Inspection Reports for
South Pointe Assisted Living

WA, 98204

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10 Reports

2023–2026

Inspection Report — Feb 18, 2026

Complaint Investigation
Date: Feb 18, 2026

Visit Reason
The inspection was conducted in response to a complaint of a structure fire at South Pointe Assisted Living on 02/18/2026.

Complaint Details
Complaint #212166 alleged a structure fire. The fire department found smoke from the HVAC unit and extinguished the fire. Two holes cut in the ceiling and two in the roof were temporarily covered and repaired. The sprinkler system did not activate. No violations were observed and no injuries reported.
Findings
The fire department responded to smoke in the east corridor caused by the HVAC unit in the attic. The fire was extinguished, no injuries occurred, and no violations were observed. The sprinkler system did not activate.

Inspection Report — Sep 11, 2025

Life Safety
Date: Sep 11, 2025

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at South Pointe Assisted Living to assess compliance with fire and electrical safety codes.

Findings
The inspection identified multiple fire and electrical safety violations including open electrical terminations, unlisted multi-plug adapters, improper use of power strips, use of extension cords as permanent wiring, disabled fire door closures, and lack of fire department connection signage. The facility was disapproved due to these unresolved violations.

Deficiencies (6)
IFC 603.2.2 (2021) - Open junction boxes and open-wiring splices are prohibited. There was an electrical outlet without a faceplate in the Director of Nursing office exposing the inner electrical fixture.
IFC 603.5.1 (2021) - Relocatable power taps must be listed and labeled in accordance with UL 498A. There was a multi-plug adapter that could not be verified as listed under UL 498A in room 111.
IFC 603.5.2 (2021) - Relocatable power taps must be directly connected to a permanently installed receptacle. There was a power strip plugged into another power strip in room 111.
IFC 603.6 (2021) - Extension cords shall not be used as a substitute for permanent wiring. There was an extension cord utilized as permanent wiring in room 101.
IFC 705.2.4 (2021) - Swinging fire doors shall close from the full-open position and latch automatically. The automatic closure for the fire rated door from the dining room to the kitchen has been disabled preventing the door from closing upon activation of the fire alarm.
IFC 912.2.2 (2021) - Fire department connections not visible to approaching fire apparatus must have approved signage. Fire department connection is not visible from the street and no signage is installed.

Inspection Report — Apr 7, 2025

Annual Inspection
Date: Apr 7, 2025

Visit Reason
The Department of Social and Health Services conducted a full inspection of the Assisted Living Facility on 04/07/2025 to determine compliance status.

Findings
The inspection found no deficiencies in the facility.

Inspection Report — Sep 18, 2024

Complaint Investigation
Date: Sep 18, 2024

Visit Reason
The inspection was conducted in response to a complaint regarding a fire in a cigarette receptacle at the facility.

Complaint Details
Complaint #140352 involved a fire in a cigarette receptacle. The cause was identified as cigarettes. No sprinklers activated, no evacuation occurred, no injuries were reported, and the fire department did not respond. The complaint was investigated with no violations cited.
Findings
The investigation found that the facility was unable to identify the cause of smoldering cigarettes in and around the cigarette receptacle. Staff immediately extinguished the smoldering cigarettes with water, and the facility replaced the cigarette containers as a plan of correction. No violations were cited.

Inspection Report — Aug 19, 2024

Life Safety
Date: Aug 19, 2024

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the South Pointe Assisted Living facility on 08/19/2024.

Findings
The inspection identified multiple fire safety violations including issues with power taps, smoke barriers, door operation, testing and maintenance of fire systems, smoke detector sensitivity, emergency lighting, securing compressed gas cylinders, and incomplete fire drills documentation. None of the violations were corrected at the time of inspection.

Deficiencies (15)
IFC 0603.5.1 (2021) - Relocatable power taps must be listed and labeled per UL 1363 and UL 498A. Multi-plug adapters without over current protection were found in rooms 215 and 217.
IFC 606.3.3 (2021) - Hoods, grease-removal devices, fans, ducts and other appurtenances must be cleaned at required intervals. Facility could not provide documentation for semi-annual hood cleaning.
IFC 701.3 (2021) - Fire-resistance rating and smoke-resistant characteristics of smoke barriers must be maintained. Holes in ceilings of room 119 and the beauty shop were repaired but fire barriers were not restored.
IFC 701.6 (2018) WAC 51-54A - Owner must maintain inventory and inspection records of fire-resistance-rated construction. Facility could not provide documentation of annual inspection of fire resistance rated construction materials.
IFC 705.2.4 (2021) - Swinging fire doors must close and latch automatically from full-open position. The fire rated door from resident laundry room to corridor did not close and latch fully.
IFC 903.5 (2021) - Sprinkler systems must be tested and maintained per Section 901. Annual sprinkler inspection had noted deficiencies not corrected; facility lacked documentation for 5 year internal piping inspection.
IFC 904.13.5.2 (2021) - Automatic fire-extinguishing systems must be serviced at least every six months and after activation. Semi-annual kitchen suppression system inspection had deficiencies not corrected.
IFC 907.8 (2021) - Fire alarm system must have maintenance and testing records. Power breaker #28 for fire alarm system missing locking device.
IFC 907.8.3 (2021) - Smoke detector sensitivity must be checked within one year and every alternate year thereafter. Facility could not provide documentation for required smoke detector sensitivity testing.
IFC 915.6 (2021) WAC - Carbon monoxide alarms must be maintained and replaced if inoperable. Facility could not provide documentation for monthly carbon monoxide detector testing.
IFC 1003.6 (2021) - Means of egress must not be obstructed. Trash and supplies were blocking the emergency exit near the sprinkler room.
IFC 1032.10.1 (2021) - Emergency lighting equipment must be tested monthly for at least 30 seconds. Facility could not provide documentation for monthly 30 second activation test.
IFC 1031.10.2 (2021) - Battery-powered emergency lighting must be tested annually for at least 90 minutes. Facility could not provide documentation for annual 90 minute power test.
IFC 5303.5.3 (2021) - Compressed gas cylinders must be secured to prevent falling. Oxygen cylinders in rooms 218 and 221 were not secured.
IFC 1500 (2021) - At least twelve planned and unannounced fire drills must be completed annually. Facility could not provide documentation for completion of required fire drills in previous 12 months; multiple shifts missing drills.

Inspection Report — Aug 15, 2024

Follow-Up
Date: Aug 15, 2024

Visit Reason
The Department conducted a follow-up inspection of South Pointe Assisted Living Facility to verify correction of previously cited deficiencies related to licensing laws and regulations.

Findings
The follow-up inspection on 08/15/2024 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies under WAC 388-78A-2500 and WAC 388-78A-2510 were corrected.

Report Facts
Staff sample size: 3 Resident sample size: 3 Total residents: 34

Inspection Report — Jun 13, 2024

Follow-Up
Date: Jun 13, 2024

Visit Reason
The Department completed a follow-up inspection of South Pointe Assisted Living Facility on 06/13/2024 to verify correction of previously cited deficiencies related to medication availability.

Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies under WAC 388-78A-2240 were corrected.

Deficiencies (1)
WAC 388-78A-2240 Nonavailability of medications. The assisted living facility failed to obtain prescribed medications in a timely manner for 2 of 3 residents, resulting in missed doses and placing residents at risk for medical complications.
Report Facts
Sampled residents: 3 Residents in facility: 41

Inspection Report — Mar 14, 2024

Enforcement
Date: Mar 14, 2024

Visit Reason
This document is a follow-up visit resulting in the imposition of a civil fine due to medication nonavailability violations at South Pointe Assisted Living.

Findings
The facility failed to ensure prescribed medications were obtained timely for two residents, resulting in missed doses and placing residents at risk. The deficiency was uncorrected from a previous citation and resulted in a $600 civil fine.

Deficiencies (1)
WAC 388-78A-2240 Nonavailability of medications. The licensee failed to ensure prescribed medications were obtained timely for two residents, causing missed doses and risk of medical complications.
Report Facts
Civil fine amount: 600 Missed medication doses: 22 Missed medication doses: 5

Inspection Report — Jan 9, 2024

Complaint Investigation
Date: Jan 9, 2024

Visit Reason
The inspection was conducted as a complaint investigation based on allegations including medication errors, failure to notify Power of Attorney after a resident injury, lack of a full-time nurse, and failure to provide required N-95 masks during a COVID outbreak.

Complaint Details
The complaint investigation involved four allegations: medication error, fall injury without POA notification, lack of full-time nurse, and failure to provide N-95 masks during COVID outbreak. Two allegations were substantiated with citations issued for medication error and failure to notify POA. The lack of nurse and COVID PPE issues were not substantiated.
Findings
The investigation found two deficiencies: a medication error where a resident received a discontinued medication, and failure to notify the resident's Power of Attorney after a fall causing injury. The facility lacked a full-time nurse temporarily but no failed practice was found for that. The facility complied with COVID-19 infection control requirements. Citations were issued for the medication and reporting deficiencies.

Deficiencies (2)
WAC 388-78A-2210 Medication services. The facility failed to ensure a resident did not receive a discontinued medication, placing the resident at risk for medical complications.
WAC 388-78A-2640 Reporting significant change in a resident's condition. The facility failed to notify the resident's Power of Attorney after a fall causing injury, resulting in delayed medical treatment and risk to the resident.
Report Facts
Total residents: 34 Resident sample size: 4 Staff and resident COVID-19 cases: 8

Employees mentioned
NameTitleContext
Jodi CondylesALF LicensorNamed as investigator conducting the on-site verification and investigation

Inspection Report — Oct 11, 2023

Life Safety
Date: Oct 11, 2023

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 10/11/2023.

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

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