7 Reports
Inspection Report — Feb 12, 2026
Life Safety
Date: Feb 12, 2026
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Evergreen Fountains Senior Living Community facility.
Findings
The inspection found that all required fire safety systems and maintenance tasks were completed or corrected. The facility completed required fire drills and addressed all discrepancies from contractors' reports.
Deficiencies (1)
IFC 705.2.4 (2021) - Swinging fire doors shall close from the full-open position and latch automatically. The fire doors were removed.
Report Facts
Fire drills completed: 3
Inspection Report — Oct 7, 2025
Follow-Up
Date: Oct 7, 2025
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This is a follow-up inspection to verify correction of previously cited deficiencies related to medication administration and other licensing laws at Evergreen Fountains Senior Living Community.
Findings
The follow-up inspection conducted on 10/07/2025 found no deficiencies and the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to medication administration were corrected.
Deficiencies (2)
WAC 388-78A-2208 Respite Negotiated service agreement. With the participation of the individual, and where appropriate their representative, the assisted living facility must develop a negotiated service agreement, to maintain or improve the individual's health and functional status during their stay in the assisted living facility.
WAC 388-78A-2210 Medication services. The assisted living facility must develop and implement systems that support and promote safe medication service for each resident and ensure residents receive medications as prescribed.
Report Facts
Sampled residents: 6
Current residents: 49
Sampled residents: 7
Current residents: 49
Sampled residents: 7
Staff shifts worked: 13
Staff shifts worked: 16
Staff shifts worked: 14
Staff shifts worked: 12
Staff shifts worked: 16
Dietary staff with current food handler cards: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff R | Assisted Living Manager | Named in medication administration deficiency finding for failure to complete periodic MAR audits and unawareness of medication errors |
| Staff K | Resident Care Coordinator | Named in medication and resident care deficiencies related to medication administration errors and investigation failures |
| Staff M | Clinical Registered Nurse Manager | Named in investigation deficiency related to failure to investigate bruises of unknown origin |
| Staff F | Business/Human Resources Assistant | Named in food handler card deficiency confirming lack of current food handler cards for dietary staff |
| Staff N | Dietary Manager | Named in food handler card deficiency describing folder with current food handler cards |
| Staff O | Bistro Staff | Named in food temperature check observation |
| Staff E | Medication Technician | Named in medication administration deficiency related to missed medication doses |
Inspection Report — Sep 3, 2025
Enforcement
Date: Sep 3, 2025
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This document is a formal notice of a civil fine imposed on Evergreen Fountains Senior Living Community following a follow-up visit by the Department of Social and Health Services Residential Care Services on September 3, 2025.
Findings
The licensee failed to administer medications as prescribed for two residents, resulting in an uncorrected deficiency that placed residents at risk of health complications. This violation led to a $400 civil fine.
Deficiencies (1)
WAC 388-78A-2210 (1)(b)(2)(a) Medication services. The licensee failed to administer medications as prescribed for two residents, placing them at risk of health complications.
Report Facts
Civil fine amount: 400
Number of residents affected: 2
Inspection Report — Mar 12, 2025
Life Safety
Date: Mar 12, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at Evergreen Fountains Senior Living Community on 03/12/2025.
Findings
The inspection found several fire safety requirements met and some pending actions with future completion dates. The overall approval status is Approved, indicating compliance with fire safety codes at the time of inspection.
Deficiencies (8)
IFC 603.5 (2021) Relocatable power taps and current taps must be constructed and used in accordance with NFPA 70 and this code. This item was corrected.
IFC 701.6 (2021) The owner must maintain an inventory of all required fire-resistance-rated construction and ensure annual inspection and proper repair. This was completed on 3/4/25.
IFC 903.5 (2021) Sprinkler systems must be tested and maintained per Section 901. Sprinkler heads for refrigerator/freezer are being built and should be installed by McKinstry on or about 4/10/25; report to be provided.
IFC 904.13.5.2 (2021) Automatic fire-extinguishing systems must be serviced at least every six months and after activation. Report received from Fire Protection dated 10/15/24.
IFC 906.2 (2021) Portable fire extinguishers must be selected, installed, and maintained per NFPA 10. This item was corrected.
IFC 907.8 (2018) Maintenance and testing schedules for fire alarm and detection systems must be maintained. The 2024 inspection has been resolved.
IFC 907.8.3 (2021) Smoke detector sensitivity must be checked within one year after installation and every alternate year thereafter. Sensitivity scheduled for 3/17 and 3/18; report to be provided.
IFC 1001.7 (implied by fire drills section) At least twelve planned and unannounced fire drills must be held annually. Drills were completed by close of business 3/12/25; reports to be provided.
Inspection Report — Aug 20, 2024
Complaint Investigation
Date: Aug 20, 2024
Visit Reason
The inspection was conducted as a complaint investigation based on allegations including monitoring wellbeing of residents, coordination of care, neglect, and residents' needs not being met.
Complaint Details
The complaint investigation (Compliance Determination #45950) addressed allegations of monitoring wellbeing, coordination of care, neglect, and unmet resident needs. The investigation found no neglect but identified deficiencies in background checks, staffing, and service agreement documentation.
Findings
The investigation identified three deficiencies related to background checks, staffing levels, and negotiated service agreement contents. Two of three sampled staff lacked fingerprint background checks, staffing was insufficient on night shifts to meet resident needs, and service plans did not reflect required care levels. Citations were written for these failures.
Deficiencies (3)
WAC 388-78A-2466 Background checks. The facility failed to conduct national fingerprint background checks for 2 of 3 sampled staff, placing residents at risk from potentially disqualified caregivers.
WAC 388-78A-2450 Staff. The facility failed to provide sufficient staffing levels to safely meet the needs of 2 of 4 sampled residents, placing them at risk of harm due to unsafe care practices.
WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to ensure service agreements aligned with resident needs for 2 of 4 sampled residents, resulting in care that was not safe or consistent with their needs.
Report Facts
Total residents: 44
Resident sample size: 4
Staff without fingerprint background checks: 2
Night shifts with only one caregiver: 19
Inspection Report — Feb 24, 2023
Life Safety
Date: Feb 24, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at Evergreen Fountains Senior Living Community.
Findings
The inspection found some fire safety issues including blocked fire doors, a missing escutcheon in the kitchen freezer, and a trouble indication on the fire alarm panel. Some issues were corrected on site or documented as corrected, while others were still being addressed. The overall approval status was Approved.
Deficiencies (5)
IFC 705.2 2018 Opening protectives in fire-resistance-rated assemblies must be inspected and maintained per NFPA 80 and NFPA 105. The main dining room fire doors were blocked open, preventing automatic closing and latching. Doors were on order and expected to be installed by 6/17/22.
IFC 903.5 2009, 2012, 2015, 2018 Sprinkler systems must be tested and maintained per Section 901. An escutcheon was missing in the kitchen freezer. This was corrected and photo documentation was provided.
IFC 907.8 2018 Fire alarm and detection systems must be maintained and tested per Sections 907.8.1 through 907.8.5 and NFPA 72. There was a trouble indication on the Fire Alarm Control Panel regarding smoke detectors. This issue was still being worked on.
IFC 1031.10.1 2018 Emergency lighting equipment must be tested monthly for at least 30 seconds. Documentation was provided.
IFC 1031.10.2 2018 Battery-powered emergency lighting equipment must be tested annually for at least 90 minutes. Testing was completed.
Inspection Report — Nov 15, 2022
Follow-Up
Date: Nov 15, 2022
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility 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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