Inspection Reports for
South Hill Village
3117 E Chaser Ln, Spokane, WA 99223, United States, WA
Back to Facility Profile16 Reports
Inspection Report — Apr 7, 2026
Enforcement
Date: Apr 7, 2026
Visit Reason
The Department completed a full inspection and complaint investigation of South Hill Village Assisted Living & Memory Care on 04/07/2026 and 04/16/2026, triggered by complaint number 218232.
Complaint Details
The complaint investigation referenced complaint number 218232. The investigation found multiple deficiencies including food sanitation issues, delayed meal service, failure to investigate abuse allegations, failure to timely contact medical providers, incomplete resident assessments, incomplete family medication plans, and failure to timely test staff for tuberculosis.
Findings
The facility was found non-compliant with multiple assisted living licensing laws including food sanitation, resident rights, investigations, coordination of health care services, ongoing assessments, family assistance with medications, and tuberculosis testing. Numerous deficiencies were cited, many recurring, and enforcement action may be taken. The facility failed to maintain sanitary food service conditions, timely meal service, proper abuse investigations, timely medical provider contacts, complete resident assessments, complete family medication plans, and timely tuberculosis testing of staff.
Deficiencies (7)
WAC 388-78A-2305 Food sanitation. The assisted living facility must manage food and maintain on-site food service facilities in compliance with chapter 246-215 WAC. The facility failed to ensure the kitchen was sanitary and food was prepared to prevent cross contamination, with multiple areas covered in food debris, stains, spills, and improper storage.
RCW 70.129.140 and WAC 388-78A-2660 Resident rights. The assisted living facility must promote care that maintains dignity and respect. The facility failed to provide timely meal service in the main dining room, resulting in residents waiting over an hour for meals and risking decreased quality of life.
WAC 388-78A-2371 Investigations. The assisted living facility must investigate and document actions for alleged or suspected abuse. The facility failed to investigate an allegation of physical abuse involving a resident and staff, placing residents at risk of uninvestigated abuse.
WAC 388-78A-2350 Coordination of health care services. The assisted living facility must respond appropriately to changes in residents' conditions. The facility failed to ensure timely contact with medical providers for two residents, resulting in delayed medication changes and untreated infections.
WAC 388-78A-2100 Ongoing assessments. The assisted living facility must complete full annual assessments for each resident. The facility failed to complete full annual assessments for one resident, medical device assessments for two residents, and self-medication assessments for two residents, placing residents at risk of harm.
WAC 388-78A-2290 Family assistance with medications and treatments. The assisted living facility must have a complete written plan for family medication assistance. The facility failed to ensure complete family assistance plans for four residents, lacking medication names, alternate plans, or signatures, risking untimely medication administration.
WAC 388-78A-2480 Tuberculosis Testing Required. The assisted living facility must ensure staff are screened for tuberculosis within three days of employment. The facility failed to ensure timely TB testing for one staff member, placing residents at risk of exposure to communicable disease.
Report Facts
Residents in facility: 114
Sampled residents: 18
Former residents sampled: 6
Daily cleaning tasks incomplete: 18
Weekly cleaning tasks incomplete: 10
Meal service delay: 60
Medications not administered: 25
Staff TB test delay: 40
Inspection Report — Feb 13, 2026
Life Safety
Date: Feb 13, 2026
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire protection inspection at the South Hill Village Assisted Living & Memory Care facility.
Findings
The inspection found multiple deficiencies related to fire safety codes, most of which were corrected on site or completed. The overall approval status is Approved, indicating compliance with required corrections.
Deficiencies (25)
IFC 315.2.3 (2021) - Combustible material shall not be stored in boiler rooms, mechanical rooms, electrical equipment rooms, or fire command centers. This was corrected.
IFC 603.2 (2021) - Unsafe electrical hazards constituting shock or fire hazards shall be abated. This was corrected.
IFC 604.5 (2021) - Elevator features and lobbies shall be maintained per code sections. Elevator features were removed as required.
IFC 701.6 (2021) - Owner must maintain an inventory of fire-resistance-rated construction and inspect annually. Report was provided.
IFC 703.1 (2021) - Materials and firestop systems protecting penetrations in fire-resistance-rated construction shall be maintained. This was corrected.
IFC 705.2 (2021) - Opening protectives in fire-resistance-rated assemblies shall be inspected and maintained per NFPA 80 and 105. This was corrected.
IFC 904.13.5.2 (2021) - Automatic fire-extinguishing systems shall be serviced at least every six months and after activation. Service was completed.
IFC 906.2 (2021) - Portable fire extinguishers shall be selected, installed, and maintained per NFPA 10. New monthly report was completed.
IFC 906.6 (2021) - Portable fire extinguishers shall not be obstructed or obscured. This was completed.
IFC 915.6 (2021) WAC - Carbon monoxide alarms and detection systems shall be maintained per NFPA 72. New logs were created and completed.
IFC 1003.6 (2021) - Means of egress shall not be obstructed or diminished in capacity. This was corrected.
IFC 5303.5 (2021) - Compressed gas containers shall be secured against accidental dislodgement and unauthorized access. This was corrected.
IFC 701.6 (2021) - Facility unable to provide documentation that annual fire wall inspection has been completed.
IFC 703.1 (2021) - Ceiling penetrations found in pantry not properly maintained.
IFC 705.2 (2021) - Multiple fire doors and door frames did not close, latch, or had penetrations in fire-resistance-rated assemblies.
NFPA 25 13.7.2.1 - Forward flow testing of backflow preventers required but not performed.
IFC 904.13.5.2 (2021) - Kitchen suppression system deficiencies including missing hood signage and exhaust fan issues remain unaddressed.
IFC 906.2 (2021) - Facility unable to provide documentation for monthly fire extinguisher maintenance per NFPA 10.
IFC 907.4.2.6 (2021) - Fire alarm pull stations blocked in multiple locations.
IFC 907.8.3 (2021) - Smoke detector sensitivity calibration scheduled and report received.
IFC 915.6 (2021) WAC - Facility unable to provide documentation for monthly carbon monoxide detector maintenance.
IFC 1003.6 (2021) - Means of egress blocked by electric wheelchair, carts, and tables in multiple locations.
IFC 5303.5 (2021) - Unsecured oxygen canisters found in oxygen storage room.
NFPA 80 - Facility unable to provide documentation for 4-year fire and smoke damper inspection.
Fire Drills - Facility cannot provide documentation for completion of twelve planned and unannounced fire drills in the previous 12 months.
Report Facts
Fire drills missing: 12
Fire extinguisher maintenance frequency: 3
Fire damper inspection frequency: 4
Inspection Report — Sep 4, 2025
Enforcement
Date: Sep 4, 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 September 4, 2025, which found a recurring medication services deficiency that resulted in a civil fine.
Findings
The licensee failed to ensure a safe medication system for one resident, resulting in medications not being given as prescribed and placing the resident at risk. This deficiency is recurring and resulted in a civil fine.
Deficiencies (1)
WAC 388-78A-2210 (1)(b)(2)(a) Medication services. The licensee failed to ensure a safe medication system was in place for one resident, resulting in medications not being given as prescribed and placing the resident at risk for health complications.
Report Facts
Civil fine amount: 1000
Inspection Report — Aug 19, 2025
Complaint Investigation
Date: Aug 19, 2025
Visit Reason
The inspection was conducted as a complaint investigation regarding medication errors by the facility.
Complaint Details
Complaint number 190749 involved medication errors by the facility. The investigation substantiated the allegation and citations were written.
Findings
The investigation found that the facility failed to follow its policy on handling new physician orders, resulting in a resident not receiving medication as ordered. A deficiency was cited under WAC 388-78A-2210(1)(b)(2)(a).
Deficiencies (1)
WAC 388-78A-2210 Medication services. The facility failed to ensure a safe medication system for one resident, resulting in medications not being given as prescribed. This deficiency was cited.
Report Facts
Total residents: 101
Resident sample size: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Fast | Community Complaint Investigator | Conducted the on-site verification and investigation |
Inspection Report — May 2, 2025
Follow-Up
Date: May 2, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies and compliance with licensing requirements.
Findings
The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies were corrected. The facility meets the Assisted Living Facility licensing requirements.
Deficiencies (13)
WAC 388-78A-2240 Nonavailability of medications. The assisted living facility must obtain prescribed medications in a correct and timely manner. The facility failed to ensure medications were available for Resident 16 for 4 days, placing the resident at risk of infection.
WAC 388-78A-2210 Medication services. The facility must ensure residents receive medications as prescribed. Resident 15 did not receive prescribed medication furosemide, resulting in hospitalization due to shortness of breath.
WAC 388-78A-2130 Service agreement planning. The facility must update residents' negotiated service agreements and involve residents in planning. The facility failed to update agreements and involve Residents 3, 9, 10, 11, 12, and 13 in planning services.
WAC 388-78A-2371 Investigations. The facility must investigate and document findings for alleged abuse or neglect. The facility failed to investigate and protect Residents 14 and 6 from alleged abuse and neglect.
WAC 388-78A-2490 Specialized training for developmental disabilities. The facility must ensure staff complete specialized training. Staff B, C, and D failed to complete required training, placing Resident 5 at risk.
WAC 388-78A-2500 Specialized training for mental illness. The facility must ensure staff complete specialized training. Staff C and D failed to complete mental health training, affecting care for residents with mental illness.
WAC 388-78A-2240 Nonavailability of medications. The facility failed to ensure medications were available for Resident 6 for 8 days, placing the resident at risk of heart complications.
WAC 388-78A-2300 Food and nutrition services. The facility must provide adequate meals and assistance. Resident 6 did not receive three meals a day or eating assistance, resulting in unmet nutritional needs.
WAC 388-78A-2290 Family assistance with medications and treatments. The facility must obtain a written plan for family assistance. The facility failed to obtain a family plan for Resident 5, placing the resident at risk of medical complications.
WAC 388-78A-2150 Signing negotiated service agreement. The facility must ensure service agreements are signed annually by residents or representatives. The facility failed to obtain signatures for 14 residents' negotiated service plans.
WAC 388-78A-2390 Resident records. The facility must maintain updated records to enable care. The facility failed to maintain updated records for Resident 11, resulting in lack of continuity of care during hospital transfer.
WAC 388-78A-2270 Resident controlled medications. The facility must allow residents to control medications if assessed capable. The facility failed to allow Resident 10 to control and secure an inhaler.
WAC 388-78A-2100 Ongoing assessments. The facility must complete annual self-medication assessments. The facility failed to complete assessments for Residents 10 and 11, resulting in unsafe medication administration.
Report Facts
Sampled residents: 6
Sampled residents: 15
Missed medication doses: 5
Residents with unmet needs: 14
Staff without completed training: 4
Residents with unsigned service agreements: 14
Residents with missed meals: 1
Residents with medication nonavailability: 2
Residents with incomplete medication assessments: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kari Miller | Administrator | Signed multiple Plan/Attestation Statements acknowledging deficiencies and corrective actions |
Inspection Report — Jan 15, 2025
Enforcement
Date: Jan 15, 2025
Visit Reason
The Department of Social and Health Services conducted a Full Inspection and Complaint Investigation at the assisted living facility to assess compliance and investigate allegations.
Complaint Details
The inspection included a complaint investigation. The complaint was substantiated as the medication error violation was cited and resulted in a civil fine.
Findings
The facility was cited for a recurring medication services violation where a resident did not receive medication as prescribed, resulting in hospitalization. A civil fine of $600 was imposed based on this violation.
Deficiencies (1)
WAC 388-78A-2210(2)(a) Medication services. The licensee failed to ensure residents received their medication as prescribed for one resident, contributing to symptoms and hospital admission.
Report Facts
Civil fine amount: 600
Inspection Report — Jan 8, 2025
Life Safety
Date: Jan 8, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire protection inspection at South Hill Village, Assisted Living & Memory Care to assess compliance with fire safety codes and regulations.
Findings
The inspection found multiple fire safety requirements met with all cited deficiencies corrected or completed on site. The facility was approved with no outstanding violations noted in this current inspection.
Deficiencies (8)
IFC 603.6.1 (2021) Extension cords shall be plugged directly into an approved receptacle and serve only one portable appliance. Extension cords were found properly used and corrected.
IFC 701.6 (2021) The owner shall maintain an inventory of all required fire-resistance-rated construction and inspect annually. This was completed and documented.
IFC 705.2.4 (2021) Swinging fire doors shall close from the full-open position and latch automatically. Doors were tested and corrected to comply.
IFC 906.2 (2021) Portable fire extinguishers shall be selected, installed, and maintained per NFPA 10. Extinguishers were inspected and maintained as required.
IFC 907.8 (2021) Fire alarm inspection, testing, and maintenance records shall be maintained. Records were provided and found compliant.
IFC 915.6 (2021) Carbon monoxide alarms and detection systems shall be maintained per NFPA 72. Maintenance was completed and documented.
IFC 1013.1 (2021) Exit signs and exit access doors shall be marked by approved exit signs visible from any direction of egress travel. Exit signs were corrected and properly marked.
IFC 907.8.1 (2021) Fire alarm system testing and maintenance shall be documented. Documentation was provided and found compliant.
Report Facts
Next inspection scheduled: Dec 31, 2025
Inspection Report — Sep 30, 2024
Follow-Up
Date: Sep 30, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to failure to initiate cardiopulmonary resuscitation (CPR) as required by policy and regulations.
Complaint Details
The complaint investigation was triggered by an allegation of unexpected death. The investigation found that staff failed to initiate cardiopulmonary resuscitation as ordered, constituting a failed provider practice with citations written.
Findings
The follow-up inspection on 09/30/2024 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to failure to initiate CPR were corrected.
Deficiencies (1)
WAC 388-78A-2600 Policies and procedures. The facility failed to follow their policy related to unresponsive residents by not initiating cardiopulmonary resuscitation for one resident as specified in the resident's advanced directive. This failure placed residents at risk for inadequate emergency response.
Report Facts
Total residents: 98
Resident sample size: 2
Closed records sample size: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Wright | NCI Complain Investigator | Named as the investigator who conducted the complaint investigation and on-site verification |
Inspection Report — May 29, 2024
Complaint Investigation
Date: May 29, 2024
Visit Reason
The Department completed a complaint investigation regarding medication availability at the assisted living facility.
Complaint Details
Complaint number 130803 involved an allegation of medication availability. The investigation found a delay in medication initiation for one resident, confirming the allegation and resulting in citations.
Findings
The facility had a delay in medication initiation for one resident due to an order discrepancy. Staff were re-educated, and the resident subsequently received prescribed medication as ordered. Residents interviewed reported no concerns and appeared well cared for during the unannounced visit.
Deficiencies (1)
WAC 388-78A-2240 - The facility failed to ensure timely availability of prescribed medications for a resident, resulting in a delay of medication initiation due to an order discrepancy.
Report Facts
Total residents: 143
Resident sample size: 3
Inspection Report — Mar 15, 2024
Enforcement
Date: Mar 15, 2024
Visit Reason
The Department of Social and Health Services conducted a Complaint Investigation at the facility due to allegations related to medication services.
Complaint Details
The visit was a complaint investigation completed on March 15, 2024. The deficiency related to medication services was substantiated and resulted in a civil fine. The deficiency was recurring, previously cited on June 23, 2023.
Findings
The investigation found a recurring deficiency where the licensee failed to provide medications as prescribed for one resident, resulting in medication errors that contributed to elevated blood pressure and risk of health complications. This violation led to the imposition of a civil fine.
Deficiencies (1)
WAC 388-78A-2210(2)(b)(2)(a) Medication services. The licensee failed to provide medications as prescribed for one resident, causing medication errors and health risks due to incorrect dosing.
Report Facts
Civil fine amount: 200
Inspection Report — Mar 7, 2024
Complaint Investigation
Date: Mar 7, 2024
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding an allegation that a resident was not given medication as prescribed.
Complaint Details
The complaint investigation (Complaint #120360) focused on a resident not receiving prescribed medication. The allegation was substantiated with citations written due to failure to administer medication as ordered.
Findings
The investigation found that the facility failed to provide medications as prescribed for one sampled resident, resulting in medication errors that contributed to elevated blood pressure and risk of health complications. The deficiency was previously cited and remains uncorrected at the time of the investigation.
Deficiencies (1)
WAC 388-78A-2210 Medication services. The facility failed to provide medications as prescribed for one of six sampled residents, resulting in medication errors and elevated blood pressure due to missed dosage adjustments based on physician orders.
Report Facts
Total residents: 93
Resident sample size: 6
Days blood pressure over 140/90 in January: 13
Days blood pressure over 140/90 in February: 13
Days losartan given in February: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Medication Tech | Named in interviews regarding failure to administer extra doses of medication as prescribed |
| Staff B | Health and Wellness Director | Verified medication errors related to losartan dosage and blood pressure parameters |
| Staff C | Resident Care Coordinator | Verified prescription and medication parameters for Resident 1 |
Inspection Report — Jan 10, 2024
Complaint Investigation
Date: Jan 10, 2024
Visit Reason
The inspection was conducted as a complaint investigation triggered by complaint number 111251 regarding failure to administer as needed medication to a resident.
Complaint Details
Complaint number 111251 alleged that as needed medication was not given when requested. The investigation substantiated the allegation and citations were written.
Findings
The investigation found that a facility staff member did not administer an as needed medication to a resident, resulting in the resident experiencing pain. The staff member was removed from medication administration and provided education. The facility had protocols in place and took corrective actions including staff retraining and evaluation.
Deficiencies (1)
WAC 388-78A-2210 Medication services. The facility failed to ensure a resident received as needed medication as prescribed, resulting in pain. The staff member responsible was removed from medication administration and educated.
Report Facts
Total residents: 99
Resident sample size: 6
Inspection Report — Oct 24, 2023
Follow-Up
Date: Oct 24, 2023
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.
Inspection Report — Aug 17, 2023
Enforcement
Date: Aug 17, 2023
Visit Reason
This document is a follow-up visit resulting in the imposition of civil fines due to uncorrected deficiencies found at the assisted living facility South Hill Village, Assisted Living & Memory Care.
Findings
The report details multiple uncorrected deficiencies related to resident monitoring, pet immunizations, tuberculosis test records for staff, signing of negotiated service agreements, safety assessments, and nursing services. Civil fines totaling $2,000 were imposed for these violations.
Deficiencies (6)
WAC 388-78A-2120(2)(a)(3)(a)(b)(4) Monitoring residents' well-being. The licensee failed to identify, assess, evaluate, and address the changing needs of two residents, placing them at risk of harm and health complications.
WAC 388-78A-2620(2)(a) Pets. The licensee failed to ensure two residents’ pets were current with their immunizations, placing residents at risk of illness or injury from unvaccinated animals.
WAC 388-78A-2489(1) Tuberculosis—Test records. The licensee failed to maintain tuberculosis test record results for two staff, risking resident exposure to tuberculosis.
WAC 388-78A-2150(1) Signing negotiated service agreement. The licensee failed to ensure negotiated service agreements were signed by the resident or representative for five residents, risking unmet care needs.
WAC 388-78A-2090(6)(e) Full assessment topics. The licensee failed to perform a safety assessment for one resident with medical devices, risking injury due to lack of functional assessment.
WAC 388-78A-2320(1)(a)(b)(2)(b) Intermittent nursing services systems. The licensee failed to obtain written consent for one resident and ensure insulin administration and blood sugar monitoring by qualified staff for two residents, risking unsafe diabetic care.
Report Facts
Civil fines total: 2000
Residents affected: 2
Residents' pets affected: 2
Staff without tuberculosis test records: 2
Residents without signed negotiated service agreements: 5
Residents without safety assessment: 1
Residents without nurse delegation consent or proper nursing services: 3
Inspection Report — Jun 23, 2023
Enforcement
Date: Jun 23, 2023
Visit Reason
The Department of Social and Health Services conducted a full and complaint investigation at the assisted living facility to assess compliance with regulations and address allegations related to resident care.
Complaint Details
The visit was complaint-driven and included a full investigation. The deficiency related to monitoring residents' well-being was substantiated and resulted in a civil fine.
Findings
The investigation found a violation of WAC 388-78A-2120 related to failure to evaluate and monitor a resident after an incident that worsened a back injury. This deficiency is recurring and resulted in a civil fine of $300.
Deficiencies (1)
WAC 388-78A-2120 (1)(2)(a)(b)(3)(a)(b)(4) Monitoring residents' well-being. The licensee failed to evaluate and monitor a resident after an incident resulting in an exacerbation of a back injury, placing the resident at risk of not receiving proper care.
Report Facts
Civil fine amount: 300
Inspection Report — Dec 23, 2022
Life Safety
Date: Dec 23, 2022
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 12/23/2022.
Findings
All cited fire safety violations were corrected or in the process of being corrected with documentation to be provided. The facility was approved at the conclusion of the inspection.
Deficiencies (11)
IFC 604.4 (2018) - Multiplug adapters, such as cube adapters, unfused plug strips or any other device not complying with NFPA 70 shall be prohibited.
IFC 604.4.2 (2018) - Relocatable power taps shall be directly connected to a permanently installed receptacle.
IFC 604.4.3 (2018) - Relocatable power tap cords shall not extend through walls, ceilings, floors, under doors or floor coverings, or be subject to environmental or physical damage.
IFC 604.5 (2018) - Extension cords and flexible cords shall not be a substitute for permanent wiring and shall be listed and labeled in accordance with UL 817. Extension cords shall be used only with portable appliances and not be subject to environmental damage or physical impact.
IFC 604.6 (2018) - Open junction boxes and open-wiring splices shall be prohibited. Approved covers shall be provided for all switch and electrical outlet boxes.
IFC 703.1 (2018) - Materials and firestop systems used to protect membrane and through penetrations in fire-resistance-rated construction shall be maintained with no openings visible through or into the cavity of the construction.
IFC 703.2 - Opening protectives shall be maintained in an operative condition in accordance with NFPA 80. Fire doors and smoke barrier doors shall not be blocked or obstructed, and fusible links shall be replaced promptly when fused or damaged.
IFC 705.2.4 (2018) - Swinging fire doors shall close from the full-open position and latch automatically.
IFC 903.5 (2009, 2012, 2015, 2018) - Sprinkler systems shall be tested and maintained in accordance with Section 901. Freeze protection shall maintain a minimum temperature of 40 degrees in areas containing water-filled piping.
IFC 906.2 (2015, 2018) - Portable fire extinguishers shall be selected, installed and maintained in accordance with NFPA 10.
IFC 912 (implied by fire drills requirement) - At least twelve planned and unannounced fire drills shall be held every year with detailed written records maintained and available for inspection.
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