Inspection Reports for
Pine Ridge Alzheimer’s Special Care Center

All cited deficiencies related to electrical hazards, fire-resistance-rated construction, sprinkler system maintenance, fire alarm testing, carbon monoxide detection, emergency lighting, spare sprinklers, and fire drills were corrected or completed. The facility was approved with no outstanding violations.

The follow-up inspection found no deficiencies, indicating that previously cited issues related to orientation training, dementia specialty training, and home care aide certification were corrected.

The complaint investigation referenced complaint numbers 195327 and 194809. Allegations included resident falls, bruising, inadequate showers, missing clothes, and medication timing issues. Only the allegation regarding falls was substantiated with citations issued. Other allegations were found unsubstantiated with no failed facility practices identified.

The investigation found one failed provider practice related to the failure to document fall prevention interventions in negotiated service agreements for residents at risk of falls. Other allegations such as bruising, shower assistance, missing clothes, and medication timing were not substantiated. The facility was cited for the fall prevention documentation deficiency.

The facility failed to ensure dementia specialty training and home care aide certification were completed by required staff members. This uncorrected deficiency placed residents at risk and resulted in a $400 civil fine.

The complaint investigation addressed 10 allegations including ignored call lights, lack of supplies, insufficient staffing, and documentation issues. Most allegations were unsubstantiated except for failure to provide gloves and training deficiencies, which resulted in citations.

The investigation found no failed facility practice for most allegations except for failure to provide necessary gloves in resident rooms and supply closets, violating WAC 388-78A-2610(2)(c)(ii). The facility was cited for failed provider practice related to training and certification requirements. Other allegations were unsubstantiated with no failed practices identified.

The follow-up inspection on 09/12/2025 found no deficiencies and confirmed that previously cited deficiencies related to failure to provide bathing assistance as agreed upon in negotiated service agreements were corrected.

The licensee failed to provide bathing assistance as agreed upon in the negotiated service agreement for six residents, resulting in unmet hygiene care needs and placing residents at risk. This deficiency was uncorrected and recurring from previous citations, leading to a $1,000 civil fine.

The facility was fined $500 for failing to provide bathing assistance as agreed upon in the negotiated service agreement for nine residents. This deficiency was uncorrected from a prior citation and is recurring.

All inspected fire safety and maintenance requirements were found to be completed or corrected. The facility was approved with no outstanding violations.

The complaint investigation found that the licensee failed to report abuse and failed to protect residents from physical and verbal abuse. Both deficiencies were recurring from a previous citation on February 23, 2023.

The investigation found recurring deficiencies related to failure to report abuse and neglect and failure to ensure residents were free from physical and verbal abuse. Civil fines totaling $800 were imposed based on these violations.

The complaint investigation involved allegations of staff to resident abuse. The investigation confirmed that agency staff failed to report witnessed physical and verbal abuse incidents involving two residents. The facility was cited for failure to report and failure to protect residents from abuse. The deficiencies were recurring from a prior citation.

The investigation found that the facility failed to immediately report allegations of verbal and physical abuse involving two residents, violating reporting and resident rights regulations. Citations were written for these deficiencies, which were recurring from a previous citation.

The document references multiple complaint investigations including allegations of unlicensed staff employment, abuse, neglect, bruising of unknown origin, and failure to complete assessments and investigations. Several failed provider practices were identified and citations written under various WAC codes including WAC 388-78A-2450, 2660, 2630, 2371, and others. The facility failed to ensure proper staff credentials, failed to prevent abuse and neglect, failed to report injuries, and failed to maintain proper assessments and infection control.

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

The licensee failed to notify residents and representatives of a decrease in nursing services for twenty-one residents. This deficiency was uncorrected from a prior citation and resulted in a $300 civil fine.

The inspection found several documentation deficiencies related to annual fire safety tests and drills, all of which were corrected with reports provided. The facility was unable to locate documentation for one April day shift fire drill, but a document was subsequently provided. The overall approval status is Approved.