10 Reports
Inspection Report — Feb 4, 2026
Follow-Up
Date: Feb 4, 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 the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2400 Protection of resident records. The assisted living facility must maintain a systematic and secure method of identifying and filing resident records for easy access and preserve their confidentiality in accordance with applicable state and federal statutes. The facility failed to ensure confidentiality when two Confidential Identifier lists were stored inside the ALF’s Statement of Deficiencies binder, placing 63 residents at risk for privacy violations.
Report Facts
Sampled residents: 9
Residents at risk: 63
Inspection Report — Jun 16, 2025
Life Safety
Date: Jun 16, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 06/16/2025.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — May 19, 2025
Complaint Investigation
Date: May 19, 2025
Visit Reason
The inspection was conducted as a complaint investigation following the facility's failure of their 3rd fire and life safety inspection on 05/06/2025 and issuance of a 2nd noncompliance letter.
Complaint Details
Complaint investigation number 178951 was conducted with a sample of 2 residents out of 61 current residents. The investigation confirmed the facility failed multiple fire and life safety inspections and was issued a 2nd noncompliance letter.
Findings
The facility failed to comply with multiple International Fire Codes related to sprinkler heads loaded with debris, fire alarm system maintenance, and maintaining exit paths. These deficiencies placed residents, staff, and visitors at risk and remained uncorrected as of the inspection date.
Deficiencies (3)
IFC 903.5 (2021) Sprinkler heads loaded with debris in kitchen area.
IFC 907.8 (2021) Facility failed to maintain fire alarm system; some smoke alarms did not report to panel as per inspection report from 03/01/2024. Deficiencies shall be corrected.
IFC 1003.6 (2021) Facility failed to maintain exit path in basement hallway; various items including two BBQ grills obstructed the hallway.
Report Facts
Total residents: 61
Licensed beds: 64
Resident sample size: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Prentice | Complaint Investigator | Conducted the complaint investigation and onsite verification |
Inspection Report — Feb 6, 2025
Life Safety
Date: Feb 6, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Keystone residential care facility.
Findings
The facility was found to have multiple fire safety violations including failure to provide documentation for annual fire-resistance inspections, sprinkler system deficiencies, blocked fire sprinkler risers, and obstructed egress paths. Some violations were corrected on site, but the overall status remains disapproved.
Deficiencies (8)
IFC 405.2 (2021) - Required emergency drills shall be held at specified intervals to familiarize occupants with the drill procedure.
IFC 603.9 (2021) - Portable electric space heaters shall be permitted in all occupancies where not prohibited by other code sections.
IFC 701.6 (2021) - The owner shall maintain an inventory and visually inspect fire-resistance-rated construction annually and provide documentation of inspection.
IFC 903.5 (2021) - Sprinkler systems shall be tested and maintained per code; facility failed to provide documentation for automatic sprinkler system and had sprinkler heads loaded with debris and blocked riser.
IFC 906.2 (2021) - Portable fire extinguishers shall be selected, installed, and maintained per NFPA 10.
IFC 907.8 (2021) - Fire alarm and detection systems shall be maintained with records of inspection and testing; facility failed to maintain fire alarm system and inspection report noted smoke alarms not reporting to panel.
IFC 907.8.3 (2021) - Smoke detector sensitivity shall be checked annually and calibration tests performed; facility failed to provide smoke detector sensitivity report.
IFC 1003.6 (2021) - Means of egress shall not be obstructed; facility failed to maintain exit path in basement hallway with various items including two BBQ grills.
Report Facts
Inspection interval: 12
Inspection Report — Jul 23, 2024
Complaint Investigation
Date: Jul 23, 2024
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding an altercation between two named residents at the Assisted Living Facility.
Complaint Details
The complaint investigation involved an altercation between two residents. The allegation was substantiated as citations were written for failure to provide a discharge letter to one resident. The facility separated the residents, called 911, and Resident 1 was arrested and transported to jail. The facility informed Resident 1 she was not allowed to return but did not issue a discharge letter.
Findings
The investigation found that the facility responded timely and appropriately to the resident altercation, including calling 911 and protecting residents. However, the facility failed to provide a required discharge letter to one resident, resulting in a citation for WAC 388-78A-2660(1) Resident's Rights.
Deficiencies (1)
WAC 388-78A-2660 Resident rights. The assisted living facility failed to provide a discharge letter including all required information to one resident, preventing understanding of their rights related to discharge.
Report Facts
Total residents: 61
Resident sample size: 4
Closed records sample size: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Hauk | Complaint Investigator | Named as the investigator who conducted the complaint investigation and on-site verification |
Inspection Report — Jun 26, 2024
Follow-Up
Date: Jun 26, 2024
Visit Reason
The Department of Social and Health Services conducted a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection on 06/26/2024 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to tuberculosis testing were corrected.
Deficiencies (1)
WAC 388-78A-2483 Tuberculosis One test. The assisted living facility failed to ensure one staff member completed the required one-step tuberculin skin test, placing 63 residents at risk of exposure to communicable disease.
Report Facts
Sampled residents: 10
Total residents: 63
Residents at risk: 63
Inspection Report — Nov 28, 2023
Life Safety
Date: Nov 28, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Keystone residential care facility on 11/28/2023.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — Apr 17, 2023
Life Safety
Date: Apr 17, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved at this inspection.
Inspection Report — Jan 19, 2023
Follow-Up
Date: Jan 19, 2023
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, meeting the Assisted Living Facility licensing requirements.
Deficiencies (8)
WAC 388-78A-2700 Emergency and disaster preparedness. The facility failed to ensure 6 of 28 emergency lights were operable in common areas and main hallways on the second and third floors, placing all 56 residents at risk in an emergency.
WAC 388-78A-2700 Emergency and disaster preparedness. The facility failed to maintain a current disaster plan available for staff in the event of an emergency, placing all 56 residents at risk for harm and injury.
WAC 388-78A-2990 Heating-cooling Temperature. The facility failed to maintain common areas at a minimum temperature of 68°F, placing all 56 residents at risk for decreased quality of life.
WAC 388-78A-3090 Maintenance and housekeeping. The facility failed to ensure the exterior grounds were kept clean, with multiple discarded items in the courtyard, placing all 56 residents at risk for decreased quality of life.
WAC 388-78A-2950 Water supply. The facility failed to maintain hot water temperature between 105°F and 120°F in 7 resident apartments, placing occupants at risk for decreased quality of life.
WAC 388-78A-2468 Background checks Employment Conditional hire Pending results of Washington state name and date of birth background check. The facility failed to ensure 3 of 6 sampled staff initiated a name and date of birth background check within one business day of hire, placing 56 residents at risk from staff with unknown criminal backgrounds.
WAC 388-78A-24681 Background checks Employment Provisional hire Pending results of national fingerprint background check. The facility failed to ensure 1 of 5 sampled staff completed a national fingerprint background check within 120 days of hire, placing 56 residents at risk from staff with unknown criminal backgrounds.
WAC 388-78A-2482 Tuberculosis No testing. The facility failed to ensure 2 of 3 sampled staff showed proof of a Mantoux tuberculin skin test or chest x-ray, placing 56 residents at risk for contact with staff whose TB status was unknown.
Report Facts
Residents present: 56
Sample size: 11
Deficiencies cited: 8
Inspection Report — Jan 4, 2023
Follow-Up
Date: Jan 4, 2023
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.
Complaint Details
The investigation involved allegations that a staff member gave medications intended for one resident to another, resulting in hospitalization, and other concerns including drug usage, assaults, understaffing, and staff behavior. The medication error allegation was investigated and monitored. The facility was found deficient for medication administration errors but no deficient practice was identified regarding other allegations. The conclusion was that provider practice was identified and citations were written for medication errors.
Findings
The follow-up inspection on 01/04/2023 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to medication administration were corrected.
Deficiencies (1)
WAC 388-78A-2210 Medication services. The assisted living facility failed to administer medications as prescribed for two residents, resulting in adverse reactions and hospitalization. The facility did not provide medication services as ordered.
Report Facts
Total residents: 55
Resident sample size: 4
Deficiencies cited: 1
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