Inspection Reports for
Josephine Caring Community
9901 272nd Pl NW, Stanwood, WA, 98292
Back to Facility Profile7 Reports
Inspection Report — Mar 19, 2026
Follow-Up
Date: Mar 19, 2026
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.
Deficiencies (6)
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure all staff had completed required first aid training with hands-on skill development, placing residents at risk of harm.
WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to address and support resident needs related to fall risks in the negotiated service agreement for a resident, placing the resident at risk for falls.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure multiple staff met continuing education, CPR/first aid training, and facility orientation requirements, placing residents at risk of harm.
WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to address and support resident needs in the negotiated service agreement for two residents, placing them at risk of unmet needs.
WAC 388-78A-2100 Ongoing assessments. The facility failed to complete a full annual assessment for two residents, resulting in out-of-date information and risk of unmet care needs.
WAC 388-78A-2060 Preadmission assessment. The facility failed to complete a preadmission assessment for three residents, placing them at risk for unmet care and medical needs.
Report Facts
Sampled residents: 3
Sampled residents: 7
Staff not meeting training requirements: 4
Inspection Report — Jan 26, 2026
Enforcement
Date: Jan 26, 2026
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to impose civil fines based on previously cited deficiencies at the assisted living facility.
Findings
The facility was cited for uncorrected deficiencies related to staff training and resident fall risk management, resulting in civil fines totaling $600.00. These deficiencies were previously cited and remain uncorrected as of the follow-up visit.
Deficiencies (2)
WAC 388-78A-2474 (2)(d)(e)(3) Training and home care aide certification requirements. The licensee failed to ensure one staff member had completed first aid training with hands-on skill development, placing residents at risk of harm by unqualified staff.
WAC 388-78A-2140 (1)(a)(i)(ii)(iii)(b)(d) Negotiated service agreement contents. The licensee failed to address and support resident needs related to fall risks in the Negotiated Service Agreement for one resident, placing the resident at risk for falls.
Report Facts
Civil fine amount: 600
Civil fine amount: 200
Civil fine amount: 400
Inspection Report — Aug 13, 2025
Complaint Investigation
Date: Aug 13, 2025
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding the Assisted Living Facility's termination of the Nurse Delegator without replacement and forcing a Named Staff to take over as Nurse Delegator.
Complaint Details
Complaint number 187298 involved allegations that the Assisted Living Facility terminated the Nurse Delegator without replacement and forced a Named Staff to assume the role. The investigation substantiated the failure to maintain Nurse Delegator oversight, resulting in citations. The Named Staff refused to take over for safety reasons, and the facility subsequently hired a Nurse Delegator.
Findings
The investigation found that the facility failed to have Nurse Delegator oversight from July 11 to July 22, 2025, resulting in medication administration without proper supervision. A citation was written for noncompliance with WAC 388-78A-2320. The Named Staff refused to take over the Nurse Delegator role for safety reasons, and the facility has since hired a Nurse Delegator.
Deficiencies (1)
WAC 388-78A-2320 Intermittent nursing services system - The facility failed to maintain an active Registered Nurse Delegator to oversee medication administration from July 11 to July 22, 2025, resulting in unlicensed staff administering medications without supervision.
Report Facts
Total residents: 51
Resident sample size: 3
Residents at risk: 43
Residents receiving medication without supervision: 3
Days without Nurse Delegator oversight: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Administrator | Stated that the Chief Executive Officer instructed termination of Staff B and described plans for Nurse Delegator coverage |
| Staff B | Rescinded Nurse Delegator role for 43 residents and resumed role later; involved in medication administration without supervision | |
| Staff C | Director of Nursing | Planned to assume Nurse Delegator role but declined; involved in Nurse Delegation staffing decisions |
Inspection Report — Jul 26, 2024
Follow-Up
Date: Jul 26, 2024
Visit Reason
This was a follow-up inspection to verify correction of previously cited deficiencies from earlier compliance determinations dated 02/27/2024 and 07/26/2024.
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-3090 Maintenance and housekeeping. The facility failed to keep the interior and exterior clean and in good repair, resulting in an unkept living environment and risk to all 51 residents. Issues included surface abrasions, missing window screens, dirty gloves on elevator panel, stains under sink, spider webs, and exposed wood siding.
WAC 388-78A-2665 Resident rights Notice Policy on accepting medicaid as a payment source. The facility failed to ensure the Medicaid acceptance policy was written in at least 14-point font, risking residents signing agreements they could not read.
WAC 388-112A-0400 Specialty training and WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure 2 of 5 staff completed specialized dementia and mental health training, risking improper care for residents with these diagnoses.
WAC 388-78A-2650 Reporting fires and incidents. The facility failed to report a water leak incident that caused half the dining room to close and a resident to be relocated, resulting in the Department not being informed of an emergent event.
WAC 388-78A-2371 Investigations. The facility failed to thoroughly investigate an incident involving Resident 4's leg laceration requiring stitches, risking lack of medical follow-up and preventative actions.
WAC 388-78A-2100 Ongoing assessments. The facility failed to ensure Resident 2 was assessed at least annually for capability to self-administer medication, risking incorrect medication use.
WAC 388-78A-2270 Resident controlled medications. The facility failed to complete an assessment for Resident 4 regarding ability to safely self-administer medications, risking unmet care needs.
WAC 388-78A-2090 Full assessment topics. The facility failed to identify a right heel blister on Resident 1 in the admission assessment, resulting in the wound being untreated for 22 days and placing Resident 1 at risk for complications.
Report Facts
Residents present: 51
Sampled residents: 7
Staff not trained: 2
Residents with diagnosis: 23
Residents with diagnosis: 3
Residents self-administering medication: 4
Inspection Report — Sep 18, 2023
Life Safety
Date: Sep 18, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 09/18/2023.
Findings
All violations noted during previous related inspections have been corrected, resulting in an approved status for this inspection.
Inspection Report — May 24, 2023
Complaint Investigation
Date: May 24, 2023
Visit Reason
The Department of Social and Health Services conducted a complaint investigation of the Assisted Living Facility due to an allegation that a staff member gave medication without a physician's order.
Complaint Details
The complaint alleged that a staff member gave medication without a physician's order to a resident. The investigation included interviews, record reviews, and observations. The facility was found non-compliant due to conflicting physician orders on the medication administration record.
Findings
The investigation found that the facility failed to coordinate with prescribers and pharmacy to ensure clear and accurate physician orders, resulting in conflicting medication orders on the EMAR. A citation was issued for non-compliance with medication services regulations.
Deficiencies (2)
WAC 388-78A-2350 Coordination of health care services. The facility failed to coordinate with prescribers and pharmacy to ensure physician's orders were clearly defined, with dosages and times, and duplicate or changed orders were not reflected on the medication administration record. This placed residents at risk of receiving the wrong medication and a change in health status.
WAC 388-78A-2210 Medication services. Multiple conflicting physician orders were entered on the May 2023 EMAR, resulting in non-compliance with medication service requirements.
Report Facts
Total residents: 49
Resident sample size: 3
Inspection Report — Apr 13, 2023
Complaint Investigation
Date: Apr 13, 2023
Visit Reason
The inspection was conducted due to a complaint alleging that a named resident's funds might not be used appropriately.
Complaint Details
The complaint investigation concerned allegations that a named resident's funds might not be used appropriately. The investigation confirmed that the facility did not report suspected financial exploitation to the Complaint Resolution Unit, resulting in a citation for failed provider practice.
Findings
The investigation found that the facility failed to report possible financial exploitation of a resident to the Complaint Resolution Unit, constituting a failed provider practice and resulting in citations. The resident's funds were managed by a power of attorney, but the facility staff purchased personal items for the resident and the resident had an outstanding balance for back rent.
Deficiencies (1)
WAC 388-78A-2630 Reporting abuse and neglect. The assisted living facility failed to report to the Complaint Resolution Unit and local police department when staff had reasonable cause to believe financial exploitation had occurred for one sampled resident.
Report Facts
Total residents: 49
Resident sample size: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angelynn Nelson | DNS | Named in interview regarding resident financial management and plan of correction |
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