Inspection Reports for
Ponderosa Retirement Center

Multiple fire code violations were identified, including issues with combustible materials near open flames, improper use of power taps and extension cords, unapproved portable electric space heaters, and maintenance deficiencies. All violations were corrected on site as indicated by the (Corrected) annotations.

The complaint investigation involved allegations that a named resident did not receive their medication as prescribed and that medication errors occurred. The investigation confirmed these allegations with findings of failed medication administration and improper staff documentation. Multiple residents were affected, and citations were issued.

The investigation found that the facility failed to implement a safe medication system and ensure medication orders were administered as prescribed for 3 of 6 residents, placing residents at risk due to inconsistent medication administration and staff signing for medications not given. Citations were written for these deficiencies.

The facility failed to provide documentation of the fire alarm system annual maintenance inspection with a missing date on the report. Parts have been ordered for repair and all items were corrected as of 05/15/2025. The overall approval status is Approved.

The complaint investigation found that the facility failed their second Fire Marshal re-inspection, with failed practice identified under WAC 388-78A-20240. The complaint number is 180943.

The follow-up inspection on 07/09/2025 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to fire safety were corrected.

The complaint investigation involved four complaint numbers (162956, 163022, 164883, 164275) and substantiated that the facility overcharged a named resident. The assessment accuracy allegation was not substantiated.

The investigation found that the facility billed the named resident beyond their daily rate for cares, constituting a failed provider practice with citations written. The assessment for the named resident was accurate and agreed upon, with no failed practice identified.

The inspection found multiple fire safety deficiencies, including missing documentation for required fire system testing and maintenance, unsafe storage practices, and door operation issues. Some violations were corrected on site, but several remain uncorrected, resulting in a disapproved status.

The complaint investigation involved allegations that a named resident had a black eye and injured hand with no fall report. The investigation found that the facility failed to investigate and report the injuries. The facility was within its plan of correction period and no new Statement of Deficiencies was issued. 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 related to failure to report abuse and neglect were corrected.

The report references multiple complaint investigations related to falls with injury and staff to resident mistreatment. Investigations found failed provider practices and citations were written for failure to investigate incidents and mistreatment allegations.

The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected. The facility submitted a plan of correction addressing all issues and implemented monitoring systems and staff training to maintain compliance.

The complaint investigation addressed allegations including an injury from a fall on facility stairs, unclean cafeteria items, insufficient water temperature for sterilization, and theft. The investigation found a failed provider practice related to stairway safety but no failed practices related to cleanliness, water temperature, or theft response.

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

This was a complaint investigation conducted on May 8, 2023, which substantiated deficiencies related to nursing delegation and medication services. The deficiencies were recurring from prior citations in 2022.

The investigation found recurring deficiencies related to nursing delegation and medication services that placed residents at risk. Civil fines totaling $600 were imposed based on these violations.

The complaint investigation involved multiple allegations: medication error, neglect, and falsification of records. The medication error and falsification allegations were substantiated with citations issued. The neglect allegation was not substantiated. Additional allegations about staff qualifications, insulin administration, resident assessments, and nurse delegation for eye drops were investigated with citations issued for nurse delegation failures.

The investigation found that a named resident did not receive medication as ordered, a medication error was made, and the facility falsified resident records. Staff were not delegated to administer eye drops to certain residents. Some allegations such as neglect and insulin administration were not substantiated. Multiple citations were written for failed provider practices.

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

The complaint investigation (Compliance Determination #14644) involved allegations that a resident was verbally abused by a staff member and that the administrator failed to report the incident to the Department. The investigation confirmed the verbal abuse occurred and that the administrator did not report it as required. The staff member was disciplined and trained. The complaint was substantiated.

The investigation found that the facility failed to immediately report the verbal abuse allegation to the Department's Complaint Resolution Unit hotline, constituting a failed provider practice. The staff member who verbally abused the resident was disciplined and trained, but the administrator did not report the incident as required by law.

The complaint investigation referenced complaint number 39283. The Department found multiple deficiencies related to resident monitoring, medication administration, medication refusal evaluation, staff background checks, and water temperature control. The findings were based on observations, interviews, and record reviews of sampled residents and staff.

The facility was found not in compliance with multiple Assisted Living Facility regulations including monitoring residents' well-being, medication services, medication refusal evaluation, background checks, and water supply temperature requirements. Numerous deficiencies were cited related to resident assessments, medication administration, incident investigations, and staff background checks.