9 Reports
Inspection Report — Oct 9, 2025
Life Safety
Date: Oct 9, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled inspection at the facility.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved during this inspection.
Inspection Report — Sep 30, 2025
Complaint Investigation
Date: Sep 30, 2025
Visit Reason
The department conducted an unannounced on-site full inspection and complaint investigation based on complaint number 196192 at Regency Pullman Assisted Living Facility.
Complaint Details
The complaint investigation referenced complaint number 196192. The investigation found multiple deficiencies related to resident care and facility compliance, including failures in skin integrity monitoring, weight monitoring, family medication assistance plans, nurse delegation, and staff background checks.
Findings
The inspection found multiple deficiencies related to resident care, medication administration, nurse delegation, and staff background checks. Several deficiencies were recurring from previous inspections. The facility failed to ensure proper skin integrity monitoring, weight monitoring, family medication assistance plans, nurse delegation policies, and timely background checks for staff.
Deficiencies (5)
WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to ensure skin integrity monitoring was included in the resident's record for 1 of 7 residents with a known and observable skin condition, placing the resident at risk for harm and unmet care needs.
WAC 388-78A-2160 Implementation of negotiated service agreement. The facility failed to ensure care needs identified in the negotiated service agreement were completed for 1 of 7 residents, resulting in lack of weight monitoring and placing the resident at risk for harm and continued weight loss.
WAC 388-78A-2290 Family assistance with medications and treatments. The facility failed to ensure a written agreement was in place for family medication assistance for 1 of 7 residents, resulting in missed medications and placing the resident at risk for harm.
WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to ensure the registered nurse delegator assessed the resident for nurse delegation, evaluated caregiver competency, and obtained written consents for nurse delegation for 1 of 1 resident, placing the resident at risk for harm.
WAC 388-78A-2466 Background checks Washington state name and date of birth background check Valid for two years National fingerprint background check Valid indefinitely. The facility failed to ensure a Washington state name and date of birth background check was submitted prior to expiration for 1 of 5 staff, placing residents at risk of harm due to receiving care from a staff person with potential disqualifying findings.
Report Facts
Sampled residents: 7
Missed medication days: 12
Missed medication days: 6
Weight loss: 10
Background check lapse duration (days): 637
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff G | Assistant Director of Nursing | Interviewed regarding Resident 1's skin cancer and weight loss. |
| Staff C | Medication Aide | Interviewed regarding Resident 1's skin cancer and weight monitoring issues. |
| Staff H | Regional Director of Nursing | Interviewed regarding Resident 1's skin cancer confirmation, weight monitoring policy, and nurse delegation policy. |
| Staff B | Wellness Director | Interviewed regarding Resident 1's weight monitoring and Resident 5's medication supply issues. |
| Collateral Contact 1 | Resident Representative | Interviewed regarding Resident 5's medication ordering and delivery. |
| Collateral Contact 2 | Anonymous Interview | Interviewed regarding Resident 3's Dexcom sensor injections. |
| Resident 3 | Interviewed regarding facility staff injecting their Dexcom sensor replacements. | |
| Staff A | Regional Administrator | Interviewed regarding lapse in background checks for Staff E. |
Inspection Report — Apr 29, 2025
Complaint Investigation
Date: Apr 29, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on allegations that staff were not providing food to a hospice resident and staff were not completing employment requirements.
Complaint Details
The complaint investigation addressed two allegations: staff not providing food to a hospice resident and staff not completing employment requirements. The food provision allegation was unsubstantiated. The employment requirements allegation was substantiated with citations for late tuberculosis testing and lack of home care aide certification.
Findings
The investigation found no deficiencies related to food provision to the hospice resident. However, the facility failed to ensure timely tuberculosis screening for staff and failed to ensure caregivers obtained required home care aide certification, resulting in citations.
Deficiencies (2)
WAC 388-78A-2480 (1) - The facility failed to ensure each staff person was screened for tuberculosis within three days of employment, placing residents at risk for infection.
WAC 388-78A-2474 (4) - The facility failed to ensure that caregivers obtained home care aide certification within the required timeframe, with one staff employed over 200 days without certification.
Report Facts
Total residents: 62
Resident sample size: 3
Closed records sample size: 1
Staff with late TB tests: 3
Staff without home care aide certification: 1
Inspection Report — Dec 17, 2024
Complaint Investigation
Date: Dec 17, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation based on allegations of staff marijuana use during breaks and a missing fingerprint background check for a staff member.
Complaint Details
The complaint investigation (Complaint #158105) included allegations of marijuana use by staff during breaks and a missing fingerprint background check for a staff member. The marijuana use allegation was not substantiated. The fingerprint background check deficiency was substantiated and cited.
Findings
The investigation found no concerns regarding staff marijuana use, but identified a failed provider practice due to one staff member lacking a valid fingerprint background check. A citation was issued and the facility committed to reviewing and improving their background check process.
Deficiencies (1)
WAC 388-78A-2462 Background checks Who is required to have. The facility failed to ensure that one staff member hired after 01/07/2012 had a national fingerprint background check completed, placing vulnerable residents at risk.
Report Facts
Total residents: 56
Resident sample size: 3
Inspection Report — Mar 12, 2024
Complaint Investigation
Date: Mar 12, 2024
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding allegations that staff forcefully assisted a resident into a chair and that staff gave residents medications without trying other interventions to manage behavior problems such as anxiety.
Complaint Details
The complaint investigation involved two allegations: staff forcefully assisted a resident into a chair and staff gave residents medications without trying other interventions to manage behavior problems. The first allegation was not substantiated as staff were observed caring calmly and resident representatives had no concerns. The second allegation was substantiated due to failure to update NSPs with behavioral interventions. The facility provided multiple grievance resolution methods and no failed practices were found related to grievances.
Findings
The investigation found failed provider practices related to the facility's failure to update residents' Negotiated Service Plans (NSPs) to include behavioral interventions for problem behaviors. Staff were observed caring for residents in a calm manner and using non-pharmacological interventions, but NSPs lacked documented interventions. No failed practices were found related to grievance resolution. Citations were written for deficiencies.
Deficiencies (1)
WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to ensure negotiated service agreements included interventions to address problem behaviors for 4 of 6 sampled residents, resulting in caregivers lacking ready access to interventions and placing residents at risk of harm.
Report Facts
Total residents: 55
Resident sample size: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Caregiver | Interviewed regarding use of NSPs and responsibilities |
| Staff E | Caregiver | Interviewed regarding concerns about NSP updates and resident behaviors |
| Staff F | Caregiver | Interviewed regarding reporting changes in residents' conditions |
| Staff B | Corporate Nurse | Reviewed NSPs and asked caregivers to update NSPs |
| Staff A | Administrator | Observed assisting resident and interviewed about NSP updates |
Inspection Report — Feb 8, 2024
Complaint Investigation
Date: Feb 8, 2024
Visit Reason
The inspection was conducted as a complaint investigation regarding allegations that a nurse instructed staff to give medications to a resident who was inebriated.
Complaint Details
The complaint alleged that a nurse instructed staff to give medications to a resident who was inebriated. The investigation included interviews, observations, and record reviews. The allegation regarding medication administration while inebriated was not substantiated as no failed practices were found. However, the investigation substantiated a failure to ensure proper training and licensing of medication aides. Multiple complaint numbers were referenced in the investigation.
Findings
The investigation found no failed facility practices related to medication administration when the resident was inebriated, but did identify a violation for failure to ensure two Medication Aides had completed nurse delegation training and held required nursing assistant or Home Care Aide licenses before administering medications. A citation was written for this deficiency.
Deficiencies (1)
WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to ensure medication aides completed nurse delegation training and were registered or certified as nursing assistants or home care aides before administering medicated eye drops to a resident. These failures placed the resident at risk for improper eye drop administration.
Report Facts
Total residents: 57
Resident sample size: 11
Closed records sample size: 3
Medication administrations: 6
Medication administrations: 2
Medication administrations: 1
Inspection Report — Dec 1, 2023
Complaint Investigation
Date: Dec 1, 2023
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding allegations that staff provided forceful care and that a resident did not get proper care.
Complaint Details
The complaint investigation involved two allegations: staff provided forceful care and a resident did not get proper care. The investigation found multiple failures including protection of residents during investigation, staff hiring and training deficiencies, failure to report abuse timely, and improper use of restraints. Citations were written for these violations.
Findings
The facility failed to protect residents during the investigation, failed to meet hiring and training requirements, and failed to report alleged abuse and neglect in a timely manner. Multiple citations were written for these deficiencies.
Deficiencies (7)
WAC 388-78A-2371 Investigations. The assisted living facility must protect residents during the course of the investigation. The facility failed to protect residents by allowing an alleged perpetrator ongoing access, resulting in staff being instructed to physically restrain a resident. This failure placed residents at risk of abuse.
WAC 388-78A-2450 Staff. The assisted living facility must verify staff persons' work references prior to hiring. The facility failed to verify work references for 7 of 9 staff, placing residents at risk of inadequate care by staff with potentially undesirable work history.
WAC 388-78A-2462 Background checks Who is required to have. The assisted living facility must ensure staff have completed national fingerprint background checks within the required timeframe. The facility failed to ensure 7 of 8 staff had completed checks, increasing risk of harm from staff with potentially disqualifying criminal history.
WAC 388-78A-2474 Training and home care aide certification requirements. The assisted living facility must ensure staff obtain home-care aide certification within the required timeframe. The facility failed to ensure 7 of 7 staff obtained certification, placing residents at risk of inadequate care from untrained staff.
WAC 388-78A-2510 Specialized training for dementia. The assisted living facility must ensure required specialized training for dementia care is completed by staff. The facility failed to ensure 5 of 7 staff completed training, placing residents with dementia at risk of inadequate care.
WAC 388-78A-2630 Reporting abuse and neglect. The assisted living facility must ensure staff make immediate reports to the Complaint Resolution Unit and law enforcement for suspected abuse. The facility failed to make immediate reports for suspected physical abuse of two residents, delaying investigation and increasing risk of ongoing abuse.
WAC 388-78A-2660 Resident rights. The assisted living facility must not use restraints on any resident and must protect residents from abuse or neglect. The facility failed to protect one resident from being physically restrained against their will, violating their right to refuse unwanted care.
Report Facts
Total residents: 63
Resident sample size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Wright | NCI Complain Investigator | Named as the investigator who conducted the complaint investigation |
| Staff A | Named in multiple findings related to restraint and abuse incidents | |
| Staff F | Caregiver | Named in findings related to abuse and neglect of residents |
| Staff L | Medication Aide | Named in findings related to restraint and abuse incidents |
| Staff N | Medication Aide | Named in findings related to restraint and abuse incidents |
Inspection Report — Nov 3, 2023
Follow-Up
Date: Nov 3, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Complaint Details
The inspection included a complaint investigation related to complaint number 95796. The complaint investigation found multiple deficiencies as cited in the report.
Findings
The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected.
Deficiencies (6)
WAC 388-78A-2730 Licensee's responsibilities. The facility failed to ensure staff had completed respirator fit testing prior to caring for a resident with COVID-19, placing residents at risk of exposure to infectious diseases.
WAC 388-78A-24701 Background checks Employment Nondisqualifying information. The facility failed to complete a character, competence, and suitability review for staff with a non-disqualifying crime.
WAC 388-78A-2466 Background checks Washington state name and date of birth background check Valid for two years National fingerprint background check Valid indefinitely. The facility failed to ensure Washington state background checks were submitted prior to expiration for some staff.
WAC 388-78A-2480 Tuberculosis Testing Required. The facility failed to ensure new employees were screened for tuberculosis within three days of hire.
WAC 388-78A-2040 Other requirements. The facility failed to ensure residents were assessed semi-annually per contract and rule requirements for a resident served under an enhanced residential care contract, resulting in a delayed assessment.
WAC 388-78A-2150 Signing negotiated service agreement. The facility failed to ensure that negotiated service agreements were signed by residents or their representatives for multiple sampled residents.
Report Facts
Sampled residents: 9
Total current residents: 63
Sampled staff: 7
Number of residents with unsigned negotiated service agreements: 7
Inspection Report — Sep 11, 2023
Life Safety
Date: Sep 11, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Regency Pullman residential care facility on 09/11/2023.
Findings
All violations noted during previous related inspections have been corrected. The facility was found to be in compliance with fire safety requirements at the time of this inspection.
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