Inspection Reports for
Guardian Angel Homes Liberty Lake

23102 E MISSION AVE, LIBERTY LAKE, WA, 99019

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9 Reports

2023–2026

Inspection Report — Apr 17, 2026

Life Safety
Date: Apr 17, 2026

Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility on April 17, 2026.

Findings
All cited fire safety violations were corrected or removed during the inspection, resulting in an approved status.

Deficiencies (4)
IFC 603.5.1 (2021) Listing. Relocatable power taps shall be listed in accordance with UL 1363. Current taps shall be listed and labeled in accordance with UL 498A.
IFC 603.6 (2021) Extension cords shall not be a substitute for permanent wiring and shall be listed and labeled in accordance with UL 817. Extension cords shall not be affixed to structures or extended through walls, ceilings, floors, or under doors or floor coverings.
IFC 903.5 (2021) Sprinkler systems shall be tested and maintained in accordance with Section 901.
IFC 907.6 (2021) Fire alarm system shall be installed and monitored in accordance with Sections 907.6.1 through 907.6.3 and NFPA 72.

Inspection Report — Nov 3, 2025

Follow-Up
Date: Nov 3, 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 the Assisted Living Facility licensing requirements.

Deficiencies (8)
WAC 388-78A-2950 Water supply. The assisted living facility must provide hot and cold water under adequate pressure and maintain hot water between 105°F and 120°F at all times. The facility failed to maintain required water temperatures in resident rooms and buildings, placing residents at risk for skin injury and decreased quality of life.
WAC 388-78A-2210 Medication services. The assisted living facility must develop and implement systems to support safe medication service and ensure residents receive medications as prescribed. The facility failed to administer the correct medication to one resident, placing them at risk of health complications.
WAC 388-78A-2240 Nonavailability of medications. The assisted living facility must obtain prescribed medications in a correct and timely manner. The facility failed to obtain medication timely for one resident, resulting in missed medication and risk of health complications.
WAC 388-78A-2100 Ongoing assessments. The assisted living facility must complete a full annual safety assessment for each resident. The facility failed to complete an annual safety assessment for one resident, placing them at risk of injury due to unassessed medical device use.
WAC 388-78A-2484 Tuberculosis Two step skin testing. The assisted living facility must ensure tuberculosis test results are read within 48 to 72 hours. The facility failed to ensure timely reading of TB test results for two staff, placing residents at risk of exposure to communicable disease.
WAC 388-78A-2485 Tuberculosis Positive test result. The assisted living facility must ensure a chest X-ray is completed within seven days after a positive TB test. The facility failed to ensure timely chest X-ray for one staff, placing residents at risk of exposure to communicable disease.
WAC 388-112A-0060 Training and certification requirements. The assisted living facility must ensure staff complete required training and continuing education. The facility failed to ensure three staff completed the required 12 hours of continuing education, placing residents at risk of receiving care from untrained staff.
WAC 388-78A-2160 Implementation of negotiated service agreement. The assisted living facility must provide care and services as agreed upon in the negotiated service agreement. The facility failed to ensure one resident received daily showers as required, placing the resident at risk for skin breakdown and urinary tract infections.
Report Facts
Sampled residents: 10 Current residents: 82 Former residents: 0 Staff with incomplete continuing education: 3 Staff with incomplete TB test results: 2 Residents with medication errors: 1 Residents with water temperature issues: 1 Buildings with water temperature issues: 2

Inspection Report — Apr 11, 2025

Life Safety
Date: Apr 11, 2025

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 04/11/2025.

Findings
All cited fire safety code requirements were found to be completed or corrected. The facility received an Approved status with no outstanding violations noted.

Deficiencies (6)
IFC 701.6 2021 - The owner shall maintain an inventory of all required fire-resistance-rated construction and inspect annually. Records of inspections and repairs shall be maintained.
Repair of penetrations - Damaged materials protecting membrane- and through-penetrations shall be replaced or restored with compliant materials.
IFC 903.5 2021 - Sprinkler systems shall be tested and maintained in accordance with Section 901.
IFC 907.8 2021 - Maintenance and testing schedules and procedures for fire alarm and fire detection systems shall be maintained with records of inspection and testing.
IFC 1203.4 2021 - Emergency and standby power systems shall be maintained to supply service within the required time for the type and duration specified.
Fire Drills - At least twelve planned and unannounced fire drills shall be held every year in licensed Group I, Group E, and Group R2 occupancies.

Inspection Report — Apr 8, 2025

Complaint Investigation
Date: Apr 8, 2025

Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding an injury of unknown origin involving a resident.

Complaint Details
The complaint investigation (Complaint #172764) concerned an injury of unknown origin. The allegation was substantiated as the facility failed to properly document transfer assistance, causing injury to Resident 1.
Findings
The investigation found that the facility failed to clearly document the plan to assist a resident with transferring, resulting in injuries, discomfort, a hospital trip, and medication changes. A citation was written for failure to meet WAC 388-78A-2140.

Deficiencies (1)
WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to clearly document in the resident’s negotiated service agreement the plan to assist with transferring from one surface to another, resulting in injuries and a hospital trip.
Report Facts
Total residents: 76 Resident sample size: 3

Employees mentioned
NameTitleContext
Amy WrightNCI Complain InvestigatorConducted the complaint investigation and cited the deficiency
Staff ARegistered NurseInterviewed and stated that improper transfers caused resident injuries

Inspection Report — Dec 24, 2024

Complaint Investigation
Date: Dec 24, 2024

Visit Reason
The inspection was an unannounced on-site complaint investigation triggered by an infection control allegation related to a Covid-19 outbreak in the provider's memory care unit.

Complaint Details
The complaint investigation (Complaint #158859) concerned infection control due to a Covid-19 outbreak. Six residents were affected, and the facility failed to have a required Medical Test Site Waiver license for on-site Covid-19 testing. The allegation was substantiated with citations issued.
Findings
The investigation found that six residents were affected by the Covid-19 outbreak but recovered without hospitalization. The facility failed to obtain a required medical testing site waiver license to perform on-site Covid-19 testing for six residents, placing them at risk of inaccurate test results. Citations were written for this deficiency.

Deficiencies (1)
WAC 388-78A-2040 Other requirements. The facility failed to obtain a medical testing site waiver license to perform on-site Covid-19 testing for six residents, resulting in testing without oversight and risk of inaccurate results.
Report Facts
Total residents: 78 Resident sample size: 6

Inspection Report — Apr 25, 2024

Follow-Up
Date: Apr 25, 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 Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected as listed.

Report Facts
Sampled residents: 9 Total residents: 74 Deficiencies cited: 12

Inspection Report — Feb 29, 2024

Enforcement
Date: Feb 29, 2024

Visit Reason
The Department of Social and Health Services conducted a full investigation at the assisted living facility following regulatory oversight, resulting in the imposition of a civil fine.

Findings
The facility was fined $400 for failing to ensure a medication order was processed and administered as prescribed for one resident, which placed the resident at risk of medical complications. This deficiency was recurring from a previous citation.

Deficiencies (1)
WAC 388-78A-2210(1)(b)(2) Medication services. The licensee failed to ensure a medication order was processed and administered as prescribed for one resident, resulting in the resident not receiving medication for an extended period and placing them at risk of medical complications.
Report Facts
Civil fine amount: 400

Inspection Report — Oct 6, 2023

Complaint Investigation
Date: Oct 6, 2023

Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding allegations of physical abuse by staff at the assisted living facility.

Complaint Details
The complaint investigation involved allegations of physical abuse by staff. The facility was found to have failed in specialized dementia training for staff and in providing dignified care to a resident, substantiating the complaint with citations issued.
Findings
The investigation found that the facility failed to ensure staff completed required specialized dementia training and failed to provide care consistent with resident dignity, resulting in pain and discomfort for a resident. Citations were written for these deficiencies.

Deficiencies (2)
WAC 388-78A-2510 Specialized training for dementia. The facility failed to ensure that staff completed required specialty training prior to caring for residents with dementia, placing residents at risk for inadequate care by untrained staff.
WAC 388-78A-2660 Resident rights. The facility failed to ensure staff provided care consistent with maintaining resident dignity for one resident, resulting in pain and discomfort due to rough and forceful care causing bruising.
Report Facts
Total residents: 75 Resident sample size: 3

Inspection Report — Mar 17, 2023

Complaint Investigation
Date: Mar 17, 2023

Visit Reason
The inspection was conducted as a complaint investigation regarding an allegation of a medication error at Guardian Angel Homes Liberty Lake Assisted Living Facility.

Complaint Details
The complaint investigation (Complaint #72977) concerned a medication error where a staff member administered Resident 2's medications to Resident 1 by mistake due to residents having the same first name. The error was discovered during the medication pass, and the resident was hospitalized for bradycardia and monitored for hypoglycemia. The allegation was substantiated and citations were issued.
Findings
The investigation found that facility staff gave a resident medication that was not prescribed for them, resulting in hospitalization of the resident. The facility failed to ensure medications were given to the correct resident, violating WAC 388-78A-2210(2)(a). The medication error was substantiated and citations were written. A follow-up inspection on 05/09/2023 found no deficiencies and confirmed correction of the cited issues.

Deficiencies (1)
WAC 388-78A-2210 (2)(a) The facility failed to ensure medications were given to the correct resident for 1 of 4 sampled residents, resulting in hospitalization and risk of harm. Medication assistance procedures were not properly followed.
Report Facts
Total residents: 75 Resident sample size: 4

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