Inspection Reports for
Summer Hill Assisted Living
165 SW 6th Ave, Oak Harbor, WA, 98277
Back to Facility Profile11 Reports
Inspection Report — Jun 4, 2026
Life Safety
Date: Jun 4, 2026
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Summer Hill residential care facility on 06/04/2026.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved at this inspection.
Inspection Report — Mar 27, 2026
Follow-Up
Date: Mar 27, 2026
Visit Reason
This was a follow-up inspection to verify correction of previously cited deficiencies related to medication administration, communication, and resident rights at Summer Hill Assisted Living.
Complaint Details
The complaint investigation (Compliance Determination #71616) was initiated due to allegations that staff were not distributing medications correctly, not communicating properly with a named resident, and that the resident felt like a prisoner. The investigation found medication administration failures and nonavailability of medications for several residents, substantiating the medication-related allegations. Communication processes were found to be followed and residents denied restraint use.
Findings
The follow-up inspection on 03/27/2026 found no deficiencies and confirmed that all previously cited deficiencies were corrected. The facility meets Assisted Living Facility licensing requirements.
Deficiencies (4)
WAC 388-78A-2210 Medication services. The facility failed to ensure safe medication systems for 5 of 7 residents, resulting in residents not receiving medications as prescribed and placing them at risk for harm.
WAC 388-78A-2240 Nonavailability of medications. The facility failed to obtain prescribed medications in a timely manner for 2 of 7 residents, resulting in residents not receiving medications and placing them at risk of medical complications.
WAC 388-78A-24681 Background checks Employment Provisional hire. The facility failed to ensure 2 of 4 staff completed national fingerprint background checks within 120 days of hire, placing residents at risk from staff with unknown criminal history.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure 4 of 6 staff met long-term care worker training requirements, including basic training and valid CPR/first aid with hands-on skills, placing residents at risk of improper care.
Report Facts
Total residents: 62
Resident sample size: 7
Medication doses missed: 92
Medication doses missed: 61
Medication doses missed: 14
Medication doses missed: 75
Medication doses missed: 6
Medication doses missed: 7
Days delay: 76
Days delay: 46
Days after hire: 130
Days after hire: 200
Staff not meeting training requirements: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff G | Director of Nursing Services | Interviewed regarding medication administration failures and delays |
| Staff A | Executive Director | Interviewed regarding fingerprint background check and CPR training deficiencies |
Inspection Report — Mar 3, 2026
Life Safety
Date: Mar 3, 2026
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the residential care facility Summer Hill.
Findings
The inspection found multiple deficiencies related to fire-resistance-rated construction, sprinkler system testing, and maintenance of fire safety equipment. Some violations were corrected on site, but key issues such as incomplete sprinkler system testing and missing documentation for dry system tests remain uncorrected. The facility was disapproved due to these outstanding deficiencies.
Deficiencies (13)
IFC 701.6 2021 - The owner must maintain an inventory of all required fire-resistance-rated construction and inspect it annually. Records of inspections and repairs must be maintained. Facility is unable to provide documentation that the annual fire resistance rated construction material inspection has been completed.
IFC 705.2 2021 - Opening protectives in fire-resistance-rated assemblies and smoke barriers must be inspected and maintained per NFPA 80 and NFPA 105. Fire doors and smoke and draft control doors must not be blocked or obstructed. Resident room 109 fire door was blocked open by a wedge, preventing it from closing and latching.
IFC 705.2 2021 - Opening protectives in fire-resistance-rated assemblies and smoke barriers must be inspected and maintained per NFPA 80 and NFPA 105. Resident room 216 fire door was blocked open by a cabinet door, preventing it from closing and latching.
IFC 705.2.4 2021 - Swinging fire doors shall close from the full-open position and latch automatically. The double fire doors to the TV room were installed with an astragal but lacked a door coordinator to ensure proper closing and latching. Fire rated doors to the dining room near room 101 would not close and latch from the fully open position.
IFC 903.5 2021 - Sprinkler systems must be tested and maintained per Section 901. The 5 year internal pipe inspection had deficiencies not corrected and the dry main line needs flushing. Facility cannot provide documentation for the 3 year dry system full flow trip test.
IFC 907.8.3 2021 - Smoke detector sensitivity must be checked within one year after installation and every alternate year thereafter. 21 smoke detectors failed testing and deficiencies remain uncorrected.
IFC 915.6 2021 WAC - Carbon monoxide alarms and detection systems must be maintained per NFPA 72. Facility is unable to provide documentation for monthly carbon monoxide detector testing from April through October.
IFC 1013.5 2021 - Electrically powered exit signs must be listed, labeled, and illuminated at all times. Two internally illuminated exit signs near rooms 314 and 306 would not illuminate when tested.
IFC 1032.10.1 2021 - Emergency lighting equipment must be tested monthly for at least 30 seconds and visually inspected. Facility failed to provide documentation for monthly emergency egress lighting activation test for October.
IFC 1203.4 2021 - Emergency and standby power systems must be maintained per NFPA 110 and NFPA 111. Facility cannot provide documentation for annual servicing of the emergency generator or monthly 30 minute full load testing.
IFC 0405.6 2021 - Records of emergency evacuation drills must include detailed information and be maintained. Facility cannot provide documentation for a planned and unannounced fire drill for October 2025. Fire drills for March 2025 and December 2024 were documented outside night shift hours.
IFC 603.5.3 2021 - Relocatable power tap cords shall not extend through walls, ceilings, floors, under doors or floor coverings, or be subject to damage. Power strip in Activities Director's office was running under the door to the equipment room.
IFC 603.6 2021 - Extension cords shall not be a substitute for permanent wiring and must be used only with portable appliances. Extension cord was used as permanent wiring in the Nurses office.
Report Facts
Number of smoke detectors failed testing: 21
Inspection Report — Jun 24, 2025
Follow-Up
Date: Jun 24, 2025
Visit Reason
The Department completed a follow-up inspection of Summer Hill Assisted Living Facility to verify correction of previously cited deficiencies related to fire and life safety compliance.
Complaint Details
The complaint investigation (Complaint #144628) found that the Assisted Living Facility was not in compliance with the Fire Marshal. The facility failed to ensure violations for 3 Fire and Life Safety inspections were corrected, placing all 40 residents at risk of harm in the event of a fire.
Findings
The follow-up inspection on 06/24/2025 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to fire safety and sprinkler system maintenance were corrected.
Deficiencies (3)
WAC 388-78A-2040-2 The assisted living facility must have its building approved by the Washington state fire marshal to be licensed. The facility failed 4 of 4 Fire and Life Safety annual inspections placing residents, staff, and visitors at risk. Specific violations included uncorrected sprinkler system testing deficiencies and missing hydraulic design information signs as required by NFPA 13.
IFC 903.5 2018 Testing and Maintenance. The sprinkler system testing completed on 08/14/2023 had deficiencies noted that were not corrected. The system lacked the hydraulic design information sign required by NFPA 13.
IFC 904.12.5.2 2018 Extinguishing System Service. The facility was unable to provide documentation for the semi-annual kitchen suppression system servicing. The system is not UL 300 compliant and must be upgraded.
Report Facts
Number of residents: 40
Number of failed inspections: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Executive Director | Provided statements regarding uncorrected fire safety violations and plans to correct them |
| Collateral Contact 1 | Fire Marshal | Provided information on uncorrected fire safety violations |
Inspection Report — Jun 11, 2025
Life Safety
Date: Jun 11, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Summer Hill residential care facility on 06/11/2025.
Findings
All violations noted during previous related inspections have been corrected. The facility received an Approved status for this inspection.
Inspection Report — May 2, 2025
Enforcement
Date: May 2, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Summer Hill Assisted Living to address previously cited deficiencies and enforce compliance, resulting in the imposition of a civil fine.
Findings
The facility failed to maintain compliance with fire and life safety requirements, specifically failing four annual inspections by the Washington State Patrol Fire Protection Bureau. This uncorrected deficiency placed residents, staff, and visitors at risk and resulted in a $400 civil fine.
Deficiencies (1)
WAC 388-78A-2040 (2) Other requirements. The licensee failed to maintain compliance with fire and life safety annual inspections, resulting in four failed inspections. This deficiency remains uncorrected and poses risk to all residents, staff, and visitors.
Report Facts
Civil fine amount: 400
Number of failed fire and life safety inspections: 4
Inspection Report — Mar 7, 2025
Enforcement
Date: Mar 7, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to impose a civil fine based on failure to maintain compliance with fire and life safety annual inspections.
Findings
The facility failed four Fire and Life Safety annual inspections, resulting in an uncorrected deficiency and a $600 civil fine. The violation places residents, staff, and visitors at risk of harm in the event of a fire.
Deficiencies (1)
WAC 388-78A-2040 (2) Other requirements. The licensee failed to maintain compliance with the Washington State Patrol Fire Protection Bureau after failing four Fire and Life Safety annual inspections. This deficiency remains uncorrected.
Report Facts
Civil fine amount: 600
Number of failed inspections: 4
Inspection Report — Mar 7, 2025
Follow-Up
Date: Mar 7, 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 availability.
Findings
The follow-up inspection found no deficiencies and confirmed that the previously cited deficiency regarding nonavailability of medications was corrected.
Deficiencies (1)
WAC 388-78A-2240 Nonavailability of medications. The assisted living facility failed to obtain prescribed medications in a correct and timely manner for one resident, resulting in missed doses and risk to residents receiving medication assistance.
Report Facts
Missed doses of antidepressant medication: 222
Missed doses of anticonvulsant medication: 35
Total residents: 53
Resident sample size: 3
Inspection Report — Jun 28, 2024
Follow-Up
Date: Jun 28, 2024
Visit Reason
The Department completed a follow-up inspection of Summer Hill Assisted Living to verify correction of previously cited deficiencies.
Complaint Details
The complaint investigation included allegations that the facility failed to do a pre-admission assessment, had residents and staff test positive for COVID-19 without proper reporting or respiratory protection, and failed to investigate an incident where a resident was found on the floor. The investigation confirmed these failures and citations were issued.
Findings
The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected.
Deficiencies (10)
WAC 388-78A-2610 Infection control. The facility failed to ensure 3 of 11 staff were fit tested for N-95 respirators during a COVID-19 outbreak, placing residents at risk of communicable disease spread.
WAC 388-78A-2240 Nonavailability of medications. The facility failed to obtain prescribed medications for 2 of 3 residents, resulting in multiple missed doses and risk of medical complications.
WAC 388-78A-3090 Maintenance and housekeeping. The facility failed to provide a safe, sanitary, well-maintained environment on all three floors, including unlocked electrical panels, missing ceiling panels, mold, rust, broken fence post, and water damage.
WAC 246-215-06525 Methods Drying mops. Two mops in the kitchen storage closet were placed faced down in the sink basin preventing proper drying, risking contamination.
WAC 388-78A-2480 Tuberculosis Testing Required. The facility failed to ensure 1 of 6 staff was screened for tuberculosis within three days of hire, risking resident exposure to communicable disease.
WAC 388-78A-2450 Staff. The facility failed to maintain documentation of orientation and continuing education for 1 of 6 staff, resulting in incomplete employment records.
WAC 388-78A-2610 Infection control. The facility failed to have a respiratory protection program and ensure 10 care staff were fit tested for N-95 respirators, placing residents and staff at risk during a communicable disease outbreak.
WAC 388-78A-2371 Investigations. The facility failed to investigate and document an incident when a resident was found on the floor, risking unmet care needs and resident safety.
WAC 388-78A-2240 Nonavailability of medications. The facility failed to ensure medications were obtained for 2 of 7 residents, resulting in multiple missed doses and risk of medical complications.
WAC 388-78A-2070 Timing of preadmission assessment. The facility failed to complete a pre-admission assessment for 1 of 7 residents prior to move-in, risking unmet care needs.
Report Facts
Total residents: 48
Resident sample size: 12
Missed medication doses: 170
Missed medication doses: 30
Missed medication doses: 8
Inspection Report — Apr 18, 2024
Enforcement
Date: Apr 18, 2024
Visit Reason
This document is a formal notice of civil fines imposed on Summer Hill Assisted Living following a follow-up visit conducted by the Department of Social and Health Services on April 18, 2024.
Findings
The facility was cited for uncorrected deficiencies related to infection control and nonavailability of medications, resulting in civil fines. The violations include failure to fit test staff for N-95 respirators during a COVID-19 outbreak and failure to obtain prescribed medications for two residents, placing residents at risk.
Deficiencies (2)
WAC 388-78A-2610(2)(a)(c)(f) Infection control. The licensee failed to ensure three staff members were fit tested for N-95 respirators, placing residents at higher risk during a COVID-19 outbreak.
WAC 388-78A-2240 Nonavailability of medications. The licensee failed to obtain prescribed medications for two residents, resulting in missed doses and risk of medical complications.
Report Facts
Civil fine amount: 400
Civil fine amount: 500
Missed medication doses: 7
Missed medication doses: 43
Number of staff not fit tested: 3
Number of residents affected: 2
Inspection Report — Mar 19, 2024
Life Safety
Date: Mar 19, 2024
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire protection inspection at the residential care facility to assess compliance with fire safety codes and maintenance requirements.
Findings
The inspection found multiple deficiencies related to sprinkler system testing, fire door inspections, kitchen suppression system servicing, and emergency power system maintenance. Several violations remain uncorrected despite prior service and inspections. The facility's approval status is Disapproved.
Deficiencies (12)
IFC 903.5 (2009, 2012, 2015, 2018) - Sprinkler systems testing documentation showed deficiencies not corrected, missing hydraulic design information sign, and use of ordinary hazard sprinkler heads instead of intermediate-temperature heads in walk-ins.
IFC 904.12.5.2 (2018) - Facility unable to provide documentation for semi-annual kitchen suppression system servicing; service completed on 12/21/23 but several deficiencies remain uncorrected.
IFC 1203.4 (2018) - Facility unable to provide documentation for weekly inspections and monthly 30-minute full load testing of emergency and standby power systems.
IFC 705.2 (2018) - Annual fire door inspection completed on 11/6/23 showed deficiencies that have not been corrected; parts are on order.
IFC 906.2 (2015, 2018) - Required annual maintenance for fire extinguishers throughout the facility has not been completed in accordance with NFPA 10.
IFC 907.8 (2018) - Main alarm panel located in a main corridor is not locked, violating NFPA 72 requirements for fire alarm notification deactivation protection.
IFC 915.6 (2018) - Carbon monoxide alarms and detectors maintenance documentation missing; facility unable to provide monthly testing records.
IFC 1013.6.3 (2018) - Facility unable to provide documentation for monthly 30-second activation test of emergency exit signs.
IFC 1203.4 (2018) - Facility lacks a working level 1 generator powering emergency lighting and cannot provide documentation for annual servicing and weekly inspections of emergency generator.
IFC 5303.5.3 (2018) - Eight oxygen cylinders in room #317 are not secured to prevent falling, violating compressed gas container securing requirements.
IFC 604.4.2 (2018) - Power strip plugged into another power strip in nurses and maintenance offices, violating power supply connection requirements.
IFC 705.2.4 (2018) - The 1st floor living room door to corridor has an inoperative door-closing coordinator preventing doors from closing and latching automatically.
Report Facts
Oxygen cylinders unsecured: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joel Elliott | Maintenance Supervisor | Named in signature and title as facility representative |
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