Inspection Reports for
Meridian at Stone Creek

WA, 98354

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29 Reports

2023–2026

Inspection Report — Jun 1, 2026

Follow-Up
Date: Jun 1, 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.

Inspection Report — Mar 24, 2026

Enforcement
Date: Mar 24, 2026

Visit Reason
This document is a formal notice of civil fines imposed on The Meridian at Stone Creek following a follow-up visit by the Department of Social and Health Services Residential Care Services on March 24, 2026.

Findings
The facility was cited for uncorrected deficiencies related to unsafe hot water temperatures and unsafe maintenance and housekeeping conditions. These violations placed residents at risk and resulted in civil fines totaling $700.00.

Deficiencies (2)
WAC 388-78A-2950 (6) Water supply. The licensee failed to ensure that the hot water temperatures in four common area sinks measured between 105 and 120 degrees Fahrenheit. This failure placed all 86 residents at risk of injury and decreased quality of life due to unsafe water temperatures.
WAC 388-78A-3090 (1)(a) Maintenance and housekeeping. The licensee failed to keep the interior facility grounds safe and in good repair for 26 residents. This failure placed all memory care residents at risk of a potential injury and a decreased quality of life.
Report Facts
Civil fine amount: 400 Civil fine amount: 300 Total civil fines: 700 Residents at risk: 86 Residents at risk: 26

Inspection Report — Nov 13, 2025

Complaint Investigation
Date: Nov 13, 2025

Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation triggered by allegations that staff were inappropriate with residents and that a named staff member dispensed medication without checking dose or medication.

Complaint Details
Complaint number 198832 alleged staff were inappropriate with residents and a named staff member dispensed medication without checking dose or medication. The investigation substantiated the failure to complete the required fingerprint background check and issued a citation. The medication pass issue was addressed by re-education and counseling of the named staff.
Findings
The investigation found that the assisted living facility failed to ensure completion of the required national fingerprint background check for a named staff member, resulting in a citation. The facility re-educated and counseled the named staff on appropriate medication pass techniques.

Deficiencies (1)
WAC 388-78A-24681 Background checks Employment Provisional hire Pending results of national fingerprint background check. The assisted living facility failed to ensure completion of the required national fingerprint background check within 120 days of hire for a sampled staff member, placing all 40 residents at risk.
Report Facts
Total residents: 40

Employees mentioned
NameTitleContext
Woodetta MaulanaInvestigatorConducted the complaint investigation and onsite verification

Inspection Report — Oct 15, 2025

Follow-Up
Date: Oct 15, 2025

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 (Complaint #181427) was related to concerns about signing multiple contracts and questions about ownership of the Assisted Living Facility. The investigation found failed provider practice and a citation was written for failing to notify the Department of a change of ownership.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies under WAC 388-78A-2770-3 were corrected.

Deficiencies (1)
WAC 388-78A-2770 Change in licensee/change of ownership When change in licensee is required. The licensee of an assisted living facility must change whenever the licensee dissolves or merges and the legal organization does not survive. The facility failed to notify the Department of a change of ownership, placing all 67 residents at risk from receiving services from an unqualified licensee.
Report Facts
Total residents: 67 Resident sample size: 3

Employees mentioned
NameTitleContext
Staff ASenior Vice President of OperationsProvided statements during email interviews regarding ownership discrepancies

Inspection Report — Aug 12, 2025

Follow-Up
Date: Aug 12, 2025

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 related to coordination of health care services.

Complaint Details
The original complaint investigation involved allegations that a named resident was sent to the hospital for open wounds and was not allowed to return to the facility. The investigation found that the facility failed to coordinate services for the resident who required wound care, resulting in citations. The follow-up inspection confirmed correction of these deficiencies.
Findings
The follow-up inspection on 08/12/2025 found no deficiencies and confirmed that the previously cited deficiency regarding coordination of health care services was corrected.

Deficiencies (1)
WAC 388-78A-2350 Coordination of health care services. The assisted living facility must coordinate services with external health care providers to meet the residents' needs, consistent with the resident's negotiated service agreement.

Employees mentioned
NameTitleContext
Woodetta MaulanaInvestigator who conducted the complaint investigation and follow-up inspection.
Manfay ChanAllied Health Field ManagerSigned the follow-up inspection letter confirming no deficiencies.

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 compliance with licensing laws and fire safety codes.

Findings
The follow-up inspection on 08/05/2025 found no deficiencies and confirmed that all previously cited deficiencies were corrected. The facility is now in compliance with applicable regulations.

Deficiencies (6)
WAC 388-78A-2040 Other requirements. The facility failed to maintain compliance with State Fire Marshal codes, placing 76 residents, visitors, and staff at risk. Specific fire and life safety code violations were cited in prior inspections.
IFC 706.1 (2018) Duct and Air Transfer Openings – Maintaining Protection. The facility's fire/smoke dampers failed inspection, and damper access panels were not labeled with 'Fire Damper' as required.
IFC 903.5 (2021) Testing and Maintenance. The facility was unable to provide required fire sprinkler system documentation including annual standpipe confidence and 3-year full flow trip test reports.
IFC 904.13.5.2 (2021) Extinguishing System Service. The kitchen hood suppression system was out of alignment with cooking appliances, affecting system performance and coverage.
IFC 1203.4 (2021) Maintenance. The facility lacked documentation for annual servicing of the emergency backup generator, diesel fuel compliance, and monthly load tests for the past 12 months.
WAC 388-78A-2040 Other requirements. The facility failed to maintain compliance with fire safety codes including missing lock device on fire alarm circuit breaker, lack of annual inspection records for fire-resistant assemblies and fire doors, and improper door hardware on fire-rated doors.
Report Facts
Total residents: 76 Deficiencies cited: 8

Employees mentioned
NameTitleContext
Staff AExecutive DirectorNamed in interviews regarding receipt and awareness of fire marshal deficiency reports

Inspection Report — Jul 31, 2025

Life Safety
Date: Jul 31, 2025

Visit Reason
On 07/31/2025 the Office of the State Fire Marshal conducted an inspection at the facility to verify compliance with fire and life safety codes.

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

Deficiencies (33)
IFC 706.1 2018 - Dampers protecting ducts and air transfer openings shall be inspected and maintained. The facility's dampers failed in 3rd floor storage and laundry, and damper access panels were not labeled with 'Fire Damper' letters at least 1 inch high.
IFC 903.5 2021 - Sprinkler systems shall be tested and maintained. The facility was unable to provide documentation for annual standpipe confidence report and 3-year dry system full flow trip test.
IFC 904.13.5.2 2021 - Automatic fire-extinguishing systems shall be serviced at least every six months. Inspection certificates must be forwarded to the fire code official upon completion.
IFC 1203.4 2021 - Emergency and standby power systems shall be maintained to supply service within required time. The system was maintained accordingly.
IFC 701.6 2021 - The owner shall maintain an inventory of fire-resistance-rated construction and inspect annually. Records of inspections and repairs shall be maintained.
IFC 705.2 2021 - Opening protectives in fire-resistance-rated assemblies shall be inspected and maintained. Facility unable to provide records showing annual inspection, testing, and repair of fire doors in the past 12 months.
IFC 705.2.4 2021 - Swinging fire doors shall close and latch automatically. Several fire doors failed to self-close and latch when tested, with latch hardware removed or replaced with keyed deadbolt locks.
IFC 706.1 2018 - Dampers protecting ducts and air transfer openings shall be inspected and maintained. Facility unable to provide documentation showing inspection and testing of all automatic and fusible link fire/smoke dampers in the past four years.
IFC 903.5 2021 - Sprinkler systems shall be tested and maintained. Facility unable to provide fire sprinkler system documentation for last annual standpipe confidence report, 3-year full flow trip test, 5-year inspection/test reports, and 5-year FDC hydro test report.
IFC 904.13.5.2 2021 - Automatic fire-extinguishing systems shall be serviced at least every six months. Kitchen hood suppression system was past due for semi-annual servicing; last performed in May 2023.
IFC 1203.4 2021 - Emergency and standby power systems shall be maintained. Facility unable to provide documentation showing annual servicing of emergency backup generator and diesel fuel compliance, and monthly load tests for past 12 months.
IFC 603.2 2021 - Abatement of electrical hazards. Light switch in kitchen pantry is missing required cover plate.
IFC 603.4 2021 - Working space and clearance around electrical equipment shall be maintained. Facility failed to maintain required workspace clearance in front of electrical panels in mechanical rooms by W214 and E116.
IFC 603.6 2021 - Extension cords shall not be a substitute for permanent wiring and shall be labeled. Extension cords were found used as permanent wiring in multiple locations and concealed above ceiling tiles powering refrigerators.
IFC 606.3.3 2021 - Hoods, grease-removal devices, fans, ducts shall be cleaned at required intervals. Facility unable to provide reports showing quarterly kitchen hood cleanings performed in past 12 months.
IFC 701.6 2021 - Owner's responsibility to maintain inventory and inspection records of fire-resistance-rated construction. Facility unable to provide last annual inspection of assemblies or record of repairs.
IFC 703.1 2021 - Materials and firestop systems shall be maintained. Unsealed penetrations and unapproved silicone were found in rated ceiling and walls, including around a boiler room and interior storage room.
IFC 705.2 2021 - Opening protectives in fire-resistance-rated assemblies shall be inspected and maintained. Facility unable to provide records showing annual inspection, testing, and repair of fire doors in past 12 months; only partial records available.
IFC 705.2.4 2021 - Swinging fire doors shall close and latch automatically. Multiple fire doors failed to self-close and latch when tested; latch hardware was removed or replaced with deadbolt locks, and some doors were propped open.
IFC 706.1 2018 - Dampers protecting ducts and air transfer openings shall be inspected and maintained. Dampers by E316, E216, and E116 were coated in excessive dust build-up and lacked inspection labels; facility unable to verify inspection and testing in past four years.
IFC 903.5 2021 - Sprinkler systems shall be tested and maintained. Facility unable to provide fire sprinkler system documentation for quarterly inspection reports, annual confidence test, forward flow test, 3-year full flow trip test, 5-year inspection/test reports, and 5-year FDC hydro test report.
IFC 903.5 2021 - Sprinkler systems shall be tested and maintained. Cover plate behind recessed sprinkler head missing in mechanical room by W214; ordinary-rated sprinkler heads found in walk-in cooler and freezer require replacement with intermediate-temperature classification or higher.
IFC 904.13.5.2 2021 - Automatic fire-extinguishing systems shall be serviced at least every six months. Kitchen hood suppression system was past due for semi-annual servicing; last performed in May 2023.
IFC 907.8 2021 - Fire alarm and detection systems shall be maintained. Facility unable to provide documentation showing annual servicing of fire alarm system in past 12 months.
IFC 915.6 2021 WAC - Carbon monoxide alarms shall be maintained. Facility unable to provide documentation showing monthly inspection of carbon monoxide alarms in past 12 months.
IFC 1013.6.1 2021 - Exit signs shall be externally illuminated and plainly legible. Exit sign by W209 had internal part blocking light bulb, preventing full illumination of exit sign lettering.
IFC 1032.10.1 2021 - Emergency lighting equipment shall be tested monthly for at least 30 seconds. Facility unable to provide documentation showing monthly battery testing of emergency lighting and exit signs in past 12 months.
IFC 1032.2 2021 - Required exit accesses, exits, and exit discharges shall be continuously maintained free from obstructions. Exterior lever handle on west dining room exit door was installed backwards, obstructing the interior right leaf from opening; door handle was cinched with strap.
IFC 1203.4 2021 - Emergency and standby power systems shall be maintained. Facility unable to provide documentation showing annual servicing of emergency backup generator, diesel fuel compliance, and monthly load tests for past 12 months.
NFPA 5303.5.3 2021 - Compressed gas containers shall be secured to prevent falling. Two un-racked oxygen cylinders were found in resident room W334, one on floor and one on table.
NFPA Standard 10 Section 6.2.1 - Fire extinguishers shall be inspected at required intervals. Portable fire extinguishers lacked required 30-day inspection documentation for April, May, and June 2024.
NFPA 72 10.6.5.2 - Circuit identification and accessibility. Fire alarm circuit breaker in main electrical room was missing required lock device in the 'ON' position.
NFPA 80 5.2.3.5.2 2019 - Fire door inspection and testing. Facility found painted door frame labels, open holes in doors and frames due to hardware changes, and missing or damaged door components.
Report Facts
Number of deficiencies cited: 34

Inspection Report — Jun 9, 2025

Enforcement
Date: Jun 9, 2025

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to The Meridian at Stone Creek to assess compliance with state regulations and to impose a civil fine due to recurring violations.

Findings
The facility failed to maintain compliance with State Fire Marshal codes for Long Term Care facilities, placing 76 residents, visitors, and staff at risk. This deficiency was recurring and previously uncorrected, resulting in an $800 civil fine.

Deficiencies (1)
WAC 388-78A-2040 (1) Other requirements. The licensee failed to maintain compliance with State Fire Marshal codes for Long Term Care facilities, placing residents, visitors, and staff at risk in an emergency.
Report Facts
Civil fine amount: 800

Inspection Report — Jun 4, 2025

Life Safety
Date: Jun 4, 2025

Visit Reason
An unannounced Fire and Life Safety Code re-inspection was conducted at The Meridian at Stone Creek by the Office of the State Fire Marshal to determine compliance with applicable codes.

Findings
The facility was found to have multiple fire and life safety code violations including failure to provide required documentation for fire protection systems, missing labels on damper access panels, and deficiencies in maintenance and inspection of fire safety equipment. Some violations were corrected on site, but many remained uncorrected at the time of inspection.

Deficiencies (10)
IFC 706.1 2018 - Dampers protecting ducts and air transfer openings were found failed in 3rd floor storage and laundry areas. The facility failed to label all damper access panels with the words "Fire Damper" in letters not less than 1 inch (25 mm) in height.
IFC 903.5 2021 - The facility was unable to provide documentation for the annual standpipe confidence report and the 3-year dry system full flow trip test at the time of re-inspection.
IFC 904.13.5.2 2021 - Automatic fire-extinguishing systems shall be serviced at least every six months. This was corrected.
IFC 1203.4 2021 - Emergency and standby power systems shall be maintained to supply service within the required time. This was corrected.
IFC 701.6 2021 - The owner failed to provide last annual inspection of all fire-resistant-rated construction assemblies in the building or record of repairs.
IFC 705.2 2021 - Opening protectives in fire-resistance-rated assemblies were not properly inspected and maintained. The facility lacked records showing all fire doors have been annually inspected, tested, and repaired in the past 12 months.
IFC 706.1 2018 - The facility failed to provide documentation showing all automatic and fusible link fire/smoke dampers received inspection and testing in the past four years. Damper access panels were not labeled with "Fire Damper" in letters not less than 1 inch (25 mm) in height.
IFC 903.5 2021 - The facility was unable to provide fire sprinkler system documentation including last annual standpipe confidence report, last 3-year full flow trip test report, last 5-year inspection/test reports, and last 5-year FDC hydro test report.
IFC 904.13.5.2 2021 - Kitchen hood suppression system report indicated cooking appliances were out of line with suppression system nozzles, affecting performance. Facility shall work with DOH Construction Review Services to ensure correct system design.
IFC 1203.4 2021 - Facility failed to provide documentation showing annual servicing of emergency backup generator, compliance with diesel fuel manufacturer's recommendations, and monthly load tests for the past 12 months.
Report Facts
Next inspection scheduled date: Jul 4, 2025

Inspection Report — Jun 4, 2025

Complaint Investigation
Date: Jun 4, 2025

Visit Reason
The inspection was conducted in response to complaint #178945 regarding smoking and fire safety concerns at the Meridian at Stone Creek facility.

Complaint Details
Complaint #178945 alleged smoking/fire safety issues. The fire was confirmed to have occurred but no violations were found. The complaint was investigated and no citations were issued.
Findings
The investigation found that a fire occurred outside the building in the smoking area but no injuries or evacuations happened. The facility replaced the ashtray with a metal canister and provided staff training. No IFC violations were observed and the facility was approved.

Inspection Report — May 21, 2025

Follow-Up
Date: May 21, 2025

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

Complaint Details
The complaint investigation dated 08/14/2024 through 08/29/2024 involved allegations that a resident on hospice did not receive routine showers and that a resident was neglected towards the end of their stay. The investigation substantiated the failure to update the negotiated service agreement for one resident following a change in condition, resulting in a citation.
Findings
The follow-up inspection found no deficiencies and confirmed that the previously cited deficiencies regarding updating residents' negotiated service agreements were corrected.

Deficiencies (1)
WAC 388-78A-2130 Service agreement planning. The assisted living facility must review and update each resident's negotiated service agreement consistent with WAC 388-78A-2120 within a reasonable time following any change in the resident's condition and whenever the agreement no longer adequately addresses the resident's needs.
Report Facts
Sampled residents: 3 Resident falls: 5

Employees mentioned
NameTitleContext
Staff AExecutive DirectorConfirmed that the negotiated service agreement was not updated to include resident's falls

Inspection Report — Mar 6, 2025

Enforcement
Date: Mar 6, 2025

Visit Reason
This document is a formal notice of a civil fine imposed on The Meridian at Stone Creek following a follow-up visit conducted on March 6, 2025, due to failure to maintain compliance with State Fire Marshal codes for Long Term Care facilities.

Findings
The facility was cited for an uncorrected violation of WAC 388-78A-2040 (1) Other requirements, which placed 76 residents at risk in the event of an emergency. The citation was previously cited on December 9, 2024, and remains uncorrected, resulting in a $600 civil fine.

Deficiencies (1)
WAC 388-78A-2040 (1) Other requirements. The licensee failed to maintain compliance with the State Fire Marshal codes for Long Term Care facilities, placing residents at risk during emergencies.
Report Facts
Civil fine amount: 600 Residents at risk: 76

Inspection Report — Dec 10, 2024

Re-Inspection
Date: Dec 10, 2024

Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previously cited fire safety violations.

Findings
The re-inspection found multiple outstanding violations related to fire-resistance-rated construction, fire door inspections, sprinkler system documentation, extinguishing system service, and emergency power maintenance. None of the cited violations had been corrected, resulting in a Disapproved status.

Deficiencies (6)
IFC 701.6 (2021) - The owner failed to provide the last annual inspection of all fire-resistance-rated construction assemblies or records of repairs.
IFC 705.2 (2021) - Unable to provide records showing all fire doors have been annually inspected, tested, and repaired in the past 12 months; only partial records available.
IFC 706.1 (2018) - Unable to provide documentation that all automatic and fusible link fire/smoke dampers have been inspected and tested in the past four years; damper access panels must be labeled 'Fire Damper' with letters not less than 1 inch in height.
IFC 903.5 (2021) - Unable to provide fire sprinkler system documentation including annual forward flow test, standpipe confidence report, full flow trip test reports, and 5-year inspection/test reports; scheduling required.
IFC 904.13.5.2 (2021) - Kitchen hood suppression system report indicated cooking appliances were out of line with nozzles affecting system performance; facility must ensure correct system design and coverage.
IFC 1203.4 (2021) - Unable to provide documentation showing annual servicing of emergency backup generator, diesel fuel compliance, and monthly load tests for the emergency generator in the past 12 months.

Inspection Report — Nov 5, 2024

Follow-Up
Date: Nov 5, 2024

Visit Reason
The Department of Social and Health Services conducted a follow-up inspection to verify correction of previously cited deficiencies related to infection control practices and respirator medical evaluations.

Complaint Details
The complaint investigation (Intake ID 133789) found the facility was not following COVID protocols, including lack of respirators and fit testing during an outbreak. The complaint was substantiated with citations issued.
Findings
The follow-up inspection on 11/05/2024 found no deficiencies, indicating that previously cited infection control deficiencies were corrected. The prior complaint investigation and deficiency findings related to respirator fit testing and supply shortages were documented in earlier reports.

Deficiencies (2)
WAC 388-78A-2610 Infection control. The facility failed to ensure 2 of 2 staff were qualified to medically evaluate staff prior to respirator fit testing, placing residents and staff at risk of infection during an outbreak.
WAC 388-78A-2610 Infection control. The facility failed to ensure staff were fit tested with respirators and failed to maintain a supply of respirators during a COVID outbreak, placing residents and staff at risk of infection.
Report Facts
Total residents: 69 Resident sample size: 2 Staff fit tested without proper medical evaluation: 23

Inspection Report — Oct 1, 2024

Complaint Investigation
Date: Oct 1, 2024

Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding allegations that a resident was wet with urine for an extended amount of time and resident-to-resident incidents.

Complaint Details
The complaint investigation involved multiple allegations including a resident being wet with urine for an extended time and resident-to-resident incidents. The facility failed to document investigations properly and failed to follow alert charting policies. Citations were issued for these failures.
Findings
The facility failed to document investigative findings and actions related to abuse and neglect allegations, failed to follow policies for alert charting for residents, and failed to maintain laundry machines with proper hot water and sanitizer. Citations were written for these deficiencies.

Deficiencies (3)
WAC 388-78A-2371 Investigations. The assisted living facility failed to document investigative findings and actions for alleged abuse and neglect for 3 of 3 residents, leading to gaps in accountability and oversight.
WAC 388-78A-3040 Laundry. The assisted living facility failed to have washing machines with a continuous supply of hot water at 140 degrees Fahrenheit and automatic chemical sanitizer, placing residents at risk of infection and cross contamination.
WAC 388-78A-2600 Policies and procedures. The assisted living facility failed to follow policies by not placing 1 of 2 sampled residents on daily alert charting after complaints of inappropriate touching, risking psychological harm.
Report Facts
Total residents: 5 Resident sample size: 5 Closed records sample size: 2

Employees mentioned
NameTitleContext
Woodetta MaulanaInvestigatorNamed as the department staff who conducted the on-site verification and investigation
Staff DMemory Care DirectorInterviewed regarding residents wet with urine and investigation process
Staff AInterviewed regarding incident report and investigative findings
Staff BMaintenance DirectorInterviewed regarding laundry machines and hot water supply
Staff CHousekeeping StaffInterviewed regarding laundry practices and chemical sanitizer use
Staff EDirector of NursingInterviewed and documented alert charting and resident care

Inspection Report — Sep 25, 2024

Re-Inspection
Date: Sep 25, 2024

Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previously cited fire safety violations.

Findings
The re-inspection found multiple fire and life safety violations remain uncorrected, including missing lock devices on fire alarm circuit breakers, lack of documentation for fire-resistant construction inspections, fire door inspections, sprinkler system maintenance, and emergency system servicing. The facility was disapproved due to these outstanding deficiencies.

Deficiencies (18)
10.6.5.2 Circuit Identification and Accessibility. Fire alarm circuit breaker in the main electrical room was missing the required lock device locking the breaker in the ON position.
NFPA 72 10.6.5.2 Owner shall maintain inventory and visually inspect fire-resistant-rated construction assemblies annually with records of repairs; facility unable to provide last annual inspection or repair records.
IFC 705.2 2021 Inspection and Maintenance. Facility unable to provide record showing fire doors have been annually inspected, tested, and repaired in the past 12 months.
IFC 705.2.4 2021 Door Operation. Several fire doors failed to self-close and latch automatically, including storage rooms, corridor doors, service hall laundry room, and kitchen/dining room doors with latch hardware replaced by deadbolt locks.
IFC 706.1 2018 Duct and Air Transfer Openings - Maintaining Protection. Facility unable to provide documentation showing all fire/smoke dampers inspected and tested in past four years; some dampers coated with dust; damper access panels not labeled with 'Fire Damper' in required lettering.
IFC 903.5 2021 Testing and Maintenance. Facility unable to provide fire sprinkler system documentation for several required tests including last annual forward flow test and FDC hydro test; ordinary-rated sprinkler heads found in walk-in cooler and freezer requiring replacement.
IFC 904.13.5.2 2021 Extinguishing System Service. Kitchen hood suppression system past due for semi-annual servicing; last performed May 2023.
IFC 907.8 2021 Inspection, Testing and Maintenance. Facility unable to provide documentation showing annual servicing of fire alarm system in past 12 months.
IFC 915.6 2021 WAC Maintenance. Facility unable to provide documentation showing monthly inspection of carbon monoxide alarms in past 12 months.
IFC 1013.6.1 2021 Graphics. Exit sign by W209 has internal part blocking light bulb, preventing full illumination of exit sign lettering on front and back.
IFC 1032.10.1 2021 Activation Test. Facility unable to provide documentation showing 30-second monthly battery testing of emergency lighting and exit signs in last 12 months.
IFC 1031.10.2 2021 Power Test. Facility unable to provide documentation showing 90-minute annual battery testing of emergency lighting and exit signs in past 12 months; required to conduct test by re-inspection date.
IFC 1032.2 2021 Reliability. Exterior lever handle on west dining room exit doors installed backwards obstructing door opening; facility uses strap workaround.
IFC 1203.4 2021 Maintenance. Facility unable to provide documentation showing annual servicing of emergency backup generator, diesel fuel compliance, and monthly load tests for past 12 months.
IFC 5303.5.3 2021 Securing Compressed Gas Containers, Cylinders and Tanks. Two unracked oxygen cylinders found in resident room W334, one on floor and one on table.
NFPA Standard 10 Section 6.2.1 Inspection Frequency. Portable fire extinguishers lacked required 30-day inspection documentation for April, May, and June 2024.
NFPA 72 10.6.5.2 Circuit Identification and Accessibility. Fire alarm circuit breaker in main electrical room missing required lock device locking breaker in ON position.
NFPA 80, 5.2.3.5.2 (2019) NFPA 80 Fire Door Inspection and Testing. Painted fire door frame labels throughout facility; multiple fire doors and frames had open holes due to hardware changes requiring repair.
Report Facts
Fire extinguishers missing inspections: 3 Quarterly kitchen hood cleanings: 4 Fire doors failing self-close and latch: 7 Fire sprinkler system tests missing: 3 Fire/smoke damper inspection interval: 4

Inspection Report — Sep 4, 2024

Complaint Investigation
Date: Sep 4, 2024

Visit Reason
A complaint investigation was conducted regarding a small kitchen fire that occurred within the oven located in the facility's kitchen.

Complaint Details
Complaint #143353 concerned a kitchen fire. The complaint was investigated and found unsubstantiated as no violations were observed and no fire department response was needed.
Findings
The investigation found that a small fire inside the oven was quickly extinguished without activation of fire suppression or sprinkler systems. No fire department response was required, no evacuations or injuries occurred, and no violations or IFC code violations were detected.

Inspection Report — Sep 4, 2024

Enforcement
Date: Sep 4, 2024

Visit Reason
This document is a formal notice of a civil fine imposed on The Meridian at Stone Creek assisted living facility following a follow-up visit conducted by the Department of Social and Health Services Residential Care Services on September 4, 2024.

Findings
The facility was fined $400 for failing to ensure two staff members were qualified to medically evaluate staff prior to respirator fit-testing, placing residents at risk during a communicable disease outbreak. This deficiency was uncorrected and previously cited on June 26, 2024.

Deficiencies (1)
WAC 388-78A-2610(1)(2)(c) Infection control. The licensee failed to ensure two staff were qualified to medically evaluate staff prior to fit-testing a respirator. This failure placed all residents at risk of exposure to infection during an outbreak of a communicable disease.
Report Facts
Civil fine amount: 400

Inspection Report — Aug 9, 2024

Complaint Investigation
Date: Aug 9, 2024

Visit Reason
The Department conducted a full inspection and complaint investigations at The Meridian at Stone Creek Assisted Living Facility based on multiple complaints including housekeeping and maintenance services not being provided, financial exploitation, care and services not provided, food safety, and resident care concerns.

Complaint Details
The inspection investigated multiple complaints including housekeeping and maintenance services not being provided, financial exploitation, care and services not provided, food safety, and resident care concerns. Several citations were written for failures in care planning, staff training, background checks, food sanitation, and resident monitoring.
Findings
The inspection found multiple deficiencies including failure to screen staff for tuberculosis and CPR training timely, incomplete background checks, lack of specialized training for mental illness, dementia, and mental health, failure to complete facility orientation and continuing education for staff, food sanitation violations including pest control and cleanliness issues, unsigned negotiated service agreements for residents, failure to develop initial resident service plans timely, and failure to monitor and respond to residents' changing needs. Several citations were written and some deficiencies were recurring.

Deficiencies (13)
WAC 388-78A-2480 Tuberculosis Testing Required. The facility failed to ensure 3 of 4 sampled staff were screened for tuberculosis within three days of employment, placing all residents at risk of exposure to a communicable disease.
WAC 388-112A-0720 What are the CPR and first-aid training requirements? The facility failed to ensure 3 of 3 sampled staff obtained CPR/first-aid certification within thirty days of hire, risking residents' health during emergencies.
WAC 388-78A-2462 Background checks Who is required to have. The facility failed to ensure 1 of 4 sampled staff completed a Washington state criminal background check, risking care by staff with a criminal history.
WAC 388-78A-24681 Background checks Employment Provisional hire Pending results of national fingerprint background check. The facility failed to ensure 1 of 4 sampled staff completed a national fingerprint background check within 120 days of hire, risking care by staff with a criminal background.
WAC 388-78A-2500 Specialized training for mental illness. The facility failed to ensure 1 of 4 staff completed mental health specialty training, risking care from untrained staff and decreased quality of life.
WAC 388-78A-2510 Specialized training for dementia. The facility failed to ensure 1 of 4 staff completed dementia specialty training, risking care from untrained staff and decreased quality of life.
WAC 388-112A-0611 Who in an assisted living facility is required to complete continuing education training each year. The facility failed to ensure 2 of 2 sampled staff took required continuing education classes, risking care from untrained staff.
WAC 388-78A-2450 Staff. The facility failed to ensure 1 of 4 sampled staff had a credential in good standing, risking care from inadequately trained staff.
WAC 388-112A-0200 What is orientation training, who should complete it, and when should it be completed? The facility failed to ensure 3 of 3 sampled staff completed facility orientation, risking care from untrained staff.
WAC 388-78A-2305 Food sanitation. The facility failed to ensure proper food storage, cleanliness, date marking, and pest control in two kitchen areas, placing all residents at risk of food-borne illnesses.
WAC 388-78A-2150 Signing negotiated service agreement. The facility failed to ensure the negotiated service agreement was signed annually by the resident or representative and facility for 4 of 8 sampled residents, risking residents' involvement in care decisions.
WAC 388-78A-2130 Service agreement planning. The facility failed to develop an initial resident service plan timely for 1 of 1 newly admitted sampled residents, risking unmet care needs and diminished quality of life.
WAC 388-78A-2120 Monitoring residents' well-being. The facility failed to take appropriate action in response to a resident's changing needs when an open wound was not evaluated and treated timely, placing the resident at risk for further harm.
Report Facts
Total residents: 60 Resident sample size: 12 Closed records sample size: 1 Staff screened for TB: 3 Staff CPR training missing: 3 Staff background check missing: 1 Staff fingerprint check missing: 1 Staff mental health training missing: 1 Staff dementia training missing: 1 Staff continuing education missing: 2 Staff credential missing: 1 Staff facility orientation missing: 3 Unsigned negotiated service agreements: 4 Late initial service plan: 1

Inspection Report — Jun 18, 2024

Complaint Investigation
Date: Jun 18, 2024

Visit Reason
The inspection was conducted as a complaint investigation based on multiple allegations including lack of staff, insufficient toilet paper and paper towels, unsanitary environment, unmanaged laundry, disrespectful staff behavior, sewage backup, and lack of hot water.

Complaint Details
The complaint investigation involved allegations of lack of staff, insufficient supplies, unsanitary conditions, unmanaged laundry, disrespectful staff, sewage backup, and lack of hot water. Several allegations were substantiated with citations written for maintenance and housekeeping failures and nursing delegation deficiencies. Some allegations were unsubstantiated or previously investigated.
Findings
The investigation found multiple citations related to maintenance and housekeeping deficiencies, including lack of toilet paper and paper towels, unsanitary conditions, and unclean laundry areas. Some allegations were not substantiated, and criminal background checks on staff showed no findings. The facility failed to ensure nursing delegation compliance for medication administration.

Deficiencies (2)
WAC 388-78A-3090 Maintenance and housekeeping. The assisted living facility failed to provide a safe, sanitary, and well-maintained environment, including lack of toilet paper and paper towels, unsanitary resident rooms, bathrooms, laundry, and common areas.
WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to ensure qualified staff delegated nursing tasks to administer medications and perform blood sugar checks for sampled residents, risking care from unqualified staff.
Report Facts
Total residents: 22 Resident sample size: 6 Number of citations: 2

Inspection Report — Apr 26, 2024

Follow-Up
Date: Apr 26, 2024

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 resident well-being monitoring.

Complaint Details
The investigation was triggered by a public complaint of care and services. The complaint involved systemic problems with medication administration and monitoring of residents' well-being. The investigation found failed provider practices and citations were written.
Findings
The follow-up inspection on 04/26/2024 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected as documented in the report.

Deficiencies (2)
WAC 388-78A-2240 Nonavailability of medications. The facility failed to implement a system to ensure medications were available to 3 of 8 sampled residents, placing them at risk of medical decline.
WAC 388-78A-2120 Monitoring residents' well-being. The facility failed to monitor and chart changes in condition for 2 of 8 sampled residents when medications were not provided, placing them at risk of medical decline.
Report Facts
Sampled residents: 8 Residents affected: 3 Residents affected: 2

Inspection Report — Mar 6, 2024

Complaint Investigation
Date: Mar 6, 2024

Visit Reason
The inspection was conducted as a complaint investigation due to multiple allegations including lack of hot water, kitchen sanitation concerns, presence of pests, and facility maintenance issues at The Meridian at Stone Creek Assisted Living Facility.

Complaint Details
The complaint investigation involved multiple allegations including lack of hot water, kitchen sanitation issues, presence of pests, and facility maintenance problems. The failure to maintain hot water and to report the boiler malfunction was substantiated with citations. The exterior grounds were found unsafe and unsanitary, also resulting in a citation. Other allegations such as kitchen sanitation, presence of norovirus, food shortages, and staffing ratios were not substantiated.
Findings
The facility failed to report to the department when the boiler system stopped maintaining water temperatures between 105 and 120 degrees Fahrenheit. Multiple citations were written for this failure and for unsafe exterior grounds. Other allegations such as kitchen sanitation, presence of pests, and food shortages were not substantiated. The facility was found not in compliance with licensing laws due to these deficiencies.

Deficiencies (3)
WAC 388-78A-3090 Maintenance and housekeeping. The assisted living facility failed to ensure the exterior grounds were safe, sanitary and in good repair, placing all residents at risk for harm. Observations included trash and inoperable equipment on the parking lot and grounds.
WAC 388-78A-2650 Reporting fires and incidents. The assisted living facility failed to report to the department when the boiler system no longer worked to keep water temperatures between 105 and 120 degrees Fahrenheit, preventing the department from ensuring continuation of services.
WAC 388-78A-2950 Water supply. The assisted living facility failed to maintain hot water temperatures between 105 and 120 degrees Fahrenheit at all times, placing residents at risk of decreased quality of life.
Report Facts
Temperature range: 105 Temperature range: 120 Sample resident room temperatures: 93.6 Sample resident room temperatures: 105 Date range of investigation: 81 Number of cited deficiencies: 3

Inspection Report — Aug 14, 2023

Life Safety
Date: Aug 14, 2023

Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility on 08/14/2023 to verify correction of previous violations.

Findings
All violations noted during previous related inspections have been corrected, resulting in an Approved status for this inspection.

Inspection Report — Aug 4, 2023

Follow-Up
Date: Aug 4, 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 the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

Report Facts
Sampled staff members for TB screening: 5 Residents at risk of TB infection: 74

Inspection Report — Aug 4, 2023

Follow-Up
Date: Aug 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 tuberculosis testing for staff.

Complaint Details
The complaint investigation (Intake ID 69185) found missing documentation for the 1-step TB test for new employees since November 1, 2022. The investigation confirmed the deficiency and citations were written.
Findings
The follow-up inspection on 08/04/2023 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies regarding tuberculosis testing for staff remained uncorrected as of 04/20/2023 but were corrected by the time of the follow-up.

Deficiencies (1)
WAC 388-78A-2483 Tuberculosis One test. The assisted living facility failed to ensure 2 of 5 staff completed the required tuberculosis testing for new employees, placing all 74 residents at risk of TB infection. This deficiency was uncorrected as of 04/20/2023.
Report Facts
Total residents: 74 Staff missing TB testing: 2

Inspection Report — Jul 14, 2023

Complaint Investigation
Date: Jul 14, 2023

Visit Reason
The inspection was conducted in response to a complaint alleging that a resident's wound dressing was not changed as scheduled.

Complaint Details
The complaint alleged that a resident's wound dressing was not changed as scheduled. The investigation confirmed that while wound care was managed, the facility failed to complete the required assessment after a change in the resident's condition. Citations were issued.
Findings
The investigation found that the facility took measures to manage the wound but failed to complete the assessment of the sampled resident when there was a change of condition. A failed provider practice was identified and citations were written.

Deficiencies (1)
WAC 388-78A-2100 On-going assessments. The assisted living facility must complete an assessment specifically focused on a resident's identified problems and related issues consistent with the resident's change of condition. The facility failed to complete the assessment of one sampled resident when there was a change of condition.
Report Facts
Resident sample size: 1

Inspection Report — Jun 14, 2023

Complaint Investigation
Date: Jun 14, 2023

Visit Reason
The inspection was conducted as a complaint investigation following the facility's failure of their 3rd fire and life safety inspection on 06/05/2023.

Complaint Details
The complaint investigation (Complaint #85631) found the facility failed the fire and life safety inspection with multiple violations placing 97 residents at risk. The investigation substantiated the allegations as citations were written. A follow-up inspection on 08/17/2023 found no deficiencies and confirmed correction of all issues.
Findings
The facility failed the fire and life safety inspection with multiple violations including failure to conduct quarterly fire sprinkler inspections, propped open fire doors, blocked fire alarm pull station, and lack of documentation for required fire safety tests. The facility was given 30 days to correct the deficiencies and a follow-up inspection found no deficiencies and compliance with licensing requirements.

Deficiencies (1)
WAC 388-78A-2040 - The assisted living facility failed to comply with state fire marshal requirements, including failure to conduct quarterly fire sprinkler inspections and maintain required fire safety documentation. Fire doors were found propped open and failed to close and latch properly, and a fire alarm pull station was blocked by lounge furniture.
Report Facts
Total residents: 97 Days to correct: 30

Inspection Report — May 10, 2023

Enforcement
Date: May 10, 2023

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to The Meridian at Stone Creek to enforce compliance related to tuberculosis testing requirements for staff.

Findings
The facility failed to develop and implement a system to ensure four staff members were screened for tuberculosis within three days of employment. This recurring and uncorrected deficiency resulted in a civil fine of $300 and placed all 74 residents at risk of TB infection.

Deficiencies (1)
WAC 388-78A-2480 (1) Tuberculosis Testing Required. The licensee failed to ensure four staff members were screened for tuberculosis within three days of employment, placing residents at risk of infection.
Report Facts
Civil fine amount: 300 Residents at risk: 74

Inspection Report — Jan 27, 2023

Complaint Investigation
Date: Jan 27, 2023

Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility due to allegations that the facility was operating without an active business license.

Complaint Details
The complaint investigation referenced complaint numbers 57811 and 58681. The allegation was that the facility did not have an active business license. The investigation substantiated this but confirmed the issue was resolved by obtaining a current license.
Findings
The investigation found that the facility had been operating without a license since July 1, 2016, but this issue was resolved as of December 23, 2022, with the facility obtaining a current business license.

Report Facts
Resident sample size: 1

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