Inspection Reports for
Renton Assisted Living
71 SW VICTORIA ST, RENTON, WA, 98057
Back to Facility Profile36 Reports
Inspection Report — Jun 4, 2026
Enforcement
Date: Jun 4, 2026
Visit Reason
The Department of Social and Health Services conducted a full inspection of Renton Assisted Living on June 4, 2026, resulting in the imposition of a civil fine due to violations related to medication services.
Findings
The facility failed to ensure safe medication systems, including unaccounted controlled medications in four Controlled Drug Administration binders, improper medication storage for one resident, and failure to follow and discontinue a medication order as prescribed. These deficiencies placed residents at risk of harm and medication errors. This is a recurring deficiency previously cited multiple times.
Deficiencies (1)
WAC 388-78A-2210 (1)(a)(b) Medication services. The licensee failed to ensure safe medication systems when controlled medications were not accounted for in four Controlled Drug Administration binders, medications were improperly stored for one resident, and a medication order was not properly followed or discontinued as prescribed.
Report Facts
Civil fine amount: 1000
Number of Controlled Drug Administration binders with issues: 4
Inspection Report — Mar 18, 2026
Complaint Investigation
Date: Mar 18, 2026
Visit Reason
The inspection was conducted as a complaint investigation following an allegation that a staff member harassed and yelled at a resident.
Complaint Details
The complaint involved a named resident alleging harassment by a staff member. The investigation substantiated the allegation, resulting in staff suspension and corrective actions. The facility failed to obtain required fingerprint checks for some staff.
Findings
The investigation substantiated the allegation of staff harassment. The facility failed to obtain required fingerprint background checks for some staff, placing residents at risk. The facility suspended the named staff and implemented corrective actions.
Deficiencies (1)
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 2 of 3 sampled staff had a valid national fingerprint background check as required, placing residents at risk of abuse or neglect.
Report Facts
Total residents: 78
Resident sample size: 3
Inspection Report — Nov 6, 2025
Re-Inspection
Date: Nov 6, 2025
Visit Reason
An unannounced Fire and Life Safety Code re-inspection was conducted at Renton Assisted Living by a representative of the Washington State Patrol, State Fire Marshal's Office to determine compliance with all applicable codes.
Findings
The inspection found multiple deficiencies related to fire protection, electrical safety, and maintenance. Some violations were corrected on site, while others remained uncorrected, resulting in a Disapproved status.
Deficiencies (27)
IFC 901.6 (2021) - Room 108 had an escutcheon ring missing on the sprinkler head.
IFC 903.5 (2021) - The facility was unable to provide documentation for annual sprinkler report deficiency repair, forward flow, and quarterly inspections. The riser room spare sprinkler head cabinet had multiple used sprinkler heads and does not meet spare requirements.
IFC 907.8 (2021) - The fire alarm report is deficient and the facility was unable to provide a smoke sensitivity test.
IFC 1032.10.1 (2021) - The facility had August and October 30 second monthly emergency lighting tests only.
IFC 1010.1.3 (2021) - The forces to unlatch doors comply with code requirements.
IFC 1031.10.2 (2021) - Battery-powered emergency lighting equipment was tested annually by operating the equipment on battery power for not less than 90 minutes.
IFC 1032.2 (2021) - Required exit accesses, exits, and exit discharges were continuously maintained free from obstructions or impediments to full instant use in case of emergency.
IFC 904.13.5.2 (2021) - Automatic fire-extinguishing systems were serviced not less frequently than every six months and after activation of the system.
IFC 906.2 (2021) - Portable fire extinguishers were selected, installed, and maintained in accordance with NFPA 10. Exceptions for travel distance and inspection frequency were met.
IFC 906.6 (2021) - Portable fire extinguishers were not obstructed or obscured from view and locations were indicated.
IFC 1010.1.3 (2021) - The 2nd floor south stairwell emergency exit was extremely hard to open.
IFC 1032.10.1 (2021) - The facility was unable to provide documentation for 30 second monthly exit and emergency lighting activation tests.
IFC 1032.2 (2021) - The 2nd floor stairwell was obstructed by pictures, the maintenance department's office had a narrow pathway with multiple items protruding into the emergency exit path, the 3rd floor lounge emergency exits were blocked by plants, and the 1st floor north stairwell had clutter.
IFC 603.2.2 (2021) - Kitchen ceiling near stove had uncovered junction box; dining room stereo area had wires hanging out of junction box; room 312B missing multiple outlet covers.
IFC 603.4 (2021) - Laundry room electrical panel was blocked by multiple items; main electrical room 3rd floor had combustibles leaning against electrical panels.
IFC 603.5 (2021) - Executive director's office had a burnt multi plug adapter and fridge & microwave plugged into multi plug adapter; 3rd floor hallway near room 116 had wheelchair plugged into unfused multi plug adapter.
IFC 603.5.2 (2021) - Relocatable power taps and current taps were plugged into each other and not directly to outlets at reception desk and maintenance office.
IFC 606.3.3 (2021) - The facility was unable to provide documentation that semi-annual kitchen hood cleaning had been performed.
IFC 701.5 (2018) - In reception area, a portion of ceiling tile was missing; penetration in hallway ceiling near room 106; kitchen fire door, 2nd floor stairwell fire door, and 3rd floor stairwell fire door were propped open.
IFC 701.6 (2021) - The facility was unable to provide documentation that annual inspection of fire-resistance rated construction had been performed.
IFC 901.6 (2021) - Room 206 and 312A had escutcheon rings missing on sprinkler heads.
IFC 903.5 (2021) - The facility was unable to provide documentation for sprinkler system testing including annual sprinkler report, quarterly inspections, 5-year internal pipe testing, 3-year dry system full flow trip test, annual trip test, annual forward flow test, and 5-year FDC hydro testing. Sprinkler heads were loaded with dust in multiple areas and the riser room spare sprinkler head cabinet did not meet spare requirements.
IFC 904.13.5.2 (2021) - The facility was unable to provide documentation that semi-annual kitchen suppression servicing had been performed.
IFC 906.2 (2021) - Annual fire extinguisher servicing had not been completed and monthly fire extinguisher inspection log was not completed. Some fire extinguishers were blocked by trash bin or missing tamper tags and pins.
IFC 912 (WAC 212-12-044) - The facility was unable to provide documentation that required fire drills were performed for swing shifts in 1st and 2nd quarters of 2025.
IFC 915.6 (2021 WAC) - The facility was unable to provide documentation for carbon monoxide alarm and detector monthly testing and maintenance.
IFC 25 (2021) - Oxygen storage room had multiple unsecured bottles of oxygen.
Report Facts
Number of deficiencies cited: 30
Notice — Oct 31, 2025
Date: Oct 31, 2025
Visit Reason
This letter serves as formal notice that the stop placement order prohibiting admissions placed on the facility's license on July 30, 2025, and continued on September 18, 2025, is lifted effective October 29, 2025.
Findings
The stop placement order prohibiting admissions at Renton Assisted Living has been officially lifted as of October 29, 2025.
Report Facts
Dates of stop placement actions: Stop placement order placed on July 30, 2025, continued on September 18, 2025, and lifted on October 29, 2025
Inspection Report — Oct 29, 2025
Follow-Up
Date: Oct 29, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to medication services and licensing laws.
Complaint Details
The complaint investigation involved allegations that staff were not responding to call pendants and that the facility did not provide ordered medications. The investigation found that a resident's call pendant was not responded to timely and medications were not available or given as prescribed, resulting in citations.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected by the completion dates.
Deficiencies (3)
WAC 388-78A-2210 Medication services. The facility failed to ensure a safe medication delivery system for 9 of 17 residents and failed to implement a system to support safe medication administration for 2 of 3 residents, placing residents at risk of negative health impacts.
WAC 388-78A-2210 Medication services. The facility failed to ensure staff implemented a safe medication management system and 4 of 4 sampled residents did not receive prescribed medications as ordered, resulting in risk of potential medical complications.
WAC 388-78A-2210 Medication services. The facility failed to ensure staff implemented a safe medication management system and 4 of 4 sampled residents did not receive prescribed medications as ordered, resulting in risk of potential medical complications.
Report Facts
Total residents: 74
Sample size: 17
Resident sample size: 7
Total residents: 90
Inspection Report — Sep 18, 2025
Enforcement
Date: Sep 18, 2025
Visit Reason
The Department of Social and Health Services issued a Continued Stop Placement Order on the assisted living facility's license to prohibit admissions due to unresolved deficiencies.
Findings
The stop placement order, initially effective on July 30, 2025, remains in effect as of September 18, 2025, indicating ongoing noncompliance requiring enforcement action.
Report Facts
Date of initial stop placement order: Jul 30, 2025
Inspection Report — Sep 8, 2025
Enforcement
Date: Sep 8, 2025
Visit Reason
This document is a follow-up visit and enforcement action involving a civil fine and a continued stop placement order prohibiting admissions due to violations related to medication services at Renton Assisted Living.
Findings
The licensee failed to ensure a safe medication delivery system for nine residents and did not implement a system to support safe medication administration for two residents who self-administered medications. These failures placed residents at risk of negative health impacts. The deficiency is recurring and remains uncorrected, resulting in a civil fine and continued stop placement order prohibiting admissions.
Deficiencies (1)
WAC 388-78A-2210 (1)(b)(2)(a)(b) Medication services. The licensee failed to ensure a safe medication delivery system for nine residents and did not implement a system to support safe medication administration for two residents who self-administered medications. These failures placed residents at risk of negative health impacts.
Report Facts
Civil fine amount: 1000
Residents affected: 9
Residents self-administering medications: 2
Inspection Report — Jul 31, 2025
Complaint Investigation
Date: Jul 31, 2025
Visit Reason
The inspection was conducted by the Office of the State Fire Marshal on 07/31/2025 as a follow-up to verify correction of previous violations related to a complaint about evacuation due to an electrical issue.
Complaint Details
The complaint #175032 alleged an evacuation due to an electrical issue on 4/11/2025. The investigation found no fire, no sprinkler activation, and no injuries. The facility was unable to provide documentation of the electrical inspection conducted after the incident. The fire department cleared the incident and the facility was reoccupied. The complaint was investigated but the follow-up inspection on 07/31/2025 found all violations corrected.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — Jul 17, 2025
Enforcement
Date: Jul 17, 2025
Visit Reason
The Department of Social and Health Services conducted a complaint investigation at the assisted living facility which resulted in a stop placement order prohibiting admissions due to serious deficiencies.
Complaint Details
The visit was a complaint investigation conducted on July 17, 2025, which substantiated medication management deficiencies affecting four residents and resulted in a stop placement order prohibiting admissions.
Findings
The licensee failed to ensure staff implemented a safe medication management system, resulting in four residents not receiving their prescribed medications as ordered. This deficiency is recurring and has led to a stop placement order prohibiting admissions until corrections are made.
Deficiencies (1)
WAC 388-78A-2210 (1)(b)(2)(a)(b) Medication services. The licensee failed to ensure staff implemented a safe medication management system and that four residents received their prescribed medications as ordered, placing residents at risk of medical complications.
Report Facts
Residents affected: 4
Inspection Report — Jun 10, 2025
Follow-Up
Date: Jun 10, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up inspection of Renton Assisted Living to verify correction of previously cited deficiencies related to medication availability.
Complaint Details
The complaint investigation (Complaint #175219) was based on allegations of missing and non-ordered medications. The investigation found that a named resident did not receive prescribed medications for over three weeks, resulting in a citation under WAC 388-78A-2240. The follow-up inspection confirmed correction of this deficiency.
Findings
The follow-up inspection on 06/10/2025 found no deficiencies; the previously cited medication availability issues were corrected as required.
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.
Report Facts
Total residents: 90
Resident sample size: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Karri Hernandez | Community Complaint Investigator | Named as the investigator who conducted the complaint investigation and on-site verification |
Inspection Report — Jun 2, 2025
Complaint Investigation
Date: Jun 2, 2025
Visit Reason
The inspection was conducted as a complaint investigation regarding the facility's failure to notify the payor of a resident's transfer to the hospital.
Complaint Details
Complaint number 176287 involved an allegation of failure to notify the payor of transfer of a resident to hospital. The allegation was not substantiated as no citation was written and no failed provider practice was identified.
Findings
The investigation found that the facility did not notify the Home and Community Service agency responsible for paying for the resident's care when the resident was hospitalized for over twenty-four hours. The facility developed a policy and procedure during the investigation to ensure proper notification of resident transfers. No citations were written as no failed provider practice was identified.
Report Facts
Total residents: 90
Resident sample size: 5
Inspection Report — May 20, 2025
Follow-Up
Date: May 20, 2025
Visit Reason
The Department completed a follow-up inspection of the Renton Assisted Living Facility to verify correction of previously cited deficiencies related to medication services.
Complaint Details
The complaint investigation (Complaint #170767) alleged the facility was not dispensing medications as ordered. The investigation found a failure of provider practice and issued a citation under WAC 388-78A-2210. The deficiency was substantiated and corrected by the follow-up inspection.
Findings
The follow-up inspection on 05/20/2025 found no deficiencies; all previously cited medication service deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2210 Medication services. The assisted living facility failed to ensure medication administration as prescribed for one sampled resident, placing the resident at risk of harm. This deficiency was corrected as of the follow-up inspection.
Report Facts
Total residents: 84
Resident sample size: 8
Plan of Correction completion days: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Karri Hernandez | Community Complaint Investigator | Named as investigator who conducted complaint investigation |
Inspection Report — Apr 9, 2025
Enforcement
Date: Apr 9, 2025
Visit Reason
The Department of Social and Health Services conducted a Complaint Investigation at the assisted living facility due to concerns about medication services.
Complaint Details
The visit was a complaint investigation conducted on April 9, 2025. The complaint was substantiated as the violation was confirmed and resulted in a civil fine.
Findings
The investigation found a violation of WAC 388-78A-2210 related to medication services, where the licensee failed to ensure one resident received medications as prescribed. This deficiency is recurring and resulted in a civil fine of $800.
Deficiencies (1)
WAC 388-78A-2210 (1)(a)(2)(a)(b) Medication services The licensee failed to ensure one resident received medications as prescribed to meet their medical needs. This failure placed the resident at risk for potential decline in medical conditions, decreased quality of life, and potential harm.
Report Facts
Civil fine amount: 800
Inspection Report — Mar 14, 2025
Follow-Up
Date: Mar 14, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected.
Deficiencies (8)
WAC 388-112A-0611 - The facility failed to ensure 1 of 6 staff (Staff F) completed required continuing education training to perform their job duties, placing all residents at risk of unmet care needs. This was an uncorrected deficiency cited on 12/06/2024 and recurring from 10/11/2024.
WAC 388-78A-2140 - The facility failed to document in 5 of 9 sampled residents' negotiated service agreements the care needs and interventions for diagnoses and physician ordered medical treatments, risking unmet care needs and worsening medical conditions.
WAC 388-78A-2210 - The facility failed to ensure 3 medication carts storing narcotic medications were accounted for and documented in the controlled medication count record, risking financial exploitation and medication errors.
WAC 388-78A-2610 - The facility failed to ensure 2 observed staff implemented proper hand hygiene after medication assistance, risking infection or illness from cross-contamination.
WAC 388-78A-2305 - The facility failed to maintain the kitchen in compliance with food safety regulations including proper thawing, handwashing facilities, food storage temperatures, cleanliness, and sanitizing solution monitoring, placing residents at risk of food-borne illnesses.
WAC 388-78A-2730 - The facility failed to obtain a current Medical Test Site Waiver certificate and had an expired assisted living facility license posted during inspection.
WAC 388-78A-2400 - The facility failed to maintain confidentiality of resident records by posting medical information publicly in common areas and medication rooms; this was corrected during inspection.
WAC 388-78A-3040 - The facility failed to designate separate areas for clean and soiled laundry and failed to ensure laundry room ventilation to the outside; these deficiencies were corrected on-site.
Report Facts
Residents at risk: 83
Residents at risk: 81
Medication carts unaccounted shifts: 199
Medication cart narcotic packages: 64
Residents sampled for NSA review: 9
Residents with NSA deficiencies: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff F | Medication Technician | Named in continuing education training deficiency |
| Staff O | District Administrator | Acknowledged awareness of Staff F's incomplete training |
| Staff G | Executive Director | Acknowledged awareness of Staff F's incomplete training |
| Staff C | Caregiver | Named in continuing education and CPR training deficiencies |
| Staff E | Medication Technician | Named in continuing education training deficiency |
| Staff A | Administrator | Acknowledged awareness of staff training deficiencies |
| Staff B | Health Services Director | Named in negotiated service agreement and medication safety deficiencies |
| Staff J | Medication Technician | Named in medication cart controlled substance count deficiency |
| Staff M | Medication Technician | Named in infection control hand hygiene deficiency |
| Staff N | Medication Technician | Named in infection control hand hygiene deficiency |
| Staff K | Cook | Named in food sanitation deficiencies |
| Staff L | Food Services Director | Named in food sanitation deficiencies |
Inspection Report — Jan 23, 2025
Enforcement
Date: Jan 23, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Renton Assisted Living to enforce compliance related to staff continuing education requirements.
Findings
The facility failed to ensure that one staff member completed the required continuing education training, resulting in a civil fine. This deficiency was uncorrected as of the follow-up visit and was a recurring issue from previous citations.
Deficiencies (1)
WAC 388-112A-0611 (1)(a)(i)(ii)(iii)iv)(v) Who in an assisted living facility is required to complete continuing education training each year, how many hours of continuing education are required, and when must they be completed. The licensee failed to ensure one staff completed required continuing education training to perform their job duties.
Report Facts
Civil fine amount: 700
Resident count: 83
Inspection Report — Dec 6, 2024
Enforcement
Date: Dec 6, 2024
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Renton Assisted Living to assess compliance with previously cited deficiencies and to impose a civil fine based on unresolved violations.
Findings
The facility failed to ensure that one staff member completed required Continuing Education training, resulting in an uncorrected citation and a civil fine. This violation placed all 90 residents at risk due to incomplete staff training.
Deficiencies (1)
WAC 388-78A-2474 (2)(d)(e) Training and home care aide certification requirements. The licensee failed to ensure one staff completed required Continuing Education training to perform their job duties. This violation was uncorrected from a prior citation.
Report Facts
Civil fine amount: 400
Residents at risk: 90
Inspection Report — Dec 3, 2024
Life Safety
Date: Dec 3, 2024
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire protection inspection at Renton Assisted Living on December 2 and 3, 2024, to assess fire safety compliance and system functionality.
Complaint Details
The inspection was complaint-driven based on complaints #156554 and #156628 regarding a widespread power outage affecting fire safety systems. The facility had a small generator to help with lighting and offered extra supplies to residents with oxygen. The fire alarm went into trouble status and the sprinkler system was down without a fire watch.
Findings
All violations noted during previous related inspections have been corrected. The current inspection identified two violations related to fire watch procedures and fire alarm status, resulting in a disapproved status on December 2, 2024, but the final report dated December 3, 2024, shows an approved status indicating corrections were made.
Deficiencies (2)
IFC 901.7 (2021) - The facility did not conduct a fire watch while their sprinkler system was down during a power outage.
IFC 907.8 (2021) - The fire alarm is in trouble status and it is unknown if it calls out. The facility is being put on fire watch.
Inspection Report — Sep 13, 2024
Follow-Up
Date: Sep 13, 2024
Visit Reason
This document reports a follow-up inspection conducted on 09/13/2024 to verify correction of previously cited deficiencies related to licensing laws and regulations at Renton Assisted Living.
Complaint Details
The complaint investigation (Complaint #117276) found alleged neglect and failure to notify Home and Community Services when a resident was hospitalized. The investigation confirmed failures in care coordination, notification delays, and failure to report possible neglect, placing the resident at risk. Citations were issued.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2640 Reporting significant change in a resident's condition. The facility failed to notify the Home and Community Services Case Manager within 24 hours when a resident was hospitalized, notifying three days late. This deficiency was not corrected at the time of the cited report.
Report Facts
Total residents: 88
Resident sample size: 4
Closed records sample size: 1
Inspection Report — Sep 10, 2024
Life Safety
Date: Sep 10, 2024
Visit Reason
The Office of the State Fire Marshal conducted a fire and life safety code inspection at Renton Assisted Living to determine compliance with applicable codes.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — Jul 18, 2024
Complaint Investigation
Date: Jul 18, 2024
Visit Reason
The inspection was conducted in response to a complaint about a stove fire at Renton Assisted Living.
Complaint Details
Complaint #138642 involved a stove fire reported on July 15. The investigation found no violations and the complaint was not substantiated.
Findings
The facility reported a stove fire on July 15 caused by grease in the kitchen trap. The staff initially used the wrong extinguisher but have since been trained on proper fire response. The grease trap was cleaned and the facility stated they will clean it nightly. No violations were found at the time of inspection.
Inspection Report — Jul 17, 2024
Enforcement
Date: Jul 17, 2024
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to the Renton Assisted Living facility to address previously cited deficiencies and enforce compliance, resulting in the imposition of a civil fine.
Findings
The facility failed to notify the Home and Community Services Case Manager when a Medicaid resident was admitted to the hospital, which placed the resident at risk of disruption in service coordination and financial assistance. This deficiency was uncorrected from a prior citation and resulted in a $300 civil fine.
Deficiencies (1)
WAC 388-78A-2640(2)(a) Reporting significant change in a resident's condition. The licensee failed to notify the Home and Community Services Case Manager when a Medicaid resident was admitted to the hospital, risking disruption in service coordination and financial assistance.
Report Facts
Civil fine amount: 300
Notice — Apr 16, 2024
Date: Apr 16, 2024
Visit Reason
This letter serves as formal notice that the conditions placed on the assisted living facility license on March 7, 2024, are lifted effective April 16, 2024.
Findings
The conditions previously imposed on the facility's license have been officially lifted as of April 16, 2024.
Report Facts
Date conditions placed on license: Mar 7, 2024
Date conditions lifted: Apr 16, 2024
Notice — Mar 7, 2024
Date: Mar 7, 2024
Visit Reason
The document serves to impose conditions on the license of Renton Assisted Living following a Statement of Deficiencies dated February 26, 2024.
Findings
The notice requires the licensee to hire a registered nurse consultant to ensure staff compliance with nursing delegation regulations and training, and to implement processes preventing unqualified staff from passing medications. These conditions remain in effect until formally lifted.
Report Facts
Deadline for hiring RNC: Mar 22, 2024
Deadline for staff training completion: Apr 19, 2024
Inspection Report — Feb 26, 2024
Enforcement
Date: Feb 26, 2024
Visit Reason
This document is a follow-up visit resulting in the imposition of a civil fine and conditions on the assisted living facility license due to recurring deficiencies related to nurse delegation requirements.
Findings
The licensee failed to ensure all staff met nurse delegation requirements for four residents, placing them at risk for harm and medication errors. This recurring deficiency was previously cited multiple times and resulted in a $1,000 civil fine and conditions on the license.
Deficiencies (1)
WAC 388-78A-2320 (1)(a)(b)(2)(c)(3)(a)(b)(c)(d)(e) Intermittent nursing services systems. The licensee failed to ensure all staff completed and met nurse delegation requirements for four residents, risking harm and medication errors from undelegated staff.
Report Facts
Civil fine amount: 1000
Number of residents affected: 4
Inspection Report — Dec 27, 2023
Follow-Up
Date: Dec 27, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to fire safety.
Complaint Details
The complaint investigation dated 09/08/2023 concerned fire safety deficiencies. The facility failed the third fire marshal inspection on 08/14/2023 and was cited. The follow-up inspection found the deficiencies corrected.
Findings
The follow-up inspection on 12/27/2023 found no deficiencies and confirmed the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2040 Other requirements. The facility failed to ensure all 105 residents resided in a building approved by the State Fire Marshal, placing residents at risk of harm due to unsafe environmental conditions.
Report Facts
Total residents: 105
Resident sample size: 1
Inspection Report — Dec 11, 2023
Complaint Investigation
Date: Dec 11, 2023
Visit Reason
The inspection was conducted to investigate a complaint of fire in a trash can and resident smoking indoors at the facility.
Complaint Details
Complaint #108722 alleged a fire in a trash can caused by resident smoking indoors. The fire was extinguished by staff with no injuries or violations found.
Findings
The investigation found that a trash can fire occurred in a resident room due to a resident lighting a napkin on fire. The facility staff extinguished the fire, reminded residents that smoking is not allowed indoors, and no injuries or IFC violations were observed.
Inspection Report — Dec 8, 2023
Enforcement
Date: Dec 8, 2023
Visit Reason
This document is a formal notice of civil fines imposed following a follow-up visit conducted on December 8, 2023, at Renton Assisted Living. The fines are based on recurring and uncorrected deficiencies related to regulatory violations.
Findings
The report identifies multiple recurring deficiencies related to background checks, tuberculosis testing, medication security, nurse delegation services, staff training on abuse and neglect policies, and pet health requirements. All cited deficiencies were previously noted and remain uncorrected, resulting in civil fines totaling $3,300.
Deficiencies (6)
WAC 388-78A-2468(1) Background checks—Employment—Conditional hire—Pending results of Washington state name and date of birth background check. The licensee failed to submit a background inquiry on the first business day after hiring new staff, placing residents at risk of abuse or neglect.
WAC 388-78A-2480(1)(2) Tuberculosis—Testing—Required. The licensee failed to ensure three staff were screened for tuberculosis within three days of employment, placing residents at risk of exposure to tuberculosis.
WAC 388-78A-2260(2)(d) Storing, securing, and accounting for medications. The licensee failed to ensure one medication room was locked when left unsupervised, risking resident harm if medications were accessed.
WAC 388-78A-2320(1)(a)(b)(2)(c)(3)(a)(b)(c)(d)(e) Intermittent nursing services systems. The licensee failed to monitor nurse delegation services for three residents, risking harm from potential medication errors by undelegated staff.
WAC 388-78A-2600(2)(a) Policies and procedures. The licensee failed to ensure 25 staff were trained on policies related to identifying and reporting suspected abuse, neglect, exploitation, and financial exploitation, placing residents at risk.
WAC 388-78A-2620(1)(b)(2)(a)(b) Pets. The licensee failed to ensure five pets had regular veterinary exams and vaccinations and were certified free of diseases transmittable to humans, risking resident illness.
Report Facts
Civil fine amount: 600
Civil fine amount: 400
Civil fine amount: 500
Civil fine amount: 800
Civil fine amount: 500
Civil fine amount: 500
Total civil fines: 3300
Number of staff not trained: 25
Number of staff not screened for TB: 3
Number of residents affected by nurse delegation failure: 3
Number of pets: 5
Inspection Report — Aug 15, 2023
Complaint Investigation
Date: Aug 15, 2023
Visit Reason
The inspection was conducted as a complaint investigation based on allegations regarding the provision of a calling system (pendant) and housekeeping conditions at Renton Assisted Living.
Complaint Details
The complaint investigation involved two allegations: failure to provide a calling system (pendant) and housekeeping issues. The calling system allegation was substantiated with citations issued. The housekeeping allegation was noted but no new citation was issued due to ongoing plan of correction.
Findings
The investigation found that the facility failed to provide a communication pendant to a resident upon admission and after subsequent falls, resulting in a citation. Housekeeping issues were noted but no new citation was issued as the facility was still in their plan of correction period.
Deficiencies (3)
WAC 388-78A-2930 Communication system. The facility failed to provide one out of three sampled residents with a means to summon staff assistance, placing the resident at risk of harm. This deficiency was cited.
WAC 388-78A-2371 Investigations. The facility failed to investigate an incident involving a resident's unwitnessed injury fall, placing the resident at risk of harm, bodily injury, and possible death. This deficiency was cited.
Housekeeping. The room was not properly prepped for a new resident; ceiling paint was uneven and window seal had duct tape. No new citation was issued as the facility was still in their plan of correction period.
Report Facts
Total residents: 115
Resident sample size: 3
Closed records sample size: 1
Inspection Report — Aug 14, 2023
Complaint Investigation
Date: Aug 14, 2023
Visit Reason
The inspection was conducted in response to a complaint (#76598) regarding smoking inside the facility.
Complaint Details
Complaint #76598 alleged smoking in the building. Multiple inspections from April through August 2023 documented smoking violations in resident rooms, including cigarette smoke, marijuana smoke, and smoking paraphernalia. The Executive Director stated residents would not continue smoking in rooms. The final inspection on 08/14/2023 confirmed all prior violations were corrected.
Findings
The inspection found violations related to smoking inside resident rooms. The report states that all violations noted during previous related inspections have been corrected.
Deficiencies (1)
IFC 310.1 (2015, 2018) - Smoking or carrying a lighted pipe, cigar, cigarette, or any other type of smoking paraphernalia or material is prohibited in the areas indicated in Sections 310.2 through 310.8. Violations were observed at the time of re-inspection with resident rooms smelling strongly of cigarette and marijuana smoke.
Inspection Report — Aug 14, 2023
Re-Inspection
Date: Aug 14, 2023
Visit Reason
The Office of the State Fire Marshal conducted an annual fire and life safety inspection of Renton Assisted Living, followed by a reinspection due to violations identified during the initial inspection that remained uncorrected.
Complaint Details
The inspection included a complaint investigation (Complaint #76598) related to residents smoking in nonsmoking areas. The facility acknowledged the complaint and stated they have talked with residents but the issue remains.
Findings
The facility was found to have multiple fire and life safety code violations during the reinspection, including smoking in nonsmoking areas, unapproved electrical adapters, missing inspection records, and blocked fire extinguishers. The overall approval status is Disapproved, indicating unresolved deficiencies.
Deficiencies (15)
IFC 310.5 (2015, 2018) - Residents are currently smoking in the nonsmoking area outside, with cigarette butts on the ground and in the brush.
IFC 310.7 (2015, 2018) - The nonsmoking area has cigarette butts thrown in the brush.
IFC 604.4 (2018) - The maintenance office has an unapproved multi plug adapter on the ceiling on the 3rd floor.
IFC 604.4.3 (2018) - The Business Manager's office has a power strip dangling by its cord behind the desk on the 2nd floor.
IFC 701.6 (2018) WAC 51-54A - The facility was unable to provide record of their annual fire wall inspection and/or repairs for all fire-resistant-rated construction.
IFC 703.1 (2018) - The Salon door has two small penetrations at the door handle.
IFC 705.2 (2018) - The facility was unable to provide inventory record of their annual inspection and/or repairs for all fire-resistant-rated doors.
IFC 706.1 (2018) - The facility was unable to provide documentation for their last fire/smoke damper testing. All inspection reports must verify no deficiencies or document all corrections.
IFC 901.6 (2018) - Missing escutcheon rings in resident rooms 108 and hall by room 121; maintenance office has a wire attached to the sprinkler pipe.
IFC 903.5 (2009, 2012, 2015, 2018) - The facility was unable to provide their quarterly sprinkler reports.
IFC 904.12.5.2 (2018) - The facility's kitchen suppression report has multiple deficiencies and is currently yellow tagged; unable to provide a correction report.
IFC 906.2 (2015, 2018) - Required maintenance for fire extinguishers in multiple areas has not been completed in accordance with NFPA 10.
IFC 906.6 (2015, 2018) - The fire extinguisher in the laundry room is on the ground and blocked with clothing.
IFC 5303.5.3 (2018) - Resident room 106 has unsecured oxygen tanks.
WAC 212-12-044 - The facility was not able to provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months.
Report Facts
Number of planned and unannounced fire drills required: 12
Number of fire drills to be conducted quarterly: 4
Inspection Report — Aug 10, 2023
Enforcement
Date: Aug 10, 2023
Visit Reason
This document is a formal notice of civil fines following a follow-up visit conducted by the Department of Social and Health Services Residential Care Services at Renton Assisted Living on August 10, 2023.
Findings
The report details multiple uncorrected deficiencies previously cited on April 3, 2023, including failures in background checks, tuberculosis testing, infection control, medication management, staff training, and pet record maintenance. These deficiencies placed residents at risk and resulted in civil fines totaling $4,200.
Deficiencies (12)
WAC 388-78A-2468(1) Background checks - Employment- Conditional hire - Pending results of Washington state name and date of birth background check. The licensee failed to submit a Washington state name and date of birth background check on the first business day after staff started working for two sampled staff.
WAC 388-78A-2480(1)(2) Tuberculosis – Testing - Required. The licensee failed to implement a system to ensure five sampled staff were screened for tuberculosis, placing residents at risk of exposure to tuberculosis.
WAC 388-78A-2610(1) Infection control. The licensee failed to implement their respiratory protection program for 30 staff to reduce the spread of infectious diseases, placing residents at risk.
WAC 388-78A-24681(1)(2) Background checks – Employment – Provisional hire - Pending results of national fingerprint background check. The licensee failed to ensure two sampled staff completed a national fingerprint background check prior to provisional hire and failed to prevent unsupervised access pending results.
WAC 388-78A-2260(2)(d) Storing, securing, and accounting for medications. The licensee failed to ensure one sampled medication cart was locked when left unsupervised, placing residents at risk of harm.
WAC 388-78A-2210(1)(a)(2)(a)(b) Medication services. The licensee failed to ensure two sampled residents received medications as prescribed, resulting in medication errors and health risks.
WAC 388-78A-2350(1) Coordination of health care services. The licensee failed to communicate with the physician for one sampled resident's blood sugar results as ordered, placing the resident at risk.
WAC 388-78A-2320(1)(a)(b)(c)(3)(a)(b)(c)(d)(e) Intermittent nursing services systems. The licensee failed to monitor nurse delegation services for 16 sampled residents, placing residents at risk of harm from potential medication errors.
WAC 388-78A-2410(7)(8)(a)(iii)(b) Content of resident records. The licensee failed to accurately document medication assistance and administration for one resident, placing the resident at risk of medication errors.
WAC 388-78A-2450(2)(e)(h)(i)(ii)(iii)(iv)(v)(vi)(vii) Staff. WAC 388-112A-0200(1) What is orientation training, who should complete it, and when should it be completed? The licensee failed to ensure three sampled staff completed facility orientation, placing residents at risk of abuse and neglect.
WAC 388-78A-2600(2)(a) Policies and procedures. The licensee failed to ensure all staff were trained on policies related to reporting suspected abandonment, abuse, neglect, exploitation, and financial exploitation, placing residents at risk.
WAC 388-78A-2620(1)(b)(2)(a)(b) Pets. The licensee failed to maintain pet records for five pets, including veterinarian certification, placing residents at risk of illness from pets.
Report Facts
Civil fines total: 4200
Sampled staff: 5
Sampled staff: 30
Sampled staff: 2
Sampled staff: 2
Sampled residents: 2
Sampled residents: 16
Sampled staff: 3
Pets: 5
Inspection Report — Aug 4, 2023
Follow-Up
Date: Aug 4, 2023
Visit Reason
The Department completed a follow-up inspection of the Renton Assisted Living Facility to verify correction of previously cited deficiencies related to failure to notify Home and Community Services (HCS) of residents' hospitalization or skilled nursing facility admission.
Findings
The follow-up inspection on 08/04/2023 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2640 Reporting significant change in a resident's condition. The facility failed to notify the Home and Community Services Case Manager when 4 of 4 sampled residents were admitted to hospital or skilled nursing facility, disrupting coordination of services and funding.
Report Facts
Total residents: 100
Resident sample size: 6
Closed records sample size: 1
Number of residents not notified to HCS: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff F | Director of Compliance | Reported facility had not implemented a system to notify HCS Case Manager |
| Staff D | Executive Director | Provided information about notification process and meetings with HCS Case Manager |
| Staff E | Business Office Manager | Responsible for communicating with HCS Case Manager and maintaining resident status updates |
| CC1 | Assigned HCS Case Manager who reported lack of timely notifications |
Inspection Report — Jun 16, 2023
Enforcement
Date: Jun 16, 2023
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to impose a civil fine on Renton Assisted Living for failure to report significant changes in residents' conditions, specifically for not notifying the case manager when four Medicaid residents were hospitalized.
Findings
The facility failed to notify the Home and Community Services Case Manager when four Medicaid residents were admitted to hospital or skilled nursing facilities, creating potential disruption in service coordination. This deficiency was uncorrected from a prior citation and resulted in a $300 civil fine.
Deficiencies (1)
WAC 388-78A-2640 (2)(a) Reporting significant change in a resident's condition. The licensee failed to notify the case manager when four Medicaid residents were admitted to hospital or skilled nursing facilities. This deficiency was uncorrected from a prior citation.
Report Facts
Civil fine amount: 300
Number of residents involved: 4
Inspection Report — May 8, 2023
Complaint Investigation
Date: May 8, 2023
Visit Reason
The inspection was conducted in response to a complaint of smoking inside the building at Renton Assisted Living.
Complaint Details
Complaint #76598 alleged smoking inside the building. The investigation confirmed the complaint with observations of smoke odors in resident rooms and multiple residents smoking inside. The facility is aware but unable to evict residents who smoke.
Findings
The investigation confirmed the presence of cigarette and marijuana smoke odors in resident rooms despite residents denying smoking. The facility is aware of the issue and is having trouble evicting residents who smoke. The smoking policy is non-smoking inside but allows a designated outdoor smoking area. Multiple residents were found to be smoking in their rooms, and the facility needs to update its smoking policy accordingly.
Deficiencies (1)
IFC 310.1 (2015, 2018) - Smoking or carrying of a lighted pipe, cigar, cigarette or any other smoking paraphernalia is prohibited in designated areas. Resident rooms smelled strongly of cigarette smoke and marijuana, violating this prohibition.
Inspection Report — Sep 21, 2022
Complaint Investigation
Date: Sep 21, 2022
Visit Reason
The inspection was a complaint investigation triggered by allegations of a missing resident and missing prescribed medication dosages at Renton Assisted Living.
Complaint Details
The complaint investigation (Complaint #46279) addressed allegations of a missing resident and missing prescribed medication dosages. The investigation confirmed that the resident was missing for three days without proper reporting and that medications were missed for three days without documentation or notification. The facility failed to follow policies on medication administration and resident elopement.
Findings
The investigation found that the facility failed to provide safe medication services and failed to investigate and report a missing resident incident properly. The facility did not follow its policies on medication administration and resident elopement, placing residents at risk of harm. Deficiencies were cited and corrective actions planned.
Deficiencies (3)
WAC 388-78A-2210 Medication services. The facility failed to provide prescribed medications to one resident for three days without documentation or notification, placing the resident at risk of harm.
WAC 388-78A-2371 Investigations. The facility failed to investigate and document a missing resident incident and did not develop corrective measures to prevent recurrence.
WAC 388-78A-2600 Policies and procedures. The facility failed to implement its elopement policy, including notification to law enforcement and the department hotline, after a resident was missing for multiple days.
Report Facts
Total residents: 90
Resident sample size: 4
Days medication missed: 3
Days resident missing: 3
Report
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