7 Reports
Inspection Report — Sep 12, 2025
Annual Inspection
Date: Sep 12, 2025
Visit Reason
The Department of Social and Health Services conducted a full inspection of the Assisted Living Facility on 09/12/2025 to determine compliance.
Findings
The inspection found no deficiencies in the facility.
Inspection Report — Jul 21, 2025
Follow-Up
Date: Jul 21, 2025
Visit Reason
This is a follow-up inspection of an Assisted Living Facility to verify correction of previously cited deficiencies related to negotiated service agreement contents and fall risk interventions.
Complaint Details
The complaint investigation dated 04/23/2025 involved an allegation of a fall with injury. The investigation found that the facility failed to maintain a safe environment by not addressing assessed fall risks for three sampled residents. Citations were written for this failure.
Findings
The follow-up inspection on 07/21/2025 found no deficiencies and confirmed that previously cited deficiencies were corrected.
Deficiencies (2)
WAC 388-78A-2140 Negotiated service agreement contents. The assisted living facility must develop, and document in the resident's record, the agreed upon plan to address and support each resident's assessed capabilities, needs and preferences, including the plan to monitor the resident and address interventions for current risks to the resident's health and safety.
WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to maintain the residents' health and safety by not addressing the fall risks for 3 of 3 sampled residents, placing them at risk of further falls and injury.
Report Facts
Total residents: 68
Resident sample size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Director of Nursing | Named in interview confirming residents were at risk for falls and care plans did not include fall interventions |
Inspection Report — Jul 21, 2025
Complaint Investigation
Date: Jul 21, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on allegations that food was not served at proper temperature, slicers were not cleaned, and products lacked expiration dates.
Complaint Details
Complaint number 181100 alleged that food was not at proper temperature when served, slicers were not cleaned, and products had no expiration dates. The first two allegations were unsubstantiated. The third allegation was substantiated with citations written for improper storage and labeling of dry goods.
Findings
The investigation substantiated that the facility failed to store dry goods properly and failed to label food ingredients removed from original packaging with the common name of the food. Two other allegations regarding food temperature and slicer cleaning were not substantiated. Citations were written for the identified deficiencies.
Deficiencies (2)
WAC 246-215-03306 Preventing food and ingredient contamination Packaged and unpackaged food Separation, packaging, and segregation (FDA Food Code 3-302.11). The facility failed to store dry goods in a manner that protected them from contamination and failed to properly seal and store dry goods, placing residents at risk of exposure to contaminants.
WAC 246-215-03309 Preventing food and ingredient contamination Food storage containers identified with common name of food (FDA Food Code 3-302.12). The facility failed to ensure that food ingredients removed from original packaging were properly labeled with the common name of the food, placing residents at risk for food preparation errors and adverse health outcomes.
Report Facts
Total residents: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Woodetta Maulana | Investigator who conducted the complaint investigation | |
| Gordyette Chesley | Administrator or Representative | Signed the Plan of Correction attesting to corrective actions |
Inspection Report — Jun 10, 2025
Life Safety
Date: Jun 10, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire and life safety inspection at the facility on June 10, 2025.
Findings
The inspection identified multiple deficiencies related to fire safety equipment, maintenance, and documentation. The facility failed to provide required documentation for fire-resistance construction, sprinkler system maintenance, fire extinguisher inspections, smoke alarm testing, emergency lighting tests, generator maintenance, and fire door inspections. Several physical deficiencies were noted, including electrical hazards, missing fire extinguishers, and malfunctioning exit signs. The overall approval status was Disapproved.
Deficiencies (11)
IFC 603.2 2021 - Electrical outlet in pool area next to mechanical room shows burn marks and needs to be replaced.
IFC 701.6 2021 - Facility failed to provide documentation showing annual inspection of fire-resistance-rated construction (fire walls inspection).
IFC 903.5 2021 - Facility had sprinkler heads loaded with debris in front of memory care room 144, kitchen cooler, and entire kitchen. Fire sprinkler quick response heads require UL testing.
IFC 906.2 2021 - All elevator mechanical rooms A, B, and C were missing fire extinguishers monthly inspections.
IFC 907.8 2021 - Facility failed to provide documentation showing monthly inspection of smoke alarms. Fire alarm report from 9/3/2024 states alarm in yellow status due to PIV in mechanical room not clearing; correction report required.
IFC 915.6 2021 WAC - Facility failed to provide documentation showing testing and maintenance of carbon monoxide alarms.
IFC 1032.10 2021 - Exit signs by rooms 302, 369, 335, 201, and 202 did not activate when tested; exit sign by room 147 needs chevron fixed to show proper exit route.
IFC 1032.10.1 2021 - Facility failed to provide documentation showing 30 second monthly activation test of all exit signs and emergency lights.
IFC 1031.10.2 2021 - Facility failed to provide documentation showing 1.5 hour power test of all exit signs and emergency lights.
IFC 1203.4 2021 - Facility failed to provide annual inspection report, log of weekly inspections, and log of monthly 30 minute full load test documentation for the generator.
NFPA 80 - Facility failed to provide documentation showing annual fire door inspections. Janitor closet next to memory care room 145 door failed to latch properly.
Inspection Report — Jun 4, 2024
Re-Inspection
Date: Jun 4, 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 facility was found to have multiple uncorrected fire safety violations including missing fire extinguisher inspections, unapproved electrical equipment, missing fire drills, and inadequate emergency lighting maintenance. The overall status is Disapproved indicating outstanding deficiencies remain.
Deficiencies (14)
IFC 703.1 2021 - Unsealed ceiling penetrations observed in the artwork/panel room and missing ceiling tiles in multiple locations including resident laundry, service hall corridor, and maintenance office.
IFC 705.2.4 2021 - Janitor/electrical room between rooms 166/167 failed to self-close and latch when tested.
IFC 903.5 2021 - No quarterly fire sprinkler inspection reports, no annual forward flow testing in past 12 months, no 5-year FDC Hydro Testing report, and loaded fire sprinkler heads observed in kitchen and main laundry.
IFC 906.9.2 2021 - Class K fire extinguisher in kitchen installed higher than 3.5 feet; placard missing above extinguisher with required warning.
IFC 907.10 2021 - Facility must prepare smoke alarm replacement plan to replace all smoke alarms exceeding 10 years from manufacture date by April 2025.
IFC 1008.2 2021 - Exit stairwells had inoperable illumination due to dead light bulbs on multiple floors; facility-wide audit of stairwell lighting required.
IFC 1032.10.1 2021 - Unable to produce documentation of monthly 30-second emergency lighting inspection and testing; facility must produce inventory of emergency lighting with battery backup.
IFC 1032.2 2021 - Multiple exit signs had missing or incorrect directional arrows; facility must audit all exit signs to ensure reliability of marked means of egress.
IFC 603.5.1.1 - Unapproved multi-plug found in bedroom powering patient-care electrical equipment without circuit breaker protection.
IFC 703.1 2021 - Materials and firestop systems used to protect membrane and through penetrations must be maintained; unsealed penetrations and missing ceiling tiles found.
IFC 705.2.4 2021 - Swinging fire doors must close and latch automatically; door between rooms 166/167 failed this test.
NFPA Standard 10 Section 6.2.1 - Fire extinguishers in elevator mechanical closets lacked monthly inspection documentation; facility must produce complete inventory and ensure monthly inspection; empty fire extinguisher found by room 300.
NFPA 72 10.6.5.2 - Fire alarm circuit breaker missing required lock device locking breaker in 'ON' position in electrical panel room.
Fire Drills - No day shift fire drill for second quarter 2023 and no day or swing shift fire drills for fourth quarter 2023 were conducted as required.
Report Facts
Fire drill quarters missed: 2
Inspection Report — Sep 13, 2023
Life Safety
Date: Sep 13, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire and life safety inspection at Patriots Landing Operations LLC on 09/13/2023 to verify correction of previous violations.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — Jul 31, 2023
Re-Inspection
Date: Jul 31, 2023
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 facility was found to have multiple unresolved fire safety violations including lack of required documentation for annual sprinkler system testing, fire door inspections, fire-resistant construction inspections, fire/smoke damper inspections, kitchen suppression system servicing, and emergency lighting battery replacements. The overall status is Disapproved due to these outstanding issues.
Deficiencies (10)
IFC 903.5 (2009, 2012, 2015, 2018) and NFPA 25, 13.7.2.1 (2017 edition) - Facility was unable to provide documentation showing that the annual forward flow test of sprinkler systems has been completed in the last 12 months.
IFC 904.5.2 (2009, 2012, 2015, 2018) - Facility shall have a heat survey performed for commercial hood to determine the fusible link rating required for installation.
IFC 703.2 - During inspection, multiple fire doors failed to self-close and latch, including doors at rooms 330, 323, 306, 220, 235, main electrical door, staff lounge, and special care lounge.
NFPA 80, 5.2.4 - Facility is unable to provide documentation showing that all fire-rated doors have received annual inspection and testing in the past 12 months.
IFC 315.3.3 (2018) - Sprinkler heads were found with foreign materials or damage in the kitchen area, laundry area, and kitchen janitor room.
IFC 508.1.5 - Facility has both main electrical room and pump room being used for storage, which is prohibited.
IFC 701.6 (2018) and WAC 51-54A - Facility was unable to provide record of their annual fire wall inspection and/or repairs for all fire-resistant-rated construction.
NFPA 80 and NFPA 105, IFC 706.1 (2018) - Unable to provide documentation showing that fire/smoke damper inspection and testing has been performed in the past 4 years.
IFC 904.12.5.2 (2018) - Unable to provide documentation showing that two semi-annual kitchen suppression system servicings have been performed in the last 12 months.
IFC 1031.10.2 (2018) - Facility has failed to replace 20 or more failed emergency backup batteries for exit signs.
Report Facts
Failed emergency backup batteries: 20
Viewing
Loading inspection reports...
