contain inspection findings but serves to schedule a review meeting for disputed citations.

The IDR process resulted in a change to one cited violation, specifically changing WAC 388-78A-2610 (2) (f) to WAC 388-78A-2650 (3). No other findings or corrections are detailed in this document.

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

The complaint investigation was based on failure to provide handwashing supplies in memory care buildings. The deficiency was recurring and substantiated, resulting in a civil fine.

The facility failed to provide necessary handwashing supplies in all three memory care buildings, placing residents, staff, and visitors at risk for infectious disease spread. This recurring deficiency resulted in a $400 civil fine.

The complaint investigation (Compliance Determination #27799) addressed allegations regarding admission and discharge, quality of care, and dietary services. The investigation found the resident was safe but the facility failed to assist timely follow-up with a health care provider. No concerns were found regarding dietary services or other residents.

The follow-up inspection on 10/17/2023 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

The document does not contain inspection findings but serves to schedule a telephone/Teams IDR review meeting for September 13, 2023, regarding citation WAC 388-78A-2350.

After review, the IDR Program Manager decided not to make any changes to the original SOD report dated August 9, 2023. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 calendar days.

The complaint investigation involved allegations of resident abuse and poor quality of care. The abuse allegation was not substantiated due to insufficient evidence. The quality of care allegation was substantiated with citations for infection control failures and lack of toilet paper and disposable towels in bathrooms.

The investigation found insufficient evidence to substantiate resident abuse but identified failures in infection control practices and provision of toilet paper and disposable towels in common-use bathrooms. Citations were written for these deficiencies.

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

The investigation involved two complaint numbers (76121 and 73391) concerning allegations of physical and mental abuse, improper use of chemical restraints, and failure to notify the department. The facility failed to investigate and report these allegations properly, resulting in citations. The allegations were substantiated with failed provider practices identified and citations written.

The investigation found multiple failed provider practices including failure to investigate and document abuse allegations, failure to notify the department of abuse allegations, and failure to report abuse as required by regulations. Citations were written for these deficiencies.

The complaint investigation involved multiple allegations: failure to conduct regular showers, staffing concerns, missing items protocol, cleanliness of resident rooms, counseling services, and a resident death. The only substantiated allegation was failure to conduct twice weekly showers as agreed. No failed practice was found regarding staffing, missing items, cleanliness, counseling, or the resident death.

The investigation found a failed practice regarding the facility's failure to conduct twice weekly showers as agreed in the Negotiated Service Agreement. No failed practices were found related to staffing, missing items protocol, cleanliness, counseling services, or the reported resident death. The facility was found not in compliance with infection control and negotiated service agreement documentation requirements.

All violations noted during previous related inspections have been corrected. The facility was approved at this inspection with no open violations.