7 Reports
Inspection Report — Apr 1, 2026
Complaint Investigation
Date: Apr 1, 2026
Visit Reason
The inspection was conducted due to a complaint alleging financial exploitation at the assisted living facility.
Complaint Details
The complaint involved a financial exploitation allegation. The investigation confirmed the facility did not timely investigate or protect the resident, resulting in citations. The allegation was substantiated.
Findings
The investigation found that the facility failed to initiate a timely investigation into the suspected financial exploitation of a resident, allowing continued contact between the alleged perpetrator and the vulnerable resident. Citations were written for deficient practices under WAC 388-78A-2371(1)(2)(3)(4).
Deficiencies (1)
WAC 388-78A-2371 Investigations. The assisted living facility must investigate and document investigative actions for alleged abuse or financial exploitation. The facility failed to initiate a timely investigation, protect the resident, and prevent recurrence of exploitation.
Report Facts
Total residents: 109
Resident sample size: 4
Closed records sample size: 2
Inspection Report — Dec 29, 2025
Complaint Investigation
Date: Dec 29, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation based on allegations including unsafe and inappropriate care, unsafe medication systems, outdated care plans, inadequate staffing, and training deficiencies.
Complaint Details
The complaint investigation (Complaint #206406) addressed multiple allegations including unsafe care, medication systems, care plans, staffing, and training. The investigation substantiated deficiencies related to failure to provide care as agreed, inadequate staff orientation and training, and incomplete background checks. Medication systems and other care aspects were found compliant.
Findings
The investigation found one deficiency related to failure to provide care as outlined in a negotiated service agreement, and multiple deficiencies related to staff orientation, training, reference checks, and background checks. Medication systems and resident care plans were found compliant. The facility was cited for failed provider practices and corrective actions were planned.
Deficiencies (3)
WAC 388-78A-2160 Implementation of negotiated service agreement. The facility failed to provide the assistance specified in the negotiated service agreement to one resident, resulting in unmet care needs and risk of injury.
WAC 388-78A-2450 Staff. The facility failed to verify staff references prior to hiring, provide facility orientation, and provide job-specific orientation to multiple staff, placing residents at risk of unmet care needs and injury.
WAC 388-78A-2466 Background checks. The facility failed to ensure timely Washington state name and date of birth background checks and national fingerprint background checks for sampled staff, risking unsupervised care by potentially disqualified staff.
Report Facts
Total residents: 98
Resident sample size: 4
Staff with incomplete reference checks: 3
Staff with incomplete facility orientation: 4
Staff with incomplete job-specific orientation: 7
Sampled staff: 8
Inspection Report — Jul 25, 2025
Life Safety
Date: Jul 25, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at Fields Senior Living at Spokane Valley to assess compliance with fire protection and life safety codes.
Findings
The inspection found multiple fire safety requirements met and completed, including removal of combustible materials, maintenance of fire alarms, and proper posting of locks and latches. All cited deficiencies in this report were corrected or completed at the time of inspection, resulting in an Approved status.
Deficiencies (1)
IFC 315.2.3 (2021) - Combustible material shall not be stored in boiler rooms, mechanical rooms, electrical equipment rooms, or fire command centers. Combustible materials were removed.
Inspection Report — Jun 11, 2025
Follow-Up
Date: Jun 11, 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. The facility meets Assisted Living Facility licensing requirements.
Deficiencies (12)
WAC 388-78A-2120 Monitoring residents' well-being. The facility failed to provide treatment for skin concerns for 1 of 9 residents, placing the resident at risk of further skin breakdown and medical complications.
WAC 388-78A-24701 Background checks Employment Nondisqualifying information. The facility failed to complete a character, competence and suitability review after a background check showed a non-disqualifying crime for 1 of 5 staff.
RCW 70.129.140 Quality of life -- Rights. The facility failed to provide care in a manner which promoted dignity and resident rights when staff entered residents' rooms without knocking for 2 of 9 sampled residents.
WAC 388-78A-2090 Full assessment topics. The facility failed to complete a safety assessment for a bed cane for 1 of 1 resident, placing the resident at risk of entrapment and harm.
WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to ensure staff had nurse delegation qualifications when administering delegated medications for 1 of 5 staff and failed to obtain written consents for nurse delegation for 2 of 4 residents.
WAC 388-78A-2710 Disclosure of services. The facility failed to update a decrease in nursing services hours on the disclosure document, resulting in residents and representatives not being informed of the decreased service hours.
WAC 388-78A-2290 Family assistance with medications and treatments. The facility failed to obtain a family assistance with medications plan for 1 of 1 resident, placing the resident at risk of not receiving medications or supplies as needed.
WAC 388-78A-2620 Pets. The facility failed to ensure pets had current vaccinations for 4 of 9 resident pets, placing residents at risk of contact with unvaccinated animals.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure facility orientation training was completed by 1 of 5 staff and failed to ensure CPR and first aid certification training was obtained by 1 of 5 staff.
WAC 388-78A-2484 Tuberculosis Two step skin testing. The facility failed to ensure staff received tuberculosis two-step testing for 3 of 5 sampled staff, placing residents at risk of exposure to communicable disease.
WAC 388-78A-2610 Infection control. The facility failed to perform annual N95 respirator fit testing for 5 of 5 staff when a resident tested positive for Covid 19, placing residents and staff at risk of infection spread.
WAC 388-78A-2100 Ongoing assessments. The facility failed to complete an ongoing safety assessment for a bed cane for 1 of 1 resident, placing the resident at risk of entrapment and harm.
Report Facts
Sampled residents: 10
Staff worked days: 19
Staff worked days: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Administrator | Named in findings related to nurse delegation, disclosure of services, TB testing, infection control, and safety assessments |
| Staff B | Medication Technician | Named in findings related to CPR and first aid training, TB testing, nurse delegation, and infection control |
| Staff C | Nurse Assistant Certified | Named in findings related to facility orientation training, TB testing, and nurse delegation |
| Staff D | Medication Technician | Named in findings related to TB testing and infection control |
| Staff E | Medication Technician | Named in infection control findings |
| Staff F | Director of Resident Services/LPN | Named in findings related to wound care and TB testing |
| Staff G | Medication Technician | Named in nurse delegation findings with expired certification |
| Staff I | Resident Care Coordinator | Named in nurse delegation consent findings |
| Staff K | Medication Technician | Named in infection control findings |
Inspection Report — May 15, 2025
Complaint Investigation
Date: May 15, 2025
Visit Reason
The inspection was conducted in response to two complaints regarding the facility's fire alarm system.
Complaint Details
Two complaints (#173146 and #173495) alleged issues with the fire alarm system. Both complaints were investigated with no fire department response or injuries reported. The fire alarm system was found to be back to normal condition and all devices tested functional.
Findings
The inspection found no active violations; fire watch documents were reviewed, updated fire watch procedures were provided, and the fire alarm system is now fully functional with a new contractor. The facility staff have been trained on updated procedures.
Inspection Report — Mar 20, 2025
Complaint Investigation
Date: Mar 20, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation triggered by allegations regarding a nurse with invalid licensure and incomplete background checks.
Complaint Details
The complaint investigation involved allegations of a nurse with invalid licensure and incomplete background checks. The nurse was found to have an invalid Washington state license until 03/25/2025, substantiating the licensure allegation. Background checks were found to be valid and no violation was identified for that allegation.
Findings
The investigation found that one staff member did not have a current Washington state nursing license at the time of hire, resulting in a citation for failed provider practice. Background checks were found to be valid and up to date with no failed practice identified.
Deficiencies (1)
WAC 388-78A-2450 Staff. The facility failed to verify prior to hiring that a staff person had the required current Washington state nursing license, resulting in residents receiving care from an individual without current licensure.
Report Facts
Total residents: 78
Resident sample size: 5
Staff with invalid licensure: 1
Staff reviewed: 4
Inspection Report — Feb 27, 2025
Complaint Investigation
Date: Feb 27, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on allegations of no nurse delegation and falsifying resident documents at the assisted living facility.
Complaint Details
The complaint investigation addressed two allegations: no nurse delegation and falsifying resident documents. The allegation of no nurse delegation was substantiated with citations issued. The allegation of falsifying resident documents was not substantiated as staff reported no concerns and residents felt safe.
Findings
The investigation found that the facility failed to ensure nurse delegated tasks were performed by qualified and trained staff, placing residents at risk for medication errors. No evidence of falsifying resident documents was found. Nurse delegation oversight was established after the investigation.
Deficiencies (1)
WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to ensure nurse delegated tasks were performed by qualified and trained staff for 3 of 3 staff, impacting 6 of 8 sampled residents, placing residents at risk for medication errors due to untrained staff administering medications requiring nurse delegation oversight.
Report Facts
Total residents: 69
Resident sample size: 8
Staff involved in nurse delegation failure: 3
Residents impacted: 6
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