Inspection Reports for
Ellensburg Senior Living

The complaint investigation concerned malfunctioning memory care unit two doors that were not functioning appropriately, placing residents at risk. Multiple interviews and record reviews confirmed the issue and cited WAC 388-78A-3090. The complaint was substantiated with citations written.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies regarding malfunctioning memory care unit doors were corrected.

The complaint investigation involved an allegation that a named resident pulled another resident to the floor. The investigation found the facility failed to document changing behaviors in the resident's negotiated service plan, resulting in a citation.

The Department found no deficiencies during the follow-up inspection and confirmed that previously cited deficiencies related to service agreement planning were corrected.

Complaint #214110 alleged malfunctioning interior egress doors in the memory care unit. The Administrator confirmed issues with door operation and missing signage. No fire or evacuation occurred. Violations related to signage and door operation were cited and corrected on site.

The inspection found that memory care doors were malfunctioning due to missing key code signs, but no fire or evacuation occurred. The facility corrected the delayed egress locking system sign issue and the interior emergency egress doors were properly equipped with electronic keypad locks and functioning exit buttons. All violations were corrected on site and the facility was approved.

Complaint number 212333 alleged failure of the facility to pass the State Fire Marshal reinspection. The investigation confirmed the allegation with citations written for noncompliance with fire safety code.

The facility failed to maintain compliance with the Washington State Fire Marshal's requirements, specifically the International Fire Code (IFC) 907.8 (2021), due to lack of documentation showing repairs and retesting of the fire alarm system. This failure placed residents, staff, and visitors at risk in the event of a fire.

Two fire alarm system violations were observed but both were corrected on site or documented as corrected. The facility was advised on emergency preparedness policies and required documentation submission.

Multiple fire safety violations were identified, including issues with fire-resistance construction, sprinkler heads, fire extinguishers, fire alarm system status, egress door codes, and unsecured compressed gas cylinders. Some violations were corrected on site, while others remain open.

Complaint investigation #177798 included allegations of unattended unit, residents not receiving care, a resident fall with injury, and concerns about staff availability. The investigation found a failed practice related to lack of investigation of an injury incident.

The follow-up inspection on 08/13/2025 found no deficiencies; all previously cited deficiencies were corrected.

The report details multiple uncorrected deficiencies related to safe storage of hazardous supplies, failure to implement reporting and investigation policies, and lack of resident communication systems. Civil fines totaling $1,300 were imposed based on these violations.

The facility failed to ensure that negotiated service agreements were signed and agreed upon annually for two residents. This deficiency was uncorrected from a previous citation and resulted in a $300 civil fine.

The complaint investigation involved multiple allegations including a resident found hanging off a bed rail with arm injury and a resident's unexpected death. The facility failed to investigate and document these incidents properly and failed to assess the need for bed rails. Citations were written for failed provider practices related to these issues.

The investigation found failed provider practices including failure to investigate and document incidents affecting residents' health, failure to assess and evaluate the need for bed rails, and inadequate documentation of investigative actions. The facility was cited for these deficiencies and found not in compliance. A follow-up inspection later found all deficiencies corrected and the facility approved.

The inspection found several violations, most of which were corrected on site. Some violations related to documentation of annual fire alarm system service remain open and require submission of documentation for review.

The complaint number 171870 alleged failure to provide personal hygiene and medication management, failure to update care plan, and threatening to move a resident. The investigation found the resident had moved voluntarily and no failed practice was identified regarding hygiene or medication. However, the facility failed to ensure negotiated service agreements were signed annually, resulting in citations.

The investigation found that the named resident was no longer living in the facility and staff were attending to resident needs appropriately. However, the facility failed to ensure that the negotiated service agreement was signed and agreed upon annually for sampled residents, constituting a failed provider practice with citations written.

The inspection found multiple violations related to fire safety, maintenance, and documentation. Several items were corrected on site, but many violations remain open, including failure to provide required documentation for hood cleaning, damper inspections, sprinkler system testing, fire alarm maintenance, generator maintenance, and compressed gas container security.

The complaint investigation was triggered by allegations that the facility failed to follow Extreme Weather Policies and maintain a safe environment, resulting in a resident suffering burns and hospitalization. These allegations were substantiated, leading to civil fines.

The investigation found violations of policies and safety standards that resulted in a resident suffering second degree burns and hospitalization. Civil fines were imposed based on these findings.

The complaint investigation involved allegations including a non-reported fall leading to death, residents left undressed and unable to move in wheelchairs, staff hiding medications, and unattended medications. The investigation found failed provider practice related to alert charting and documentation of an unwitnessed fall, but no failed practice regarding residents' mobility or medication administration. Citations were written for the alert charting deficiency.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. The prior deficiencies were corrected as documented.

The complaint investigation was triggered by an allegation that a named resident had a fall with injury to their head. The investigation confirmed the fall and identified deficiencies related to staff credentialing and background checks. Citations were written for failed provider practices.

The investigation found that the resident fell unwitnessed and staff responded appropriately. However, deficiencies were identified related to staff credentialing and background checks, including delayed submission of credential applications and incomplete background checks, placing residents at risk. Citations were written for these failures.

The complaint investigation found that the facility failed their second fire and life safety inspection. The investigation identified failed provider practice and citations were written. The complaint number referenced is 118901.

The follow-up inspection on 03/28/2024 found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

The inspection found multiple fire safety deficiencies including blocked exits, missing documentation for required fire drills and maintenance, and several fire safety equipment and system testing deficiencies. None of the deficiencies were corrected at the time of inspection, resulting in a disapproved status.

The complaint alleged that a named staff member struck a named resident. The investigation confirmed the incident occurred, the staff member was terminated, and a citation was issued for failure to provide specialized dementia training documentation.

The investigation confirmed the allegation that the staff member struck the resident and found that the staff member was terminated. The facility failed to provide documentation that one staff member had received required specialized dementia training, resulting in a citation.

The complaint investigation included allegations that a named staff member lacked required references or background checks, medication technicians were not delegated to give medications, staff were under the influence of alcohol and rude to residents, and assessments were not done appropriately. The investigation substantiated the failure to provide nurse delegated services but found no failed practice regarding staff background checks, staff under the influence, or assessments.

The investigation found that staff had required background checks with no failed practices, staff were in the process of being delegated for medication administration, no staff were observed under the influence of alcohol, and assessments were appropriately completed. However, a failed provider practice was identified and citations were written related to nurse delegated services.

The Department found that all previously cited deficiencies were corrected and the facility meets licensing requirements.

The complaint investigation involved an allegation that on 11/05/2022 a resident hit another resident on the arm. The investigation found that the resident who hit another was immediately discharged without proper written notice or alternate placement arrangements. The complaint was substantiated with citations written.

The department found no deficiencies during the follow-up inspection and determined the facility meets Assisted Living Facility licensing requirements. The prior deficiency related to resident rights was corrected.