Inspection Reports for
The Evergreen Inn – Vancouver

The inspection found multiple fire safety violations including inadequate ceiling clearance, insufficient working space around electrical panels, damaged extension cords, lack of required fire door inspection reports, missing hydrostatic testing for sprinkler systems, missing signage for commercial cooking systems, failure to provide smoke detector sensitivity testing, and failure to provide annual generator inspection reports. The facility was disapproved due to these outstanding violations.

The follow-up inspection found no deficiencies and confirmed that previously cited training and certification requirements for volunteers and long-term care workers were corrected. The facility was approved to maintain its Assisted Living Facility license.

The facility failed to ensure that one staff member had the required training and certification to work in an assisted living facility, which placed residents at risk. This deficiency was previously cited and remains uncorrected, resulting in a $400 civil fine.

After review, no changes were made to the original SOD report dated 2025-04-18. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 calendar days.

The document does not contain inspection findings but schedules a telephone IDR meeting on May 8, 2025, to discuss the disputed citation WAC 388-78A-2040.

The complaint investigation included multiple allegations: failure of a second fire inspection and unreliable medication distribution. The fire inspection deficiencies were substantiated with citations written due to incomplete repairs over a year. Medication issues were addressed prior to investigation completion with consultation provided.

The facility failed a second fire inspection with repairs incomplete for over a year, and medication distribution was found unreliable with prior errors addressed before investigation completion. Deficiencies were cited and corrective actions required.

The complaint investigation included three complaint numbers (146505, 147704, 150457) related to medication errors. One allegation was substantiated with a citation written for failure to restart medication as ordered. The other allegation regarding incorrect medication was not substantiated due to insufficient evidence.

The investigation found that the facility failed to restart a resident's medication for five days when it was ordered to be held for only one day, identifying a failed practice. The allegation of incorrect medication administration lacked sufficient evidence to support a failed practice.

The facility failed to correct multiple fire safety violations including the lack of annual fire door inspection, combustible storage in the basement exit, failure to maintain fire rated construction in the generator room, damaged resident room doors, basement door latch failure, and failure to provide an annual generator inspection report. The overall status is Disapproved indicating unresolved deficiencies.

The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected. The facility meets the Assisted Living Facility licensing requirements.

The report details three uncorrected deficiencies related to nursing supervision, background checks, and medication refusal, each resulting in civil fines totaling $800. The deficiencies were previously cited and remain uncorrected.

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

The complaint investigation referenced complaint number 82518 and found the facility failed a second Washington State Fire Marshal inspection. The allegation was substantiated with citations written for fire safety violations. The facility was actively working on corrections at the time of the investigation.

The facility was found not in compliance with licensing laws due to failure to maintain fire safety requirements, placing residents, staff, and visitors at risk. Deficiencies were cited related to fire marshal inspection failures, but a follow-up inspection on 06/21/2023 found no deficiencies and confirmed corrections.