Inspection Reports for
Brookdale Yakima

4100 Englewood Ave, Yakima, WA 98908, United States, WA, 98908

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28 Reports

2022–2026

Inspection Report — May 18, 2026

Complaint Investigation
Date: May 18, 2026

Visit Reason
The Department completed a full inspection and a complaint investigation of the Assisted Living Facility.

Complaint Details
The complaint investigation was completed with no deficiencies found.
Findings
The inspection and complaint investigation found no deficiencies.

Inspection Report — Jan 23, 2026

Follow-Up
Date: Jan 23, 2026

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to medication administration and housekeeping.

Complaint Details
The original complaint investigation identified failed provider practices including unkept residents, unclean apartments, and missed medication doses. The medication administration failure was substantiated with citations written. The follow-up confirmed correction.
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-2240 - The facility failed to ensure timely and correct administration of medications, resulting in missed doses for residents. This deficiency was corrected as verified on follow-up.
Report Facts
Total residents: 71 Resident sample size: 3 Missed medication doses: 10 Missed medication doses: 10

Notice — Jan 15, 2026

Date: Jan 15, 2026

Visit Reason
This document communicates the outcome of the Informal Dispute Resolution process for disputed deficiencies identified in a prior Statement of Deficiencies report dated 12/01/2025.

Findings
The IDR process reviewed all materials and statements from the facility and regional staff and decided not to change the prior Statement of Deficiencies report. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 days.

Report Facts
Correction timeframe: 45 Plan/Attestation Statement submission timeframe: 10

Inspection Report — Jan 7, 2026

Complaint Investigation
Date: Jan 7, 2026

Visit Reason
The inspection was conducted as a complaint investigation regarding a named resident's weight decline, the facility's assessment and monitoring practices, and the cleanliness of carpets in resident rooms.

Complaint Details
The complaint investigation (Complaint Number 206444) addressed three allegations: weight decline of a named resident, failure to appropriately assess and monitor the resident, and dirty carpets. The weight decline and monitoring were found to be appropriately managed with no failed practice. The carpets were clean and residents were satisfied with housekeeping. The facility failed to complete a pre-admission assessment for the resident, resulting in a citation.
Findings
The investigation found that the named resident had been transferred to a higher level of care and no failed practice was identified regarding weight decline monitoring. However, the facility failed to complete a required pre-admission assessment for the resident, resulting in a citation. Carpets were found clean and no housekeeping issues were identified.

Deficiencies (1)
WAC 388-78A-2070(1) - The facility failed to complete a pre-admission assessment before the named resident moved into the facility. This failure placed the resident at risk for unmet care and service needs.
Report Facts
Total residents: 71 Resident sample size: 3

Inspection Report — Dec 22, 2025

Life Safety
Date: Dec 22, 2025

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility to assess compliance with fire protection and life safety codes.

Findings
The facility had two fire protection system violations related to the fire alarm system being out of service and lack of documentation for annual fire alarm system inspection and maintenance. Both violations were corrected on site during the inspection.

Deficiencies (2)
IFC 901.7 (2021) Systems Out of Service - The facility's fire alarm system was out of service and silenced on site since June 13, 2025, requiring fire watch documentation until restored. Documentation of acceptance testing for new installations or repairs must be submitted for approval.
IFC 907.8.1 (2021) Inspection, Testing and Maintenance - The facility was unable to provide documentation of the annual fire alarm system inspection, testing, and maintenance deficiencies noted on the report submitted on November 1, 2024.

Inspection Report — Nov 24, 2025

Re-Inspection
Date: Nov 24, 2025

Visit Reason
The visit was an unannounced on-site complaint investigation triggered by a complaint regarding the facility's failure to maintain compliance with fire marshal regulations.

Complaint Details
Complaint number 201753 triggered the investigation. The allegation was that the facility failed their first Fire Marshal re-inspection. The investigation confirmed the allegation with citations written.
Findings
The facility failed their first Fire Marshal re-inspection due to noncompliance with WAC 388-78A-2040(2) regarding building approval by the Washington state fire marshal. The deficiencies were not corrected at the time of inspection, but a follow-up inspection on 12/30/2025 found no deficiencies.

Deficiencies (1)
WAC 388-78A-2040 Other requirements. The assisted living facility must have its building approved by the Washington state fire marshal in order to be licensed. The facility failed to maintain compliance with this requirement as evidenced by failed inspections on 09/29/2025 and 11/10/2025, putting residents, staff, and visitors at risk of harm from fire.
Report Facts
Total residents: 73 Resident sample size: 73

Employees mentioned
NameTitleContext
Felicia CantuCommunity Complaint InvestigatorInvestigator who conducted the complaint investigation and identified the deficiency
Staff AHealth and Wellness DirectorInterviewed regarding repairs needed to regain compliance with state regulations

Inspection Report — Nov 10, 2025

Life Safety
Date: Nov 10, 2025

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on November 10, 2025.

Findings
Multiple fire and safety code violations were identified, including unsecured electrical panels, open electrical junction boxes, missing overcurrent protection on power taps, penetrations in fire-resistance-rated construction, and missing signage. Some violations were corrected on site, but others remain uncorrected, resulting in a disapproved status.

Deficiencies (15)
IFC 603.1 2021 - Electrical equipment, wiring, and systems must comply with NFPA 70 and Sections 603.2 through 603.10. Electrical panels near Room 332 on the 3rd floor were unsecured, allowing potential tampering. (Corrected)
IFC 603.2.2 2021 - Open junction boxes and open-wiring splices are prohibited and must have approved covers. An open junction box was found behind the coffee station in the first-floor coffee lounge seating area. (Corrected)
IFC 603.5 2021 - Relocatable power taps must have overcurrent protection. Multi-plug adapters without overcurrent protection were found on the 3rd floor in Rooms 348 and 351 and on the 1st floor in the Sales and Marketing Office. (Corrected)
IFC 701.6 2021 - Fire-resistance-rated construction must be maintained without penetrations. Penetrations were found in the Spa Room wall and Kitchen Storage Room ceiling on the 1st floor and in the Library Room ceiling on the 2nd floor due to a water leak. (Corrected)
IFC 705.2.4 2021 - Swinging fire doors must close from the full-open position and latch automatically. Fire and smoke rated doors in the 3rd Floor Resident Laundry Room and 2nd Floor Conference Room failed to close and latch when released. (Corrected)
IFC 901.7 2021 - Required fire protection systems must be in service and documented. The facility was unable to provide documentation for the fire alarm system being out of service since June 13, 2025, and the system remains in trouble status. (Violation remains)
IFC 903.5 2021 - Sprinkler systems must be tested and maintained per Section 901. Annual fire sprinkler system inspection deficiencies noted on May 14, 2025, were corrected, including the 3-year full trip testing. (Corrected)
IFC 906.2 2021 - Portable fire extinguishers must be inspected monthly. The extinguisher in the Elevator Room and units 1-5 on the 1st floor lacked monthly inspections for the past twelve months and August 2025 respectively. (Corrected)
IFC 907.8 2021 - Fire alarm systems must be inspected, tested, and maintained. Documentation for the annual fire alarm system inspection deficiencies noted on November 1, 2024, was not provided. (Violation remains)
IFC 907.8 2021 - Fire alarm system must be operational. A smoke alarm on the 2nd floor Mechanical Room signified a low battery alert. (Corrected)
IFC 907.8 2021 - Fire alarm breakers must prevent accidental power loss. The fire alarm breaker in power panel EM2 on the 1st floor lacked a locking device. (Corrected)
IFC 1003.6 2021 - Means of egress must not be obstructed. A table and chairs were blocking the emergency exit in the dining room. (Corrected)
IFC 1010.1.3 2021 - Door opening force must not exceed specified limits. The middle emergency exit right door in the Dining Room required more than 15 pounds of force to open. (Corrected)
IFC 5003.5 2021 - Hazard identification signs must be visible where required. The 3rd floor Room 348 door lacked an "OXYGEN IN USE" sign. (Corrected)
IFC 5303.5.3 2021 - Compressed gas containers must be secured to prevent falling. Two unsecured LPG tanks were located near the patio barbecues. (Corrected)

Inspection Report — Sep 30, 2025

Complaint Investigation
Date: Sep 30, 2025

Visit Reason
The inspection was conducted due to a complaint alleging that the facility's fire alarm sensor failed and the facility implemented a fire watch.

Complaint Details
Complaint number 196593 alleged the facility's fire alarm sensor failed and a fire watch was implemented. The investigation confirmed the allegation and found the facility failed to report the fire watch initiation promptly, resulting in a citation.
Findings
The facility failed to immediately report to the Department that a fire watch was initiated several months ago due to a malfunctioning fire alarm system. This failure resulted in a citation for noncompliance with WAC 388-78A-2650. The fire alarm system was in trouble status and silenced onsite since June 13, 2025, and the facility did not notify the appropriate authorities as required.

Deficiencies (1)
WAC 388-78A-2650 Reporting fires and incidents. The assisted living facility must immediately report to the department any unusual incident requiring implementation of the disaster plan, including fire watch initiation. The facility failed to immediately report the fire watch due to fire alarm malfunction, resulting in delayed notification to proper agencies.
Report Facts
Total residents: 68

Inspection Report — Aug 5, 2025

Follow-Up
Date: Aug 5, 2025

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to resident discharge and care.

Complaint Details
The complaint investigation addressed allegations that the facility abruptly discharged a resident without written notice and charged a resident for 1:1 care. The investigation substantiated the failure to provide written discharge notice but found no failed practice regarding 1:1 care charges.
Findings
The follow-up inspection found no deficiencies; all previously cited violations were corrected. The facility now meets Assisted Living Facility licensing requirements.

Deficiencies (1)
WAC 388-78A-2660 Resident rights. The facility failed to provide a written discharge notice to a resident, resulting in immediate hardship and confusion. This deficiency was corrected.
Report Facts
Total residents: 65 Resident sample size: 3

Inspection Report — Jan 9, 2025

Complaint Investigation
Date: Jan 9, 2025

Visit Reason
The inspection was conducted as a complaint investigation regarding allegations that the facility was not properly cleaning the ice machine.

Complaint Details
The complaint investigation referenced complaint numbers 158921 and 157862 regarding improper cleaning of the ice machine. The allegation was substantiated and a citation was written.
Findings
The investigation found that while the ice machine was not observed to be unsanitary, the facility failed to follow their policies and procedures to routinely clean, document, and maintain sanitization of the ice machine. A citation was written for this deficiency.

Deficiencies (1)
WAC 388-78A-2600(2n) The facility did not follow their policies and procedures to routinely clean, document, and maintain sanitization of their ice machine.
Report Facts
Total residents: 63 Resident sample size: 4

Inspection Report — Oct 31, 2024

Enforcement
Date: Oct 31, 2024

Visit Reason
The Department of Social and Health Services conducted a complaint investigation at the assisted living facility Brookdale Yakima on October 31, 2024, resulting in a civil fine due to regulatory violations.

Complaint Details
This enforcement action was based on a complaint investigation conducted on October 31, 2024, which found the medication system failure affecting two residents, including one hospitalization. The deficiency was recurring from a prior citation on February 15, 2024.
Findings
The facility failed to develop and implement a safe medication system for residents requiring assistance, resulting in one resident's hospitalization and placing two residents at risk. This deficiency was recurring from a previous citation.

Deficiencies (1)
WAC 388-78A-2210 (1)(b) Medication services. The licensee failed to develop and implement a safe medication system for residents requiring assistance, resulting in one resident being hospitalized and placing both residents at risk due to medications not being given as ordered.
Report Facts
Civil fine amount: 500 Number of residents affected: 2 Number of residents hospitalized: 1

Inspection Report — Oct 21, 2024

Complaint Investigation
Date: Oct 21, 2024

Visit Reason
The inspection was an unannounced on-site complaint investigation triggered by allegations that residents did not receive prescribed medications, including insulin and pain medication, and that discontinued medications were still being administered.

Complaint Details
The investigation involved multiple complaints (numbers 150344, 151046, 151386, 152227) regarding medication errors including missed insulin doses leading to hospitalization, failure to update medication administration records, and administration of discontinued medications. The allegations were substantiated with citations issued for recurring deficiencies.
Findings
The facility was found non-compliant due to failures in medication administration systems, resulting in a resident hospitalization for missed insulin doses, continued administration of discontinued medications, and failure to obtain prescribed medications timely. Multiple deficiencies were cited, all recurring from previous citations.

Deficiencies (2)
WAC 388-78A-2210 Medication services. The facility failed to develop and implement a safe medication system for residents requiring assistance, resulting in missed insulin doses that caused hospitalization and placed residents at risk.
WAC 388-78A-2240 Nonavailability of medications. The facility failed to ensure prescribed medications were obtained timely for residents, resulting in missed doses and placing residents at risk of health complications.
Report Facts
Total residents: 63 Resident sample size: 6 Missed medication doses: 17 Blood sugar level: 550 Blood pressure: 90

Employees mentioned
NameTitleContext
Staff BLicensed Nurse/Area Nurse ManagerInterviewed and confirmed missed insulin doses for Resident 1 and continued administration of discontinued medications for Resident 4, and confirmed missed levothyroxine doses for Resident 6.
Staff AAdministratorStated that medication orders for Resident 4 were not processed timely, contributing to continued administration of discontinued medications.
Collateral Contact 1Hospice health care providerReported that Resident 4's medication administration record was not updated with new orders and discontinued medications were still being given.

Inspection Report — Oct 1, 2024

Complaint Investigation
Date: Oct 1, 2024

Visit Reason
The inspection was conducted as a complaint investigation triggered by allegations that the food at the facility was served cold and that a named resident had lost weight.

Complaint Details
The complaint investigation included two allegations: that food was served cold and that a named resident had lost weight. The food temperature documentation deficiency was substantiated, while the weight loss allegation was unsubstantiated as the resident's weight was stable and recently increased.
Findings
The investigation found that the facility failed to document food temperatures at mealtimes as required by policy, although food was observed to be warm and residents reported satisfaction. The named resident's weight was stable and recently increased, with no failed practice identified regarding weight loss.

Deficiencies (1)
WAC 388-78A-2600(2)(n) - The facility failed to ensure food temperatures were documented at mealtimes to confirm food was served within regulated temperatures, despite food being served warm and residents expressing satisfaction.
Report Facts
Total residents: 64 Resident sample size: 3

Inspection Report — Oct 1, 2024

Life Safety
Date: Oct 1, 2024

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Brookdale Yakima residential care facility on 10/01/2024.

Findings
The inspection found multiple fire safety violations, all of which were corrected on site or documented as corrected. The facility was approved with no outstanding deficiencies.

Deficiencies (17)
IFC 315.2.1 (2021) - The 3rd floor storage room failed to maintain 18 inches of clearance to the ceiling. Room 334 failed to maintain 18 inches of clearance to the ceiling in the closet.
IFC 405.2 (2018) - Facility was unable to provide documentation of fire drills for the past twelve months.
IFC 603.4 (2021) - The 3rd floor East, West storage rooms and 2nd floor West storage room had combustible storage blocking fire damper access doors.
IFC 603.5 (2021) - Multiple unfused multiplug adaptors were observed in Rooms 334, 218, 250, 144, and the Health & Wellness Office.
IFC 606.3.3 (2021) - Facility was unable to provide documentation of the second semi-annual kitchen hood inspection and cleaning within the past twelve months.
IFC 701.6 (2021) - Penetrations next to the sprinkler head in Room 310 and next to the freezer in the kitchen were observed.
IFC 705.2.3 (2021) - Multiple doors including 3rd floor corridor east and west, Resident Laundry Room, 2nd floor Conference Room, 1st floor TV/Game Room, Employee Lounge, Kitchen storage, and Laundry Room doors did not latch and close.
IFC 705.2.4 (2021) - Room 334, 3rd floor Resident Laundry Room, and Room 151 doors were propped open with wedges or bags.
IFC 706.1 (2018) - Facility was unable to provide documentation of fire and smoke damper inspection and testing within the past four years per NFPA 80 19.4.
IFC 903.5 (2021) - Facility was unable to provide documentation of annual sprinkler system maintenance testing, trip test of the fire sprinkler dry system, forward flow testing, 5-year FDC Hydro Testing, and quarterly fire sprinkler system inspection reports within required timeframes.
IFC 904.13.5.2 (2021) - Facility was unable to provide documentation of the second semi-annual kitchen hood service inspection within the last twelve months.
IFC 906.2 (2021) - The fire extinguisher near Room 208 was undercharged.
IFC 907.8 (2021) - Facility was unable to provide documentation of annual fire alarm system service, monthly single station alarm testing, and smoke detector removal in Room 203.
WAC 915.6 (2021) - Facility was unable to provide documentation of monthly carbon monoxide alarm testing and the West Mechanical Room was missing the CO detector.
IFC 1203.4 (2021) - Facility was unable to provide documentation of emergency generator weekly test log and monthly load test within the last twelve months.
IFC 5303.4 (2021) - 'Oxygen In Use' signs were missing on doors in Rooms 218 and 151.
IFC 5303.5.3 (2021) - In Room 151 there was an unsecured oxygen tank in the closet.

Inspection Report — Apr 4, 2024

Follow-Up
Date: Apr 4, 2024

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 04/04/2024 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.

Inspection Report — Dec 6, 2023

Follow-Up
Date: Dec 6, 2023

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to licensing laws and regulations.

Complaint Details
The complaint investigation involved a named resident with an unstageable pressure sore. The facility failed to investigate the cause of the pressure injury, resulting in a citation. The follow-up inspection found the deficiencies corrected.
Findings
The follow-up inspection on 12/06/2023 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. The prior deficiencies related to failure to investigate a resident's unstageable pressure sore were corrected.

Deficiencies (1)
WAC 388-78A-2371 - The assisted living facility must investigate and document investigative actions for any alleged or suspected abuse, neglect, or incidents affecting resident health. The facility failed to investigate the cause of an unstageable pressure sore on a resident's sacral area.
Report Facts
Total residents: 51 Resident sample size: 3

Inspection Report — Nov 20, 2023

Complaint Investigation
Date: Nov 20, 2023

Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding allegations that staff administered insulin and medications without proper delegation or qualifications, failed to notify health care providers of changes in resident conditions, and delayed call light responses.

Complaint Details
The complaint investigation involved multiple allegations including unauthorized insulin administration, failure to notify health care providers of condition changes, delayed call light responses, and improper medication administration. The investigation substantiated failures related to unauthorized medication administration and failure to notify providers, but did not substantiate issues with call light response or missed medications.
Findings
The investigation found multiple failed provider practices including staff administering insulin and medications without delegation, failure to notify health care providers of significant changes in residents' conditions, and improper nurse delegation processes. Some allegations such as call light response times and missed medication doses were not substantiated. Citations were written for the identified deficiencies.

Deficiencies (2)
WAC 388-78A-2320 Intermittent nursing services systems. The assisted living facility failed to ensure that two of two care staff were properly delegated to perform required nurse tasks for two residents, contributing to hospitalization and risk of injury.
WAC 388-78A-2640 Reporting significant change in a resident's condition. The facility failed to notify the health care provider of a significant change in medical condition for one resident, resulting in delayed medical treatment and hospitalization.
Report Facts
Total residents: 51 Resident sample size: 7

Inspection Report — Apr 13, 2023

Follow-Up
Date: Apr 13, 2023

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to fire marshal approval and licensing requirements.

Findings
The follow-up inspection found no deficiencies; all previously cited licensing law and regulation deficiencies were corrected.

Deficiencies (1)
WAC 388 78A 2040 Other requirements The assisted living facility must have its building approved by the Washington state fire marshal in order to be licensed.

Inspection Report — Apr 13, 2023

Complaint Investigation
Date: Apr 13, 2023

Visit Reason
The inspection was conducted as a complaint investigation based on allegations including a non-working garbage disposal with foul smell, improperly trained kitchen staff, and a malfunctioning dishwasher leaking water and producing dirty dishes.

Complaint Details
The complaint investigation involved three allegations: a non-working garbage disposal with a foul smell, kitchen staff training deficiencies, and dishwasher issues. The garbage disposal was confirmed out of order and foul smell was being investigated. Kitchen staff had food handler cards but lacked knowledge of sanitation processes. The dishwasher was fixed and not leaking, but sanitation documentation was incomplete. The complaint was substantiated with citations issued for sanitation failures.
Findings
The investigation found that the garbage disposal was out of order and the facility was working with vendors to address the foul smell. Kitchen staff had food handler cards but were unaware of required food sanitation processes. The dishwasher was not leaking and dishes appeared clean, but sanitation logs and temperature documentation were incomplete or missing. A failed practice was cited under WAC 388-78A-2305.

Deficiencies (1)
WAC 388-78A-2305 Food sanitation. The assisted living facility failed to have a system in place to ensure food preparation surfaces and equipment were sanitized properly and to ensure water temperature met sanitizing requirements for the commercial dishwasher. Sanitation logs and temperature documentation were incomplete, and kitchen staff were unaware of required food sanitation processes.
Report Facts
Total residents: 48 Resident sample size: 48

Inspection Report — Mar 14, 2023

Life Safety
Date: Mar 14, 2023

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 03/14/2023.

Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.

Inspection Report — Mar 14, 2023

Follow-Up
Date: Mar 14, 2023

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.

Complaint Details
The complaint investigation (Compliance Determination #16127) found that the facility failed to issue a discharge notice and refund a resident's deposit within 30 days after discharge. The resident was transferred to a skilled nursing facility and was told they could not return. The resident's representative did not receive a refund of $4,197.54 within the required timeframe, causing financial hardship. The facility did not provide a written discharge notice, and the resident and representatives disputed the circumstances of discharge. The complaint was substantiated with citations written.
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-2660-1 Resident rights. The facility failed to issue a discharge notice and refund the resident's deposit within thirty days of discharge for one resident, causing distress and financial hardship to the resident's representative.
Report Facts
Total residents: 52 Resident sample size: 1 Refund amount: 4197.54

Inspection Report — Mar 2, 2023

Complaint Investigation
Date: Mar 2, 2023

Visit Reason
The inspection was conducted as a complaint investigation regarding allegations that a Named Staff Member verbally abused multiple residents at the Assisted Living Facility.

Complaint Details
The complaint alleged that a Named Staff Member verbally abused six to nine Named Residents. The investigation included interviews, observations, and record reviews. It found that the facility suspended the staff member but did not conduct a thorough investigation or report the abuse immediately. Multiple residents reported verbal abuse and intimidation. The facility failed to protect residents and report abuse as required.
Findings
The investigation found that the facility failed to conduct a thorough investigation to protect residents from verbal and mental abuse and failed to report mental abuse immediately. Deficiencies were identified and citations were written. The facility was found not in compliance with licensing laws and regulations.

Deficiencies (3)
WAC 388-78A-2600 Policies and procedures. The assisted living facility failed to implement abuse and investigation policies and procedures for 6 of 9 residents, placing residents at risk of continued abuse.
WAC 388-78A-2630 Reporting abuse and neglect. The assisted living facility failed to ensure staff immediately reported an allegation of abuse for 1 of 9 residents, placing residents at continued risk for abuse and neglect.
WAC 388-78A-2660 Resident rights. The assisted living facility failed to ensure 6 of 9 residents were free from abuse, resulting in actual harm to residents who reported feeling bullied, intimidated, and fearful of retaliation.
Report Facts
Total residents: 47 Resident sample size: 9

Inspection Report — Mar 2, 2023

Enforcement
Date: Mar 2, 2023

Visit Reason
The Department of Social and Health Services conducted a complaint investigation at the assisted living facility Brookdale Yakima on March 2, 2023, resulting in the imposition of a civil fine.

Complaint Details
The visit was complaint-related and investigated allegations of resident abuse. The complaint was substantiated as violations were found and a civil fine was imposed.
Findings
The licensee failed to ensure six residents were free from abuse, resulting in actual harm with residents reporting feelings of being bullied, intimidated, and fearful of retaliation. A civil fine of $500 was imposed based on this violation.

Deficiencies (1)
WAC 388-78A-2660 (1)(7) Resident rights. The licensee failed to ensure six residents were free from abuse, resulting in actual harm and residents feeling bullied, intimidated, and fearful of retaliation.
Report Facts
Civil fine amount: 500 Number of residents affected: 6

Inspection Report — Jan 31, 2023

Plan of Correction
Date: Jan 31, 2023

Visit Reason
This document reports the results of an Informal Dispute Resolution (IDR) process conducted following a Statement of Deficiencies dated December 8, 2022, related to an assisted living facility.

Findings
After review, the decision was made not to change the Statement of Deficiencies. The facility is advised to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within five calendar days.

Inspection Report — Jan 30, 2023

Life Safety
Date: Jan 30, 2023

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Brookdale Yakima residential care facility.

Findings
The inspection identified multiple fire and life safety code violations including storage clearance issues, missing electrical outlet covers, blocked electrical panels, improper use of power strips, lack of documentation for fire alarm and emergency generator maintenance, inhibited fire door operations, unsecured compressed gas containers, and obstructed emergency exits. Many violations were corrected on site, but the overall status remains Disapproved due to outstanding issues.

Deficiencies (18)
IFC 315.3.1 2018 Storage shall be maintained 2 feet or more below the ceiling in nonsprinklered areas or 18 inches below sprinkler head deflectors in sprinklered areas. Storage encroached into the 18" clearance from the sprinkler head in 2nd Floor Storage by room 204.
IFC 315.3.3 2018 Combustible material shall not be stored in boiler rooms, mechanical rooms, electrical equipment rooms or fire command centers. Combustible storage was observed in the 2nd Floor Mechanical Room and 3rd Floor Mechanical Room across from Laundry.
IFC 604.1 2018 Electrical hazards shall be abated. Business Office electrical outlet was missing a coverplate.
IFC 604.3 2018 A working space of specified dimensions shall be provided in front of electrical service equipment. Stored materials were blocking access to electrical panels in the 2nd Floor Mechanical room.
IFC 604.4 2018 Multiplug adapters such as cube adapters or unfused plug strips are prohibited. Unfused power supplies were observed in Resident Rooms 253, 351, and 310.
IFC 604.4.2 2018 Relocatable power taps shall be directly connected to a permanently installed receptacle. Powerstrips were improperly plugged into other powerstrips in Resident Rooms 112 and 210.
IFC 705.2 2018 Opening protectives in fire-resistance-rated assemblies shall be inspected and maintained. The facility lacked documentation of annual inspection and testing of drop fire doors within the past twelve months.
IFC 705.2.3 2018 Hold-open devices and automatic door closers shall be maintained. Self-closing doors were inhibited from closing in Resident Room 149 and Residential Services.
IFC 705.2.4 2018 Swinging fire doors shall close and latch automatically. Doors failed to close and latch in Library, Life Enrichment Office, 1st Floor Television Room, 1st Floor Employee Restroom, and Kitchen corridor.
IFC 806.1.1 2015, 2018 WAC 51-54A Natural cut trees are prohibited in Group I and R-2 occupancies providing licensed care. A dried wreath was observed on the door of Resident Room 219.
IFC 906.2 2015, 2018 Portable fire extinguishers shall be maintained with monthly inspections after annual servicing. Several extinguishers lacked monthly inspections since March 2022 in multiple locations including Kitchen by manager's office and Corridor by Administration.
IFC 907.8 2018 The facility must maintain records of inspection, testing, and maintenance of fire alarm systems. The facility was unable to provide documentation of annual service of the fire alarm system within the past twelve months. Resident room smoke alarms older than ten years must be replaced.
IFC 915.6 2018 Carbon monoxide alarms and detection systems shall be maintained. A carbon monoxide alarm was disabled in 3rd Floor Mechanical across from Laundry.
IFC 1030.2 2015, 2018 Required exits and exit discharges shall be maintained free from obstructions. Emergency exits were obstructed in 1st Floor Fireplace Room and Dining Room.
ASME A17.1 8.6.10.1 Elevators with emergency operation shall be tested monthly. Elevator 1 and Elevator 2 records showed incomplete monthly testing of emergency operation key switches in 2022.
IFC 1203.4 2018 Emergency and standby power systems shall be maintained and tested. The facility was unable to provide documentation of annual service and monthly load tests of the emergency generator for multiple months in 2022.
IFC 1203.5 2018 Emergency power systems shall be inspected and tested under load. The facility was unable to provide documentation of tri-annual four hour load test of the emergency generator within the past four years.
IFC 5303.5.3 2018 Compressed gas containers, cylinders and tanks shall be secured to prevent falling. Unsecured helium tank was observed in Life Enrichment Office and unsecured oxygen cylinders in Resident Room 112.
Report Facts
Months missing emergency generator load test: 4 Fire extinguishers missing monthly inspections since: 7

Notice — Dec 8, 2022

Date: Dec 8, 2022

Visit Reason
This letter confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility to dispute a citation dated December 08, 2022.

Findings
The document does not contain inspection findings but serves to notify the facility of the IDR meeting date and participants regarding the disputed citation WAC 388-78A-2660.

Inspection Report — Nov 9, 2022

Life Safety
Date: Nov 9, 2022

Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Brookdale Yakima residential care facility on 11/09/2022.

Findings
The inspection found multiple fire safety violations including combustible storage in prohibited areas, missing electrical outlet cover plates, blocked access to electrical panels, inhibited self-closing fire doors, obstructed emergency exits, expired fire extinguisher inspections, lack of documentation for fire alarm and emergency generator maintenance, disabled carbon monoxide alarm, unsecured compressed gas cylinders, and incomplete elevator emergency operation testing.

Deficiencies (18)
Storage encroached into the 18-inch clearance from sprinkler head in 2nd Floor Storage by 204.
Combustible storage observed in 2nd Floor Mechanical Room, 3rd Floor Mechanical Room, and 3rd Floor Mechanical across from Laundry.
Electrical outlet missing cover plate in Business Office.
Stored materials blocking access to electrical panels in 2nd Floor Mechanical.
Unfused power supplies observed in Resident Rooms 253, 351, and 310.
Power strips improperly plugged into other power strips in Resident Rooms 112 and 210.
Facility unable to provide documentation of annual inspection and testing of drop fire doors within past twelve months.
Self-closing fire doors inhibited from closing in Resident Room 149 and Residential Services.
Fire doors failed to close and latch in Library, Life Enrichment Office, 1st Floor Television Room, 1st Floor Employee Restroom, and Kitchen corridor.
Dried wreath on door in Resident Room 219 prohibited in restricted occupancies.
Fire extinguishers had not had monthly inspections performed after annual servicing in multiple locations including Kitchen by manager's office and Corridor by Administration.
Facility unable to provide documentation of annual service of fire alarm system within past twelve months.
Single station smoke alarms in resident rooms greater than ten years old must be replaced.
Carbon monoxide alarm disabled in 3rd Floor Mechanical across from Laundry.
Emergency exits obstructed in 1st Floor Fireplace Room and Dining Room.
Elevator emergency operation testing incomplete for Elevator 1 and Elevator 2.
Facility unable to provide documentation of annual service and monthly load tests of emergency generator, including tri-annual four hour load test.
Unsecured helium tank in Life Enrichment Office and unsecured oxygen cylinders in Resident Room 112.
Report Facts
Next inspection scheduled: Dec 9, 2022 Next inspection scheduled: Oct 20, 2022 Fire extinguisher monthly inspections missing since: 2022 Emergency generator monthly load tests missing: 4

Employees mentioned
NameTitleContext
Barbara MaierDeputy State Fire MarshalSigned the inspection report

Notice — Brookdale Yakima 1695 68646 120125 IDR Sch Ltr 1225

Date: Brookdale Yakima 1695 68646 120125 IDR Sch Ltr 1225

Visit Reason
The letter confirms the facility's request for an Informal Dispute Resolution meeting to discuss disputed citation(s) from a prior Statement of Deficiencies.

Findings
The document does not contain inspection findings but schedules a virtual meeting to review disputed citations.

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