4 Reports
Inspection Report — Mar 24, 2026
Life Safety
Date: Mar 24, 2026
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved at the time of this inspection.
Inspection Report — Jul 14, 2025
Follow-Up
Date: Jul 14, 2025
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 all previously cited deficiencies were corrected.
Deficiencies (7)
WAC 388-78A-2100 Ongoing assessments. The facility failed to use an appropriate tool to annually assess dementia-related special needs for 1 of 1 sampled resident, placing the resident at risk for inadequate cognitive care.
WAC 388-78A-2290 Family assistance with medications and treatments. The facility failed to ensure a written plan was in place for family assistance with medications for 2 of 3 sampled residents, risking medication errors when family members were unavailable.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure 2 of 3 sampled caregivers met long-term care worker training requirements, placing 56 residents at risk for inadequate care.
WAC 388-78A-2483 Tuberculosis One test. The facility failed to ensure 1 of 3 sampled staff completed required TB screening within three days of hire, placing 56 residents at risk of communicable disease exposure.
WAC 388-78A-2240 Nonavailability of medications. The facility failed to obtain prescribed medications timely for 1 of 2 sampled residents, resulting in medication delays and risk to resident health.
WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to follow nurse delegation criteria for 1 of 2 sampled residents, resulting in unqualified staff performing nursing tasks and placing the resident at risk.
WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to develop and document care plans addressing assessed needs for 2 of 2 sampled residents, placing them at risk for compromised health.
Report Facts
Residents served: 56
Sampled residents: 3
Sampled residents: 2
Sampled staff: 3
Sampled staff: 3
Medication delay days: 8
Medication delay days: 2
Continuing education hours: 10.25
Inspection Report — Jan 19, 2024
Follow-Up
Date: Jan 19, 2024
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 the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected as verified on-site.
Deficiencies (4)
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure 3 of 6 sampled staff had the necessary specialized dementia and mental health training, placing 13 residents at risk of harm from untrained care staff.
WAC 388-78A-2480 Tuberculosis Testing Required. The facility failed to ensure 1 of 6 staff completed required tuberculosis skin testing within three days of employment, placing 50 residents at risk of exposure to communicable disease.
WAC 388-78A-2060 Preadmission assessment. The facility failed to complete a pre-admission assessment for 1 of 3 sampled residents, placing Resident 8 at risk for inappropriate level of care.
WAC 388-78A-2090 Full assessment topics. The facility failed to complete an assessment for 1 of 4 sampled residents that included safety use and risks of side rails, placing Resident 6 at risk for improper use of equipment, injury, and entrapment.
Report Facts
Sampled residents: 6
Sampled residents: 3
Sampled residents: 4
Residents at risk: 13
Residents at risk: 50
Residents at risk: 8
Residents at risk: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Faith Le | NCI | Department staff who did the on-site verification |
| Staff G | Office Manager | Confirmed staff training and tuberculosis testing deficiencies |
| Staff I | Health and Wellness Manager | Confirmed incomplete pre-admission and full assessments |
Inspection Report — Oct 26, 2023
Life Safety
Date: Oct 26, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 10/26/2023.
Findings
All violations noted during previous related inspections have been corrected, resulting in an approved status for this inspection.
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