11 Reports
Inspection Report — May 6, 2026
Complaint Investigation
Date: May 6, 2026
Visit Reason
The inspection was conducted as a complaint investigation due to allegations that the facility did not promptly respond to a resident's pain and urinary issues, failed to provide nursing oversight during a resident's decline, and did not investigate an incident involving residents leading to safety concerns.
Complaint Details
The complaint investigation involved three complaint numbers (221800, 222515, 223616) concerning failure to respond to resident pain and urinary issues, failure to provide nursing oversight during a resident's decline, and failure to investigate an incident involving residents. The investigation substantiated the allegations with citations issued for failed provider practices.
Findings
The investigation found multiple deficiencies including failure to promptly respond to a resident's medical needs resulting in critical care hospitalization, failure to call 911 during a seizure-like episode, and failure to investigate and document an incident involving resident safety. Citations were issued for these failures.
Deficiencies (2)
WAC 388-78A-2120 - The facility failed to monitor and take appropriate action for two residents when one complained of pain and urinary issues and another experienced a seizure-like episode, resulting in delayed medical treatment and risk to health.
WAC 388-78A-2371 - The facility failed to investigate, document findings, and institute protective measures for a resident involved in an incident on 04/28/2026, placing the resident at risk for safety concerns.
Report Facts
Total residents: 43
Resident sample size: 4
Closed records sample size: 1
Weight increase: 5.9
Blood pressure reading: 60
Blood pressure reading: 50
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 facility.
Findings
All violations noted during previous related inspections have been corrected. The facility is approved following this inspection.
Inspection Report — Feb 10, 2026
Complaint Investigation
Date: Feb 10, 2026
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation triggered by allegations regarding the facility kitchen remodeling, use of a makeshift kitchen with propane stoves, failure to follow diet restrictions, lack of kitchen staff, and inadequate housekeeping services.
Complaint Details
The complaint investigation referenced complaint numbers 211936 and 212115. Allegations included kitchen remodeling shutdown, use of a makeshift kitchen with propane stoves, failure to follow diet restrictions, lack of kitchen staff, and inadequate housekeeping. The investigation substantiated failures related to kitchen remodeling, unsafe cooking practices, lack of construction review notification, and menu posting. No failed practices were found regarding diet restrictions or housekeeping services.
Findings
The investigation found that the facility used a makeshift kitchen with a portable propane stove emitting open flames, which posed fire and carbon monoxide hazards. The facility failed to notify Construction Review Services prior to remodeling and did not prepare or post menus properly. Citations were issued for these deficiencies. No failed practices were identified related to diet restrictions or housekeeping services.
Deficiencies (4)
WAC 388-78A-2700 Emergency and disaster preparedness. The facility failed to maintain a hazard-free environment by using a portable propane stove with an open flame in a temporary kitchen, placing residents at risk of fire and carbon monoxide exposure.
WAC 388-78A-2850 Required reviews of building plans. The facility failed to notify Construction Review Services prior to ceasing use of the main kitchen and using the activity room as a temporary kitchen, preventing proper review and approval.
WAC 246-215-04325 Equipment. The facility lacked designated food preparation sinks for handwashing, utensil washing, and rinsing, putting 49 residents at risk for foodborne illness and affecting quality of life.
WAC 388-78A-2300 Food and nutrition services. The facility failed to prepare and post or deliver a menu for the main kitchen at least one week in advance, resulting in residents not receiving timely menu information.
Report Facts
Total residents: 49
Resident sample size: 3
Closed records sample size: 0
Inspection Report — Dec 23, 2025
Follow-Up
Date: Dec 23, 2025
Visit Reason
Follow-up inspection to verify correction of previously cited deficiencies at an Assisted Living Facility.
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 (8)
WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to develop and implement a safe intermittent nursing service system related to nurse delegation services for 4 of 7 residents, placing them at risk for medication-related complications and compromised health status.
WAC 388-78A-2466 Background checks. The facility failed to ensure 2 of 2 staff had valid Washington State name and date of birth background checks completed every two years, placing residents at risk of being cared for by staff with potentially disqualifying backgrounds.
WAC 388-78A-2480 Tuberculosis Testing Required. The facility failed to ensure 2 of 4 staff completed tuberculosis testing within three days of hire, placing residents at risk of exposure to communicable disease.
WAC 388-78A-2468 Background checks Employment Conditional hire. The facility failed to ensure 1 of 6 staff had a Washington State background check submitted within one business day after hire, placing residents at risk of being cared for by staff with potentially disqualifying backgrounds.
WAC 388-78A-2150 Signing negotiated service agreement. The facility failed to ensure the negotiated service agreement was agreed to and signed at least annually by 2 of 7 residents or their representatives and by a facility representative, placing residents at risk for unmet care needs.
WAC 388-78A-2240 Nonavailability of medications. The facility failed to obtain prescribed medications in a timely manner for 2 of 7 residents, resulting in missed medications and risk of medical complications.
WAC 388-78A-2160 Implementation of negotiated service agreement. The facility failed to provide care and services as agreed upon in the negotiated service agreement for monthly weight checks and vital signs for 1 of 7 residents, placing the resident at risk of complications due to unnoticed changes.
WAC 388-78A-2210 Medication services. The facility failed to develop and implement safe medication services to ensure 5 of 7 residents received medications as prescribed and ensured accurate documentation, resulting in missed medications and inaccurate records.
Report Facts
Residents sampled: 7
Residents with nurse delegation issues: 4
Staff with background check issues: 2
Staff with tuberculosis testing issues: 2
Residents with unsigned negotiated service agreements: 2
Residents with medication availability issues: 2
Residents with medication administration issues: 5
Inspection Report — Apr 18, 2025
Complaint Investigation
Date: Apr 18, 2025
Visit Reason
The inspection was conducted as a complaint investigation after a Named Resident left the Assisted Living Facility and went missing.
Complaint Details
The Named Resident left the Assisted Living Facility and went missing. The investigation found the facility failed to assess the resident's ability to leave unsupervised. The facility corrected the deficiency and updated the care plan. A consultation was issued under WAC 388-78A-2090 (6)(d).
Findings
The facility failed to include in their assessment that the Named Resident was able to leave the facility unsupervised. The facility corrected this failure in assessments of newly admitted residents and updated the care plan accordingly. A consultation was issued under WAC 388-78A-2090 (6)(d).
Deficiencies (1)
WAC 388-78A-2090 (6)(d) - The Assisted Living Facility failed to include in their assessment that the Named Resident was able to leave the facility unsupervised. The facility corrected this failure in subsequent resident assessments.
Report Facts
Total residents: 37
Resident sample size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wesler Dumecquias | Community Complaint Investigator | Investigator who conducted the complaint investigation |
Inspection Report — Jan 16, 2025
Follow-Up
Date: Jan 16, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to reporting abuse and neglect.
Complaint Details
The complaint investigation involved allegations of a resident having multiple unwitnessed falls with injuries and failure of the facility to report these incidents to the Complaint Resolution Unit Hotline. The investigation found failed provider practice and issued a citation for noncompliance with WAC 388-78A-2630(1)(a).
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to failure to report abuse and neglect were corrected.
Deficiencies (1)
WAC 388-78A-2630(1)(a) Reporting abuse and neglect. The Assisted Living Facility failed to report to the department's Complaint Resolution Unit hotline when a resident had five unwitnessed falls, four with injuries, resulting in an unreported pattern of frequent falls and risk to the resident.
Report Facts
Total residents: 38
Resident sample size: 3
Number of unwitnessed falls: 5
Number of falls with injuries: 4
Inspection Report — Oct 16, 2024
Follow-Up
Date: Oct 16, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to infection control and other licensing laws.
Complaint Details
The complaint investigation (07/19/2024 through 08/15/2024) involved allegations that multiple residents were sick with symptoms compatible with COVID-19 and the facility failed to quarantine sick residents and report outbreaks to the Department of Health. The investigation found failed provider practices and issued citations for noncompliance with WAC 388-78A-2650 (3) Reporting Fires and Incidents and WAC 388-78A-2371 (1) Investigations.
Findings
The follow-up inspection on 10/16/2024 found no deficiencies; all previously cited deficiencies were corrected, including infection control and compliance with applicable laws.
Report Facts
Total residents: 43
Resident sample size: 7
Closed records sample size: 2
Inspection Report — Apr 24, 2024
Follow-Up
Date: Apr 24, 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 listed in the report.
Inspection Report — Mar 4, 2024
Complaint Investigation
Date: Mar 4, 2024
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation triggered by allegations of long call wait times resulting in resident falls and delays, and concerns about short staffing with only one caregiver overnight.
Complaint Details
The complaint investigation involved allegations that residents experienced long call wait times causing falls and delays in care, and that the facility was short staffed overnight. The investigation confirmed that pendants were unreliable or nonfunctional for three residents, resulting in citations for communication system failures.
Findings
The investigation found that the facility failed to provide reliable wireless communication devices (pendants) for three sampled residents, placing them at risk of unmet care needs and potential injury. Citations were issued for noncompliance with WAC 388-78A-2930(1)(b)(i) due to the communication system failures.
Deficiencies (1)
WAC 388-78A-2930 Communication system. The facility failed to ensure 3 of 3 residents received reliable, working pendants, placing them at risk of unmet care needs and potential injury when unable to call for assistance.
Report Facts
Total residents: 43
Resident sample size: 3
Inspection Report — Aug 24, 2023
Life Safety
Date: Aug 24, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 08/24/2023.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — Apr 19, 2023
Complaint Investigation
Date: Apr 19, 2023
Visit Reason
The inspection was conducted as a complaint investigation following allegations of medication errors, inadequate staffing, locked resident rooms, wandering behavior, and lack of an Executive Director at the Assisted Living Facility.
Complaint Details
The complaint investigation involved allegations of medication errors, lack of resident identifiers, wandering, locked rooms, inadequate staffing, and absence of an Executive Director. One allegation regarding medication alteration was substantiated with citations. Other allegations were found unsubstantiated or had no failed practice identified.
Findings
The investigation found one failed practice related to alteration of medications without physician orders. Other allegations such as wandering, locked rooms, and staffing were found to have no failed practices. The facility corrected the medication error and retrained staff. A new Executive Director was hired.
Deficiencies (1)
WAC 388-78A-2250 Alteration of medications. The assisted living facility failed to obtain physicians' orders to crush medications for 2 of 5 sampled residents, placing them at risk of medication malabsorption and adverse effects.
Report Facts
Total residents: 46
Resident sample size: 5
Closed records sample size: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Betsy Frankie | Administrator (or Representative) | Signed Plan/Attestation Statement for correction of deficiency |
| Wesler Dumecquias | Community Complaint Investigator | Investigator who conducted the complaint investigation |
Viewing
Loading inspection reports...



