5 Reports
Inspection Report — Feb 19, 2026
Complaint Investigation
Date: Feb 19, 2026
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding service disclosure to the Named Resident's power of attorney, assessment transparency, Negotiated Service Agreement billing issues, and a 30-day discharge notification for non-payment.
Complaint Details
The complaint investigation involved issues with service disclosure, assessment transparency, billing agreements, and discharge notification. The investigation substantiated a deficiency related to the Medicaid payment policy, resulting in citations.
Findings
The investigation found that the facility provided required service disclosures and assessments with transparency, and continued care during disputes without retaliation. However, the facility failed to provide residents with a Medicaid policy as a payment source, resulting in citations.
Deficiencies (1)
WAC 388-78A-2665 Resident rights Notice Policy on accepting medicaid as a payment source. The facility failed to provide a written policy on accepting Medicaid as a payment source, obtain resident signatures, and keep signed policies in resident records for 2 of 4 residents reviewed.
Report Facts
Total residents: 78
Resident sample size: 7
Closed records sample size: 0
Inspection Report — Nov 25, 2025
Complaint Investigation
Date: Nov 25, 2025
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility based on multiple complaints regarding medication availability, resident care concerns, and facility practices.
Complaint Details
The complaint investigation included multiple allegations: a resident fall due to an unlocked wheelchair, missed medications, refusal to re-admit a resident on oxygen unless on hospice, and a 911 call to evict a resident. The medication availability allegation was substantiated with citations written. Other allegations were not substantiated.
Findings
The investigation found that the facility failed to ensure medications were available as ordered, resulting in missed doses. The facility corrected the medication availability issue by updating systems and working with the pharmacy. Other allegations regarding resident falls, oxygen care, and food intake were investigated with no failed practices identified. A citation was written for the medication availability deficiency.
Deficiencies (1)
WAC 388-78A-2240 Nonavailability of medications. When the assisted living facility has assumed responsibility for obtaining a resident's prescribed medications, the assisted living facility must obtain them in a correct and timely manner. The facility failed to ensure medications were available, causing missed doses of pain and heart medications.
Report Facts
Total residents: 81
Resident sample size: 4
Closed records sample size: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Prentice | Complaint Investigator | Investigator who conducted the complaint investigation |
Inspection Report — Sep 16, 2025
Complaint Investigation
Date: Sep 16, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation based on multiple allegations including improper meals, food supply issues, lack of bowel movement tracking, medication delays, and staffing concerns at the assisted living facility.
Complaint Details
The complaint investigation involved multiple allegations about meal provision, food supply, bowel movement tracking, medication delays, and staffing changes. The investigation substantiated provider practice failures, including failure to notify residents of nursing service reductions with a 30-day notice. Citations were written for these deficiencies.
Findings
The investigation identified multiple provider practice failures including miscommunication about meals, failure to provide 30-day notice of nursing service reductions, and staffing turnover. Citations were written for these deficiencies. A follow-up inspection on 11/18/2025 found no deficiencies and the facility met licensing requirements.
Deficiencies (1)
WAC 388-78A-2710 Disclosure of services. The facility failed to provide the required 30-day written notice to residents and their representatives before reducing and eliminating nursing hours, placing 81 residents at risk for lack of knowledge of current nursing services.
Report Facts
Total residents: 81
Resident sample size: 3
Closed records sample size: 0
Hours per week RN coverage stated in original DOS: 40
Residents affected: 81
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Prentice | Complaint Investigator | Conducted the complaint investigation and on-site verification |
| Abby Chand | Executive Director | Named as person responsible for plan of correction |
Inspection Report — Aug 12, 2025
Follow-Up
Date: Aug 12, 2025
Visit Reason
This was a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies from complaint investigation 180731 conducted in June 2025.
Complaint Details
The complaint investigation (Compliance Determination #60658) was initiated due to allegations including cancelled doctor visits, long call light wait times, postponed activity trips due to money, and laundry issues. The investigation found no cancelled physician visits or call light issues but identified deficiencies in disclosure of services and resident activity preferences. Citations were written for these deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies related to disclosure of services and resident activity preferences were corrected. The facility now meets Assisted Living Facility licensing requirements.
Deficiencies (2)
WAC 388-78A-2710 Disclosure of services. The facility failed to develop or provide a Disclosure of Services form describing the scope of care, resulting in residents not knowing the level of care and services available.
WAC 388-78A-2090 Full assessment topics. The facility failed to ensure that assessments for 11 residents on two Memory Care Units included preferences for hobbies and activities, risking lack of tailored activity programs.
Report Facts
Total residents: 80
Resident sample size: 14
Inspection Report — May 6, 2025
Re-Inspection
Date: May 6, 2025
Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previously cited fire safety deficiencies.
Findings
The inspection found multiple fire safety deficiencies related to fire door inspection and testing, and fire/smoke damper inspection and testing that have not been corrected. The facility was disapproved due to these outstanding violations.
Deficiencies (5)
NFPA 80 Fire Door Inspection and Testing 5.2.1 Inspection and Testing. Upon completion of the installation, door, shutters, and window assemblies shall be inspected and tested in accordance with 5.2.4. Annual inspection of fire doors is required but documentation was not provided.
NFPA 80 Fire Door Inspection and Testing 5.2.4 Periodic Inspection and Testing. Periodic inspections and testing shall be performed not less than annually. Documentation of these inspections was not provided.
NFPA 80 Fire Door Inspection and Testing 5.2.4.2 A record of all inspections and testing shall be provided including date, name of facility, inspector, and details of each inspected and tested fire door assembly. This paperwork was not provided.
NFPA 80 Fire Door Inspection and Testing Labels must be clearly visible and legible; no open holes or breaks in surfaces; glazing and hardware secured; door and frame aligned; no missing parts; door clearances within limits; self-closing device operational; latching hardware secures door; no field modifications voiding label; edge protection and signage present. These requirements were listed but deficiencies remain uncorrected.
NFPA 80 Fire/Smoke Dampers Inspection and Testing 19.4 Periodic Inspection and Testing. Each damper shall be tested and inspected 1 year after installation and every 4 years thereafter. Documentation of fire/smoke damper inspection was not provided.
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