Inspection Reports for
Kadie Glen Assisted Living
451 North Baker Ave, East Wenatchee, WA, 98802
Back to Facility Profile14 Reports
Inspection Report — Mar 19, 2026
Life Safety
Date: Mar 19, 2026
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire protection inspection at Kadie Glen Assisted Living LLC on 03/19/2026.
Findings
The inspection found violations related to documentation of fire sprinkler system testing and inspections, all of which were corrected on site. The facility was approved following this inspection.
Deficiencies (1)
IFC 903.3.5 2021 Water supplies for automatic sprinkler systems shall comply with section 903.3.1 and protect potable water supply against backflow. The facility was unable to provide documentation of the annual forward flow testing and quarterly inspection of the fire sprinkler system within the past twelve months.
Inspection Report — Sep 18, 2025
Annual Inspection
Date: Sep 18, 2025
Visit Reason
The Department completed a full inspection of the Assisted Living Facility on 09/18/2025 to determine compliance status.
Findings
The inspection found no deficiencies in the facility.
Inspection Report — Apr 8, 2025
Follow-Up
Date: Apr 8, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to the use of portable space heaters.
Complaint Details
The complaint investigation dated 12/18/2024 found that the facility allowed the use of portable heaters for residents, which was a failed practice. The complaint was substantiated with citations written for this issue.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies regarding the use of portable heaters were corrected.
Deficiencies (1)
WAC 388-78A-2990 Heating-cooling Temperature. The assisted living facility must prohibit the use of portable space heaters unless approved in writing by the Washington state director of fire protection. The facility failed to prohibit portable heaters for 4 residents, placing all at risk.
Report Facts
Resident sample size: 4
Total residents: 62
Inspection Report — Mar 24, 2025
Follow-Up
Date: Mar 24, 2025
Visit Reason
The Department completed a follow-up inspection of Kadie Glen Assisted Living Facility to verify correction of previously cited deficiencies related to medication services.
Complaint Details
The complaint investigation involved allegations that a named resident was allowed to manage medications despite psychiatric physician's notification that the resident should not. The facility failed to ensure safe medication services, resulting in missing doses and the resident being hospitalized for evaluation. The complaint was substantiated with citations written.
Findings
The follow-up inspection found no deficiencies and confirmed that previously cited medication service deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2210 Medication services. An assisted living facility providing medication service must develop and implement systems that support and promote safe medication service for each resident.
Report Facts
Total residents: 60
Resident sample size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anna Cairns | ALF Long Term Care Surveyor | Investigator who conducted complaint investigation and follow-up inspection |
| Laura Williams-Davis | ALF Field Manager | Signed follow-up inspection letter and statement of deficiencies |
| Staff B | Director of Nursing | Interviewed regarding medication management and assessments |
| Staff C | Medication Technician | Interviewed regarding medication retrieval and resident medication misuse |
Inspection Report — Oct 14, 2024
Plan of Correction
Date: Oct 14, 2024
Visit Reason
This document reports the results of an Informal Dispute Resolution (IDR) process addressing a dispute related to a Statement of Deficiencies (SOD) report dated 08/13/2024 for Kadie Glen Assisted Living.
Findings
The IDR process resulted in the deletion of the citation WAC 388-78A-2630 from the SOD. No other changes or findings are noted.
Deficiencies (1)
WAC 388-78A-2630 - The citation identified in the prior Statement of Deficiencies has been deleted following the Informal Dispute Resolution process.
Inspection Report — Sep 10, 2024
Life Safety
Date: Sep 10, 2024
Visit Reason
On 9/10/2024 the Office of the State Fire Marshal conducted a scheduled fire safety inspection at Kadie Glen Assisted Living LLC.
Findings
All violations cited during the inspection were corrected on site or documented as corrected. The facility was approved following this inspection.
Deficiencies (11)
IFC 0305.1 2021 Clearance between ignition sources, such as luminaries, heaters, flame-producing devices and combustible materials, shall be maintained in an approved manner. Combustibles (oven mitts) were stored behind the oven and hood system in the Kitchen.
IFC 315.2.1 2021 Storage shall be maintained 2 feet or more below the ceiling in nonsprinklered areas or 18 inches below sprinkler head deflectors in sprinklered areas. Combustible storage was found within 24" of the ceiling in Room 114 B, Activities Office above the cabinet, Room 205 B closet, and Room 209 B closet.
IFC 603.2 2021 Abatement of unsafe electrical hazards is required. A fridge and microwave were plugged into a power strip in the Health Office, a freezer was plugged into a multiplug adapter in the Cage, and a multiplug adapter was used on the window wall in Room 205 B.
IFC 603.2.2 2021 Open junction boxes and open-wiring splices shall be prohibited. An open junction box with exposed wiring was observed on the ceiling above the freezer in the Cage.
IFC 603.4 2021 Working space and clearances around electrical equipment shall be maintained. The electrical panel in the Kitchen was blocked by a kitchen cart.
IFC 701.6 2021 The owner shall maintain an inventory of all required fire-resistance-rated construction and inspect annually. Facility was unable to provide documentation of fire-resistance rated construction inspection within the past twelve months and a penetration was found in the wall at door knob in Room 120 A.
IFC 706.1 2018 Dampers protecting ducts and air transfer openings shall be inspected and maintained. 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 Sprinkler systems shall be tested and maintained. Facility was unable to provide documentation of annual sprinkler system maintenance testing, five year internal pipe testing per NFPA 14.2, annual forward flow testing per NFPA 25 13.7.2, and 5-year FDC Hydro Testing per NFPA 25 13.8.5.
IFC 904.13.5.2 2021 Automatic fire-extinguishing systems shall be serviced at least every six months. Facility was unable to provide documentation of the second semi-annual kitchen hood service inspection within the last twelve months.
IFC 907.8 2021 Fire alarm and detection systems shall be maintained and tested. Facility was unable to provide documentation of annual fire alarm system service within the past twelve months.
IFC 1032.2 2021 Required exit accesses, exits and exit discharges shall be continuously maintained free from obstructions. The Kitchen exit door was blocked by a kitchen cart.
Inspection Report — Aug 29, 2024
Complaint Investigation
Date: Aug 29, 2024
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding allegations that named residents were issued discharge notices and that their HIPAA rights were violated.
Complaint Details
The complaint investigation (Complaint #143032) involved two allegations: discharge notices issued to named residents and violation of HIPAA rights. The discharge notice allegation was not substantiated as the facility acted appropriately. The HIPAA violation allegation was substantiated with a citation issued for privacy breach.
Findings
The investigation found that the discharge notices were appropriately issued and the facility accommodated the residents to avoid discharge. However, a violation was identified where an unauthorized individual received private information about a resident, constituting a breach of privacy.
Deficiencies (1)
WAC 388-78A-2660 Resident rights. The assisted living facility failed to comply with long-term care resident rights to privacy and confidentiality of personal records for 1 of 5 residents, resulting in the release of personal information to an unauthorized individual.
Report Facts
Total residents: 59
Resident sample size: 5
Closed records sample size: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brittney Shull | Community Complaint Investigator | Conducted the complaint investigation and identified the privacy violation |
Notice — Aug 27, 2024
Date: Aug 27, 2024
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This letter confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility to dispute a Statement of Deficiencies dated 08/13/24.
Findings
The document does not contain inspection findings but serves to notify the facility of the IDR meeting date, time, and participants related to the disputed citation WAC 388-78A-2630.
Report Facts
Date of Statement of Deficiencies: Aug 13, 2024
Inspection Report — Jun 25, 2024
Complaint Investigation
Date: Jun 25, 2024
Visit Reason
The inspection was a follow-up to complaint investigations regarding allegations of improper discharge, poor hygiene assistance, ant infestation, refusal of food, and failure to report a missing resident at Kadie Glen Assisted Living.
Complaint Details
The complaint investigation involved allegations of a resident being falsely accused of drinking alcohol and discharged improperly, concerns about poor hygiene assistance, ant infestation, refusal of food by the cook, and failure to report a resident elopement. The investigation found failed practices and citations related to supervision, negotiated service agreements, discharge procedures, and monitoring residents' health. Multiple residents were discharged improperly and one resident was found hospitalized after being unaccounted for. The complaint was substantiated with citations written.
Findings
The facility was found to have failed in multiple areas including supervision and accounting for residents leaving the premises, documenting negotiated service agreements addressing residents' needs, adhering to discharge requirements, and monitoring residents' well-being, particularly regarding hypoglycemia and weight loss. These failures resulted in hospitalizations and discharges of residents and placed residents at risk. The follow-up inspection on 06/25/2024 found no deficiencies and confirmed all prior deficiencies were corrected.
Deficiencies (4)
WAC 388-78A-2600 Policies and procedures. The facility failed to implement policies to supervise and account for residents leaving the premises, resulting in a delayed search and investigation for a missing resident found hospitalized.
WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to document plans addressing residents' ability to leave unsupervised and interventions for health risks for two residents, placing them at risk for unmet needs.
WAC 388-78A-2660 Resident rights. The facility failed to adhere to discharge requirements for three residents, resulting in improper discharges without required notices and assessments.
WAC 388-78A-2120 Monitoring residents' well-being. The facility failed to identify, evaluate, and take appropriate action for patterns of hypoglycemia and weight loss for one resident, resulting in hospitalization and discharge.
Report Facts
Total residents: 61
Resident sample size: 1
Closed records sample size: 3
Weight loss: 18.9
Deficiencies cited: 4
Inspection Report — Feb 22, 2024
Enforcement
Date: Feb 22, 2024
Visit Reason
The Department of Social and Health Services conducted a Complaint Investigation at Kadie Glen Assisted Living on February 22, 2024, resulting in the imposition of civil fines for violations found during the investigation.
Complaint Details
The complaint investigation was based on allegations of mental abuse and failure to protect residents. The findings substantiated these allegations, resulting in civil fines.
Findings
The investigation found violations related to resident rights and policies and procedures concerning mental abuse and protection of residents. Civil fines totaling $2,000 were imposed due to failures to protect residents from mental abuse and to implement policies related to suspected abuse.
Deficiencies (2)
WAC 388-78A-2660(1)(7) Resident rights. The licensee failed to ensure residents were protected from mental abuse and treated in a dignified manner for three residents, resulting in mental abuse and intimidation in the dining room.
WAC 388-78A-2600(2)(a) Policies and procedures. The licensee failed to implement their policy and procedures related to suspected abuse for two residents, resulting in ongoing mental abuse.
Report Facts
Civil fines total: 2000
Civil fine amount: 1500
Civil fine amount: 500
Residents affected: 3
Residents affected: 2
Inspection Report — Jan 24, 2024
Complaint Investigation
Date: Jan 24, 2024
Visit Reason
The inspection was conducted as a complaint investigation regarding allegations that a staff member took food away from a resident, caused another resident to cry, and failed to accommodate meal preferences.
Complaint Details
The complaint investigation involved multiple allegations including food being taken away from a resident, residents being refused food, verbal abuse, and failure to follow investigation and reporting procedures. The investigation substantiated failures in investigation, accommodation of food preferences, reporting abuse, and protecting residents from abuse.
Findings
The investigation found that the facility failed to thoroughly investigate incidents, failed to ensure residents were reasonably accommodated with food preferences, failed to report an allegation of abuse to the Department of Social and Health Services, and failed to ensure residents were not abused. Citations were written for these deficiencies.
Deficiencies (5)
WAC 388-78A-2371 Investigations. The assisted living facility failed to investigate and document investigative actions and findings for alleged abuse incidents and failed to institute appropriate measures to prevent similar future situations.
WAC 388-78A-2660 Resident rights. The assisted living facility failed to protect residents from abuse and neglect, including failure to report allegations of abuse to the Department of Social and Health Services.
WAC 388-78A-2630 Reporting abuse and neglect. The facility failed to report allegations of abuse to the Complaint Resolution Unit for two residents, placing residents at risk and preventing the Department from having knowledge of the incidents.
WAC 388-78A-2300 Food and nutrition services. The facility failed to ensure meals were adjusted for individual preferences for two residents, resulting in residents not having their dietary needs or preferences met.
WAC 388-78A-2600 Policies and procedures. The facility failed to develop, implement, and train staff on policies related to suspected abuse and neglect, resulting in ongoing mental abuse for two residents.
Report Facts
Total residents: 61
Resident sample size: 3
Inspection Report — Nov 14, 2023
Follow-Up
Date: Nov 14, 2023
Visit Reason
This document is a follow-up inspection of Kadie Glen Assisted Living Facility to verify correction of previously cited deficiencies and compliance with licensing requirements.
Complaint Details
The inspection included complaint investigations with complaint numbers 90086, 95744, and 35282. The department found the facility was not in compliance with licensing laws and regulations as stated in the cited deficiencies.
Findings
The follow-up inspection conducted on 11/14/2023 found no deficiencies. The facility meets the Assisted Living Facility licensing requirements and all previously cited deficiencies were corrected.
Deficiencies (4)
WAC 388-78A-3220 Pets. The facility failed to ensure all residents with pets had current immunizations and veterinary certifications as required.
WAC 388-78A-2462 Background checks. The facility failed to ensure all administrators and caregivers had current background checks including national fingerprint checks.
WAC 388-78A-2484 Tuberculosis. The facility failed to ensure new staff received two-step TB skin testing within required timeframes.
WAC 388-112A-0550 Nurse delegation. The facility failed to ensure staff completed required diabetes nurse delegation training and certification.
Report Facts
Complaint numbers investigated: 3
Days to complete correction: 45
Number of residents with pets lacking current immunizations: 9
Number of new hires lacking background checks: 3
Days late for initial TB skin test: 10
Inspection Report — Jun 22, 2023
Complaint Investigation
Date: Jun 22, 2023
Visit Reason
The inspection was conducted in response to multiple complaints alleging insufficient food, staff disrespect, unmet care needs, lack of showers, unanswered call lights, lack of physician visits, and no menu provided to residents.
Complaint Details
The complaint investigation addressed seven allegations including food insufficiency, staff disrespect, unmet care needs, lack of showers, unanswered call lights, lack of physician visits, and no menu. Most allegations were found unsubstantiated except for housekeeping deficiencies which resulted in citations.
Findings
The investigation found that most allegations were unsubstantiated, including adequate food, menu availability, and staff responsiveness. However, a failed provider practice was identified related to housekeeping and maintenance deficiencies, specifically unsanitary conditions and odors in resident areas, leading to citations.
Deficiencies (1)
WAC 388-78A-3090 - The assisted living facility failed to provide a safe, sanitary, and well-maintained environment for residents as evidenced by strong ammonia and urine odors, unclean floors, and lack of proper housekeeping for multiple residents.
Report Facts
Total residents: 62
Resident sample size: 4
Closed records sample size: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Director of Nursing | Named in interview regarding resident housekeeping and cleaning issues |
Inspection Report — Mar 13, 2023
Complaint Investigation
Date: Mar 13, 2023
Visit Reason
The inspection was conducted as a complaint investigation following an unexpected death of a named resident at the facility.
Complaint Details
The complaint investigation (Compliance Determination #21012, Intake ID 70060) was triggered by an unexpected death of a resident. The investigation substantiated that staff failed to follow the Medical Emergencies policy, resulting in delayed EMS and CPR response. A citation was issued for this deficiency.
Findings
The investigation found that facility staff failed to implement the facility's Medical Emergencies policy, causing a delay in summoning EMS and initiating CPR. A citation was written for noncompliance with WAC 388-78A-2600 (2)(d)(f).
Deficiencies (1)
WAC 388-78A-2600 (2)(d)(f) - The assisted living facility failed to ensure procedures were in place to respond to medical emergencies, including initiating CPR and summoning EMS promptly when a resident was found unresponsive. This failure placed all residents at risk for unmet emergency care needs.
Report Facts
Total residents: 61
Resident sample size: 2
Closed records sample size: 1
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