Inspection Reports for
Magnolia Assisted Living
912 Hillcrest St, Grandview, WA, 98930
Back to Facility Profile12 Reports
Inspection Report — Jul 9, 2026
Life Safety
Date: Jul 9, 2026
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at Magnolia Assisted Living to evaluate compliance with fire safety codes and regulations.
Findings
The inspection found multiple violations related to fire drills documentation, electrical hazards, fire suppression system maintenance, and emergency equipment testing. Several violations were corrected on site, but many remained uncorrected, resulting in a disapproved status.
Deficiencies (20)
IFC 404.2 (2021) - The facility failed to provide documentation of fire drills for the night shift within the past twelve months and failed to conduct fire drills at various times during shift changes.
IFC 404.2 (2021) - The facility conducted fire drills during shift changes from 1400-1430 hours. (Corrected)
IFC 603.2 (2021) - The electrical panel located in the front lobby area was unsecured.
IFC 603.6 (2021) - An extension cord was in use for permanent wiring in Room 20.
IFC 606.3.3 (2021) - The facility failed to provide documentation of both semi-annual hood suppression cleaning services within the past twelve months; reports will not be provided until invoices are paid.
IFC 701.6 (2021) - Doors to Rooms 4 and 6 had penetrations in the top of the door from replaced self-closers.
IFC 705.2 (2021) - The facility failed to provide documentation that the annual fire-resistance-rated construction inspection was conducted within the past twelve months.
IFC 705.2.3 (2021) - The Med Room door was propped open by a stool and was not connected to the mag lock installed.
IFC 903.5 (2021) - The facility was unable to provide documentation of the annual fire sprinkler system inspection, testing, and maintenance within the past twelve months, including the three-year dry trip testing. The walk-in freezer had ordinary temperature heads installed.
IFC 903.5 (2021) - The facility provided documentation of quarterly fire sprinkler system inspections for the first and second quarters within the past twelve months.
IFC 904.13.5.2 (2021) - The facility was unable to provide documentation that the first semi-annual hood suppression system service conducted on April 1, 2026 was corrected for improper nozzle coverage.
IFC 904.13.5.2 (2021) - The facility provided documentation of the second semi-annual hood suppression system inspection, testing, and maintenance within the past twelve months.
IFC 906.2 (2021) - The facility could not provide documentation of monthly inspections for fire extinguishers for the past twelve months.
IFC 907.8 (2021) - The facility could not provide documentation of the semi-annual fire alarm system inspection, testing, and maintenance within the past twelve months.
IFC 907.8 (2021) - The facility could not provide documentation that the fire alarm system nuisance log is maintained; last testing was in January 2024.
IFC 907.8 (2021) - The facility could not provide documentation of monthly carbon monoxide detector testing for the past twelve months.
IFC 907.8 (2021) - The facility could not provide documentation of monthly single-station smoke alarm testing for the past twelve months.
IFC 1031.10.2 (2021) - The facility could not provide documentation of the 90-minute annual testing of the emergency backup battery exit lighting.
IFC 1203.4 (2021) - The facility failed to provide documentation on weekly testing and maintenance of their emergency backup generator, including lead acid battery conductance testing, run time clock hours, fuel and oil levels, and annual load bank testing.
IFC 5003.5 (2021) - Room 28 had no "OXYGEN IN USE" sign on the door.
Inspection Report — Jan 13, 2026
Follow-Up
Date: Jan 13, 2026
Visit Reason
This document reports a follow-up inspection conducted on 01/13/2026 to verify correction of previously cited deficiencies related to coordination of health care services at Magnolia Assisted Living.
Complaint Details
The complaint investigation (Complaint #199610) found that the facility failed to coordinate the named resident's appointments, resulting in missed and delayed specialty appointments. Multiple interviews and record reviews confirmed repeated failures to schedule and arrange transportation, causing significant delays in diagnosis and treatment.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility met Assisted Living Facility licensing requirements. Previously cited deficiencies related to coordination of health care services were corrected.
Deficiencies (1)
WAC 388-78A-2350 Coordination of health care services. The facility failed to coordinate necessary health care services by not ensuring timely transportation and scheduling for medical appointments for one resident, resulting in delayed diagnosis and treatment of a potentially life-threatening condition.
Report Facts
Total residents: 50
Resident sample size: 3
Days delay from original appointment: 45
Days from MRI order to completion: 83
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Facility Receptionist | Named in findings for responsibility in scheduling and arranging transportation, acknowledged personal responsibility for missed appointments |
| Staff B | Nursing Director | Named in findings for lack of awareness of missed appointments until late, described hiring of residential care coordinator to improve processes |
Inspection Report — Nov 24, 2025
Complaint Investigation
Date: Nov 24, 2025
Visit Reason
The inspection was conducted as a complaint investigation triggered by allegations related to fire safety and compliance with licensing laws at Magnolia Assisted Living.
Complaint Details
The complaint investigation (Complaint #185205) found multiple fire safety violations including failed Fire Marshal inspections and follow-ups. The facility had two failed Fire Marshal follow-ups and was out of compliance with Life Safety Code requirements. The investigation concluded with citations written for failed provider practices.
Findings
The facility failed multiple fire safety inspections including initial and follow-up Fire Marshal inspections, with numerous violations related to fire alarm system maintenance, fire drills, electrical safety, door closures, and emergency evacuation routes. The follow-up inspection on 11/24/2025 found all deficiencies corrected and no current deficiencies remain.
Deficiencies (8)
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 fire marshal inspections, including lack of documentation for annual fire alarm system services and multiple fire safety violations placing residents at risk.
WAC 388-78A-2040 Other requirements. The facility had combustible storage within 18 inches of sprinkler heads and failed to provide documentation of fire drills from April to December 2024, creating fire hazards.
WAC 388-78A-2040 Other requirements. Electrical hazards included screws in electrical outlets, missing/broken outlet covers, unfused power strips, and multi-plug adapters in use, increasing risk of electrical fire.
WAC 388-78A-2040 Other requirements. Doors throughout the facility had issues including non-operable self-closers, doors that would not fully close and latch, and doors propped open, compromising fire containment.
WAC 388-78A-2040 Other requirements. Sprinkler heads were covered in paint and required replacement; fire extinguishers were not serviced or improperly mounted, reducing fire suppression effectiveness.
WAC 388-78A-2040 Other requirements. The facility lacked documentation for annual and semi-annual fire alarm system services and monthly smoke detector maintenance logs for the past 12 months.
WAC 388-78A-2040 Other requirements. Emergency evacuation routes and egress were affected by construction; fire safety, evacuation, and lockdown plans were not updated to reflect physical changes.
WAC 388-78A-2040 Other requirements. Emergency exit door was obstructed by a locked wooden board; unsecured oxygen tanks lacked proper signage, creating safety hazards.
Report Facts
Total residents: 49
Inspection Report — Nov 17, 2025
Enforcement
Date: Nov 17, 2025
Visit Reason
The Department of Social and Health Services conducted a Complaint Investigation at Magnolia Assisted Living on November 17, 2025, resulting in the imposition of a civil fine for regulatory violations.
Complaint Details
This report is based on a complaint investigation completed on November 17, 2025, which substantiated a violation related to coordination of health care services resulting in a civil fine.
Findings
The facility failed to coordinate necessary health care services by not ensuring timely transportation to medical appointments for one resident, resulting in a delayed diagnosis and treatment of a potentially life-threatening condition. This violation led to a $1,000 civil fine.
Deficiencies (1)
WAC 388-78A-2350 (1)(7)(a)(b) Coordination of health care services. The licensee failed to coordinate necessary health care services by not ensuring timely transportation was arranged and coordinated to medical appointments for one resident. This failure resulted in a delayed diagnosis and treatment of a potentially life-threatening condition.
Report Facts
Civil fine amount: 1000
Inspection Report — Nov 6, 2025
Life Safety
Date: Nov 6, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at Magnolia Assisted Living to evaluate compliance with fire alarm and detection system maintenance requirements.
Findings
The facility had two fire alarm service documentation deficiencies remaining from a prior inspection but both were corrected on site during this inspection. The overall approval status is Approved.
Deficiencies (2)
IFC 907.8 2021 - The facility failed to provide documentation of the annual fire alarm system service within the past twelve months. This deficiency was corrected on site.
IFC 907.8 2021 - The facility failed to provide documentation of the semi-annual fire alarm service within the past twelve months. This deficiency was corrected on site.
Notice — Sep 25, 2025
Date: Sep 25, 2025
Visit Reason
This document communicates the results of the Informal Dispute Resolution process for disputed deficiencies identified in a prior Statement of Deficiencies report dated 08/18/2025.
Findings
The IDR process reviewed materials and statements from the facility and regional staff and decided not to make any changes to the original Statement of Deficiencies report dated 08/18/2025.
Report Facts
Correction timeframe: 45
Statement of Deficiencies report date: Aug 18, 2025
Inspection Report — Sep 23, 2025
Follow-Up
Date: Sep 23, 2025
Visit Reason
Follow-up inspection to verify correction of previously cited deficiencies related to resident rights, medication services, and service agreement planning.
Complaint Details
The complaint investigation involved allegations that a resident had medication concerns and was not allowed to walk the hallways without assistance, and that residents who lived together were separated without proper justification. The investigation found failed provider practices related to medication administration and resident rights violations due to separation of residents. Medication mismanagement led to elevated blood pressure and postponed surgery. The facility also failed to update service agreements accordingly.
Findings
The follow-up inspection on 09/23/2025 found no deficiencies and confirmed that previously cited violations related to resident rights, medication services, and service agreement planning were corrected. Earlier complaint investigations identified failures in protecting resident rights by separating residents without adequate justification, medication mismanagement causing elevated blood pressure and postponed surgery, and failure to update negotiated service agreements. These issues were resolved by the time of the follow-up.
Deficiencies (4)
RCW 70.129.140 Quality of life -- Rights. The facility failed to protect resident rights by separating two residents who shared a living arrangement, causing emotional decline and increased behavioral issues.
WAC 388-78A-2660 Resident rights. The assisted living facility failed to reasonably accommodate residents consistent with applicable laws by separating residents without adequate justification or involvement.
WAC 388-78A-2210 Medication services. The facility failed to ensure a resident received prescribed medications as ordered, resulting in elevated blood pressure and postponed surgery.
WAC 388-78A-2130 Service agreement planning. The facility failed to develop and update the negotiated service agreement to reflect the resident's current medication management needs.
Report Facts
Total residents: 52
Resident sample size: 3
Missed medication doses: 20
Missed medication doses: 8
Missed medication doses: 14
Missed medication doses: 17
Missed medication doses: 14
Missed medication doses: 20
Missed medication doses: 14
Missed medication doses: 14
Notice — Sep 9, 2025
Date: Sep 9, 2025
Visit Reason
The letter confirms the facility's request for an Informal Dispute Resolution (IDR) meeting to discuss the Statement of Deficiencies dated August 18, 2025, and the Imposition of Civil Fine dated August 29, 2025.
Findings
The document does not contain inspection findings but schedules a telephone meeting on September 24, 2025, to dispute citation WAC 388-78A-2040.
Report Facts
Civil Fine Date: Aug 29, 2025
Statement of Deficiencies Date: Aug 18, 2025
Inspection Report — Sep 5, 2025
Complaint Investigation
Date: Sep 5, 2025
Visit Reason
The inspection was a complaint investigation triggered by an allegation that a named resident obtained a fall with injury and the facility failed to follow policies related to safety checks, vitals, alert charting, and timely administration of prescribed pain medication.
Complaint Details
The complaint investigation (Complaint #192400) was initiated due to a resident fall with injury and alleged failure to provide timely pain medication and proper monitoring. The investigation confirmed the facility failed to timely obtain and administer prescribed oxycodone, delayed pain management, and did not perform required safety checks or alert charting after the fall. The complaint was substantiated with citations issued for WAC 388-78A-2240 and WAC 388-78A-2600.
Findings
The investigation found that the facility failed to obtain and administer prescribed pain medication in a timely manner, resulting in ongoing pain for the resident. The facility also failed to implement policies and procedures for safety checks, vitals, and alert charting after the fall, placing the resident at risk for undetected medical needs and continued falls. The complaint was substantiated with citations issued.
Deficiencies (2)
WAC 388-78A-2240 Nonavailability of medications. The assisted living facility failed to obtain and administer newly prescribed pain medication timely for 1 resident, resulting in delayed pain management and ongoing unmanaged pain.
WAC 388-78A-2600 Policies and procedures. The facility failed to ensure staff implemented safety checks, vital signs monitoring, and alert charting for 1 resident after a fall, placing the resident at risk for undetected medical needs and continued falls.
Report Facts
Total residents: 46
Resident sample size: 4
Days delay in medication administration: 12
Days delay in medication pickup: 5
Inspection Report — Aug 18, 2025
Enforcement
Date: Aug 18, 2025
Visit Reason
This document is a formal notice of a civil fine imposed on Magnolia Assisted Living following a follow-up inspection visit conducted on August 18, 2025, due to failure to maintain compliance with fire safety regulations.
Findings
The facility was found non-compliant with the Washington State Patrol Fire Protection Bureau requirements during their third inspection, resulting in an uncorrected deficiency and a $400 civil fine. The violation places residents, staff, and visitors at risk of harm in the event of a fire.
Deficiencies (1)
WAC 388-78A-2040 (2) Other requirements. The licensee failed to maintain compliance with fire protection requirements as found by the Deputy State Fire Marshal during the third inspection. This deficiency remains uncorrected.
Report Facts
Civil fine amount: 400
Inspection Report — Jul 7, 2025
Life Safety
Date: Jul 7, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at Magnolia Assisted Living to evaluate compliance with fire protection and life safety codes.
Findings
The inspection found multiple fire safety violations, some corrected on site and others remaining open. The facility was disapproved due to unresolved issues affecting emergency evacuation routes, electrical hazards, door operations, sprinkler maintenance, and compressed gas storage.
Deficiencies (13)
IFC 315.2.1 (2021) - Storage clearance violations remain with combustible storage within 18 inches of a sprinkler head in the Activities Storage Room.
IFC 404.3 (2021) - The facility failed to provide updated fire safety, evacuation, and lockdown plans reflecting changes due to new construction affecting emergency routes.
IFC 603.2 (2021) - Electrical hazards remain with a screw and washer in an electrical outlet in the Laundry Room and a missing/broken outlet cover in the Med Room.
IFC 603.5 (2021) - Unused power strips and multi-plug adapters were found in Room 20 and the Activities Room desk, violating electrical safety codes.
IFC 701.6 (2021) - There was a penetration in the wall near sprinkler piping in the Diaper Storage Room.
IFC 705.2 (2021) - Fire doors and smoke barriers had gaps at the base of doors in the Med Room and Soiled Laundry Room.
IFC 705.2.4 (2021) - Several fire doors did not fully close or latch, including the Conference Room, Nursing Director's Office, Room 6, Kitchen Storage, Room 29, and Room 17 (which remains in violation).
IFC 903.5 (2021) - Several exterior sprinkler heads were covered in paint and require replacement.
IFC 907.8 (2021) - The facility failed to provide documentation of annual and semi-annual fire alarm system service within the past twelve months.
IFC 906.2 (2021) - The fire extinguisher in the Break Room was not serviced since 2023.
IFC 906.7 (2021) - The type K fire extinguisher in the kitchen was mounted to a bracket that was dislodged from the wall.
IFC 907.8.3 (2021) - The facility failed to maintain a monthly nuisance log for smoke detectors for the past twelve months.
IFC 5303.5.3 (2021) - Several unsecured compressed oxygen tanks were found in the Med Room and oxygen storage room, with no 'OXYGEN IN USE' signage on the door.
Inspection Report — Jun 5, 2025
Life Safety
Date: Jun 5, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at Magnolia Assisted Living to assess compliance with fire protection codes and safety regulations.
Findings
The inspection found multiple fire safety violations including issues with ceiling clearance, fire drill documentation, emergency evacuation routes, electrical hazards, and compressed gas storage. Some violations were corrected on site, but others remained open, resulting in a disapproved status.
Deficiencies (15)
IFC 315.2.1 (2021) - Storage was found within 18 inches of the sprinkler head in the Activities Storage Room, violating ceiling clearance requirements.
IFC 404.2 (2021) - The facility failed to provide documentation of fire drills between April 2024 and December 2024.
IFC 404.3 (2021) - Construction in progress affected emergency evacuation routes and the facility failed to provide updated fire safety and lockdown plans.
IFC 603.2 (2021) - Electrical hazards included a screw and washer in an electrical outlet in the Laundry Room, a missing/broken outlet cover in the Med Room, and a missing outlet cover near a bed in Room 20.
IFC 603.5 (2021) - Unfused power strips and multi-plug adapters were found in use in Room 20 and the Activities Room desk; Room 17's door self-closer was not operational.
IFC 603.9 (2021) - Portable electric heaters in the Family and Conference Rooms lacked automatic shut-off when tipped over.
IFC 701.6 (2021) - A penetration was found in the wall near sprinkler piping in the Diaper Storage Room.
IFC 705.2 (2021) - Gaps approximately 1.5 inches were found at the base of door assemblies in the Med Room and Soiled Laundry Room.
IFC 906.2 (2021) - The fire extinguisher in the Break Room was not serviced since 2023.
IFC 906.7 (2021) - The type K fire extinguisher in the kitchen was mounted on a bracket that was dislodged from the wall.
IFC 907.8 (2021) - The facility failed to provide documentation of annual and semi-annual fire alarm system service within the past twelve months.
IFC 907.8.3 (2021) - The facility failed to maintain a monthly nuisance log for smoke detectors for the past twelve months.
IFC 1009.2 (2015, 2018) - Construction affected emergency evacuation routes; the north emergency exit door was blocked by a wooden board and locked; and an emergency exit door was improperly signed.
IFC 5303.4.1 (2021) - There was no signage on the exterior of the Med Room door showing oxygen storage use and no signage showing FULL and EMPTY areas for oxygen tanks.
IFC 5303.5.3 (2021) - Several unsecured compressed oxygen tanks were found in the Med Room; oxygen storage was removed from the previous location without proper signage relocation.
Report Facts
Inspection pages: 9
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