Inspection Reports for
The Rivers at Puyallup

All violations noted during previous related inspections have been corrected. The facility is approved with no outstanding deficiencies.

The complaint investigation (Complaint #142636) was initiated due to the facility being out of compliance with fire and safety inspections. The investigation found failed provider practice with multiple failed fire and safety inspections documented in a Statement of Deficiencies dated 09/30/2024.

The follow-up inspection on 07/01/2025 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to fire door inspections and fire safety codes were corrected.

The facility failed to maintain compliance with fire safety codes, placing all 81 residents and staff at risk. This deficiency is uncorrected and recurring, previously cited in January and September 2024, resulting in a $1,000 civil fine.

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

The licensee failed to correct violations from their third failed State Fire Marshal inspections, resulting in an uncorrected deficiency that placed all 74 residents at risk in case of an emergency. A civil fine of $500 was imposed based on this violation.

The report documents multiple previously cited deficiencies remain uncorrected, including fire door defects, lack of acceptance testing records, missing inspection and maintenance documentation for fire protection systems, and deficiencies in fire alarm and smoke/carbon monoxide alarm maintenance. The facility was disapproved due to these outstanding violations.

The prior complaint investigation (Compliance Determination #45063) concerned misappropriation of resident's property and found failed provider practice related to staff training on controlled medications. The follow-up inspection confirmed all deficiencies were corrected.

The follow-up inspection on 01/15/2025 found no deficiencies; all previously cited issues regarding staff training and medication management were corrected as documented under WAC 388-78A-2474.

The follow-up inspection found no deficiencies, indicating that previously cited issues, including tuberculosis testing requirements, were corrected. Earlier reports in the bundle showed multiple deficiencies related to tuberculosis testing, signing negotiated service agreements, background checks, and other licensing requirements.

The complaint investigation was based on a staff to resident incident (complaint number 138260). The investigation found the facility failed to investigate allegations of resident abuse and had staff without current credentials. Citations were written.

The facility failed to investigate allegations of resident abuse and was found out of compliance for this failure. Additional deficiencies were identified related to staff not having current credentials.

The facility failed to ensure one staff member had an initial tuberculosis skin test within three days of employment. This uncorrected deficiency placed 66 residents, staff, and visitors at risk and resulted in a $200 civil fine.

This was a complaint investigation triggered by allegations of deficient care and failure to investigate missing resident property. The deficiencies were recurring and resulted in civil fines.

The investigation found recurring deficiencies including failure to provide agreed-upon showers and oral care to four residents and failure to investigate missing hearing aids for one resident. Civil fines totaling $1,100 were imposed based on these violations.

The investigation covered multiple complaints including residents not receiving showers and personal hygiene, inadequate staffing, a resident being dropped by staff, memory care short staffing, and lost hearing aids. Some allegations were substantiated with citations issued, while others lacked sufficient evidence to support failed practice.

The investigation found failed provider practices related to insufficient staffing and failure to provide residents with showers and personal hygiene as documented in a Statement of Deficiencies dated 08/08/2024. Some allegations, such as a resident being dropped, lacked sufficient evidence to support failed practice.

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

The complaint investigation (Compliance Determination #24741) from 04/13/2023 through 09/21/2023 involved allegations of residents not taking medications correctly, pharmacy errors, and unreported falls. The investigation found failed provider practice with citations written.

The follow-up inspection on 04/08/2024 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

The complaint investigation (Complaint #99958) addressed three allegations: increased charges without notification, unsigned care plans, and residents not receiving showers. The first two allegations were substantiated with citations issued, while the third was previously cited with no new citations.

The investigation found failed provider practices related to notifying residents of increased charges and obtaining signed service plans for residents. The facility was out of compliance with these requirements and citations were written. The allegation regarding residents not receiving showers was previously cited with no new citations.

The facility was found to have multiple unresolved fire safety violations including blocked access to fire protection equipment, missing inspection and maintenance documentation for fire doors, sprinkler systems, fire alarms, extinguishing systems, smoke and carbon monoxide alarms, and fire drills. Numerous fire doors failed to self-close and latch, and multiple fire doors and frames had open pilot holes and faulty installations. The facility was disapproved due to these outstanding deficiencies.

The complaint investigation concerned an allegation of improper discharge. The investigation included interviews with staff, resident representatives, and collateral contacts, as well as record reviews. The complaint was substantiated as the facility failed to ensure a safe discharge and refused to take back a resident after hospital discharge, leading to extended hospitalization and distress.

The investigation found that the facility failed to ensure a safe discharge for a resident, resulting in a failed provider practice with citations written. The facility did not take back the resident after hospital discharge despite medical clearance, causing the resident to stay in the hospital longer and experience emotional distress.

The licensee failed to conduct thorough investigations into resident-to-resident altercations and missing money incidents involving three residents. This uncorrected deficiency placed residents at risk for continued physical assaults and potential theft, resulting in a $400 civil fine.

The complaint investigation identified recurring deficiencies related to resident care and reporting failures. These deficiencies were previously cited on September 16, 2023 and May 23, 2022, confirming ongoing noncompliance.

The investigation found multiple recurring deficiencies related to failure to provide agreed-upon showers, inadequate monitoring of residents' well-being, and failure to report significant changes in residents' conditions. Civil fines totaling $1,100 were imposed based on these violations.

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

The complaint investigation (Complaint #77308) addressed allegations of weight loss, failure to follow doctor orders for weekly weights, failure to provide showers, and ants in a resident's room. The investigation substantiated failures to follow doctor's orders and provide showers, resulting in citations. Other allegations were not substantiated due to insufficient information.

The investigation found failed provider practices related to not following doctor's orders for weekly weights and failure to provide showers as agreed. Deficiencies were cited and a statement of deficiency was issued on 10/10/2023. Other allegations were not substantiated due to insufficient information.