Inspection Reports for
Heritage Heights at Lake Chelan
505 E HIGHLAND AVENUE, CHELAN, WA, 98816
Back to Facility Profile10 Reports
Inspection Report — May 28, 2026
Follow-Up
Date: May 28, 2026
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to compliance determinations 78012 and 73738.
Complaint Details
The complaint investigation involved an allegation that a named resident was abused. The investigation found that staff did not report the allegation of abuse to the department as required, constituting a failed provider practice and citation. The deficiency was recurring from a prior citation dated 10/02/2025.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2630 Reporting abuse and neglect. The facility failed to ensure staff made a report to the complaint resolution unit when they had reasonable cause to believe abuse occurred. This deficiency was previously cited and corrected on follow-up.
Report Facts
Resident sample size: 3
Inspection Report — Jan 21, 2026
Follow-Up
Date: Jan 21, 2026
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Complaint Details
The facility failed the follow-up inspection triggered by complaint number 203170. The complaint investigation found seven fire safety violations placing residents and staff at risk. The follow-up inspection on 01/21/2026 found all deficiencies corrected.
Findings
The follow-up inspection found no deficiencies and confirmed that all previously cited violations were corrected. The facility meets Assisted Living Facility licensing requirements.
Deficiencies (1)
WAC 388-78A-2040 Other requirements. The facility failed to maintain compliance with seven fire safety codes found on 10/29/2025, placing residents, staff, and visitors at risk of harm in the event of a fire. Violations included combustible storage blocking aisles, lack of documentation for annual fire-resistance inspection, ceiling breach in bathroom, unsecured circuit breaker for fire alarm panel, missing emergency exit lighting, missing keypad instructions at fire exit doors, and unsecured oxygen cylinders near the front door.
Report Facts
Total residents: 34
Resident sample size: 34
Closed records sample size: 0
Number of fire safety violations: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Executive Director | Named in interview confirming efforts to correct fire safety violations |
| Nicole Mcgraw | Community Complaint Investigator | Conducted complaint investigation and follow-up verification |
Inspection Report — Jan 20, 2026
Life Safety
Date: Jan 20, 2026
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Heritage Heights at Lake Chelan residential care facility.
Findings
All violations cited during the inspection were corrected on site, resulting in an overall approved status for the facility.
Deficiencies (6)
IFC 315.2.3 (2021) Combustible material shall not be stored in boiler rooms, mechanical rooms, electrical equipment rooms or in fire command centers. Significant combustible storage blocking access to HVAC and mechanical equipment was observed in the attic. (Corrected)
IFC 701.6 (2021) The owner shall maintain an inventory of all required fire-resistance-rated construction and ensure annual inspection and maintenance. The facility failed to provide documentation of the annual fire-resistance-rated construction inspection and maintenance within the past twelve months. A breach in the ceiling tile was observed in Room 102A bathroom. (Corrected)
IFC 907.8 (2021) Fire alarm and detection systems must be maintained and tested per code. The circuit breaker supplying power to the Fire Alarm Control Panel was not locked to prevent accidental trip or tampering. (Corrected)
IFC 1008.3.2 (2021) Emergency electrical systems shall illuminate exit access stairways, ramps, and exit passageways. No emergency exit lighting was installed in the long attic aisle ways to illuminate means of egress. (Corrected)
IFC 1010.2.4 (2021) Locks and latches shall prevent operation of doors where specified. There were no key pad instructions posted within 6 feet of keypads to open fire exit doors at the Memory Care Gate on the exterior walkway. (Corrected)
IFC 5303.5.3 (2021) Compressed gas containers, cylinders and tanks shall be secured to prevent falling. Two unsecured oxygen cylinders were found near the front door in Room 102A. (Corrected)
Inspection Report — Oct 29, 2025
Life Safety
Date: Oct 29, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Heritage Heights at Lake Chelan facility to assess compliance with fire and life safety codes.
Findings
The inspection found multiple fire safety violations, including combustible storage blocking access, unsecured electrical panels, missing emergency exit lighting, and unsecured compressed gas cylinders. Several violations were corrected on site, but key issues such as combustible storage in the attic and basement, failure to provide documentation for annual inspections, and unsecured fire alarm control panel breaker remained uncorrected, resulting in a disapproved status.
Deficiencies (17)
IFC 315.2.3 (2021) Combustible material was stored in the attic blocking aisle ways and access to HVAC and mechanical equipment. Violation remains.
IFC 603.1 (2021) Electrical panels in the Memory Care unit corridor near Room 201 were unsecured, allowing potential tampering. Corrected.
IFC 603.2.2 (2021) An open junction box was found behind the desk area in the Medication Room on the first floor. Corrected.
IFC 603.4 (2021) Combustible storage was blocking access to electrical panels in the Maintenance Room basement. Corrected.
IFC 606.3.3 (2021) The facility was unable to provide documentation of semi-annual commercial hood cleanings within the past twelve months. Corrected.
IFC 701.6 (2021) The facility failed to provide documentation of the annual fire-resistance-rated construction inspection, testing, and maintenance completed within the past twelve months. Violation remains.
IFC 701.6 (2021) There was a breach in the ceiling (missing tile) in Room 102A bathroom. Violation remains.
IFC 705.2.3 (2021) Doors in Breakroom, Kitchen, Kitchen Storage Room, and Medication Room were propped open with door wedges. Corrected.
IFC 705.2.4 (2021) Fire doors in Fireplace Room and Room 214 did not fully latch and close when released from open position. Corrected.
IFC 807.3 (2021) The facility was unable to provide documentation that two tarps on the exterior patio were compliant with NFPA 701 standards. Corrected.
IFC 903.5 (2021) The facility was unable to provide documentation of annual fire sprinkler system inspection, testing, and maintenance within the past twelve months. Corrected.
IFC 907.8 (2021) The circuit breaker supplying power to the Fire Alarm Control Panel was not locked to prevent accidental trip or tampering. Violation remains.
IFC 1008.3.2 (2021) No emergency exit lighting was installed in the long attic aisle ways to illuminate means of egress. Violation remains.
IFC 1009.10 (2021) No signage directing occupants to stairway and means of egress was posted near the elevator on the second floor. Corrected.
IFC 1008.3.2 (2021) No key pad instructions were posted within 6 feet of keypads to open fire exit doors at the Exit Door near the Attic and Memory Care Gate on exterior walkway. Violation remains.
IFC 5303.5.3 (2021) Two unsecured oxygen cylinders were found near the front door in Room 102A. Violation remains.
IFC 5303.5.3 (2021) An unsecured LPG cylinder was located near the barbecue on the patio. Corrected.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Jay | Executive Director, RN | Named as Owner or Authorized Representative signing the inspection report. |
Inspection Report — Sep 25, 2025
Complaint Investigation
Date: Sep 25, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation based on allegations including inappropriate touching of a resident, unqualified staff passing medication, unauthorized access attempts to the medication cart, and lack of nurse coverage during vacations.
Complaint Details
The complaint investigation involved allegations of inappropriate touching of a resident, unqualified staff passing medication, unauthorized access attempts to the medication cart, and lack of nurse coverage during vacations. The sexual abuse allegation was substantiated due to failure to investigate and report. Other allegations were not substantiated.
Findings
The investigation found a failure to properly investigate and document an allegation of sexual abuse involving one resident, and failure to report the allegation to the department's Complaint Resolution Unit. Other allegations regarding staff qualifications and medication cart security were not substantiated. The facility was cited for failed provider practice related to the abuse investigation and reporting.
Deficiencies (2)
WAC 388-78A-2371 Investigations. The assisted living facility failed to investigate and document investigative actions and findings for an alleged sexual abuse incident involving one resident, placing the resident at risk for harm and emotional distress.
WAC 388-78A-2630 Reporting abuse and neglect. The assisted living facility failed to make a required report to the Complaint Resolution Unit when allegations of abuse were made for one resident, precluding department investigation and placing the resident at risk.
Report Facts
Total residents: 33
Resident sample size: 3
Inspection Report — Sep 10, 2024
Life Safety
Date: Sep 10, 2024
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Heritage Heights at Lake Chelan residential care facility on 09/10/2024.
Findings
All violations cited during the inspection were corrected on site. The facility was approved with no outstanding deficiencies.
Deficiencies (12)
IFC 104.2 2021 - Permit documentation for remodel/construction work must be forwarded to CRS (Construction Review Services).
IFC 315.2.1 2021 - Storage must be maintained at least 18 inches below fire sprinkler heads; the Salon failed to maintain this clearance on the top shelf.
IFC 603.2 2021 - Electrical hazards included seven appliances in the 2nd Floor Activities Room plugged into power strips not connected to approved outlets.
IFC 603.5 2021 - Relocatable power taps and current taps must comply with NFPA 70; a multiplug adapter was found at the door near the night light in Room 102.
IFC 607.2 2018 WAC 51-54A - A Type I hood is required for commercial cooking producing grease-laden vapors; the second floor Activities room was used as a temporary cooking area without a fire suppression system.
IFC 701.6 2021 - Facility must maintain documentation of fire-resistance rated construction inspections within the past 12 months; documentation was not provided but all deficiencies were corrected.
IFC 705.2 2021 - Fire door inspection and maintenance documentation for the last 12 months was not provided but all deficiencies were corrected.
IFC 901.4.3 2021 - Fire alarm system was in supervisory status due to disabled devices in dining and kitchen areas during construction; a fire watch will be required until normal status is restored.
IFC 903.5 2021 - Facility was unable to provide documentation of annual sprinkler system maintenance, five-year internal pipe testing, and five-year FDC Hydro Testing; all deficiencies were corrected or documentation will be submitted.
IFC 906.9 2021 - Fire extinguishers in the first floor remodeling area, second floor laundry room, and Water Closet were exceeding 5 feet in height and were corrected.
IFC 1008.3 2021 - Emergency lighting in the Dining Hall was inoperable when activated and was corrected.
IFC 1020.3 2018 - Combustibles were obstructing the path of egress in the second floor construction area; storage was corrected to be on one side of the hallway.
Inspection Report — Aug 22, 2024
Date: Aug 22, 2024
Visit Reason
The Department of Social and Health Services conducted a full inspection of the Assisted Living Facility to determine compliance with Assisted Living Facility requirements.
Findings
The facility failed to meet Assisted Living Facility requirements because the Negotiated Service Agreements did not contain necessary content to meet residents' needs. The facility planned to include the required components in residents' agreements.
Deficiencies (1)
WAC 388-78A-2140 - The Assisted Living Facility failed to ensure Negotiated Service Agreements contained necessary content to meet residents' needs as required by regulation.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Ramirez | Assisted Living Facility Licensor | Named as department staff who did the inspection and provided consultation. |
| Anna Cairns | ALF Long Term Care Surveyor | Named as department staff who did the inspection and provided consultation. |
| Stephanie Jenks | Community Field Manager | Named as department staff who did the inspection and provided consultation. |
Inspection Report — Sep 11, 2023
Life Safety
Date: Sep 11, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 09/11/2023.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — Jan 16, 2023
Complaint Investigation
Date: Jan 16, 2023
Visit Reason
The inspection was conducted as an off-site complaint investigation triggered by complaint number 64209 regarding fire alarm system issues at Heritage Heights at Lake Chelan.
Complaint Details
Complaint #64209 involved investigation of fire alarm activations and sprinkler system status. The fire department responded, and a faulty pull station was replaced. No violations were found related to the complaint.
Findings
The investigation found no violations related to the complaint. The fire alarm system had activated erroneously, and a faulty pull station was replaced. No violations were noted as pertaining to this complaint.
Report Facts
Complaint number: 64209
Dates of investigation: 2
Date of fire alarm activation: Dec 31, 2022
Inspection Report — Jan 10, 2023
Complaint Investigation
Date: Jan 10, 2023
Visit Reason
The inspection was conducted as a complaint investigation regarding the facility's fire alarm system malfunction and failure to notify the fire marshal.
Complaint Details
The complaint investigation involved two complaint numbers (63282, 64209) related to the fire alarm system malfunction. The allegation was that the fire alarm system had malfunctioned and was taken offline without notifying the fire marshal. The investigation found the facility responded appropriately with fire watch and made all notifications except the fire marshal notification, which was addressed by consultation. No citations were issued.
Findings
The facility responded immediately to the fire alarm system malfunction by starting fire watch until repairs were complete. Consultation was provided on notifying the fire marshal, and all other required notifications were made. No failed provider practice or citations were identified.
Report Facts
Total residents: 23
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