5 Reports
Inspection Report — Apr 15, 2026
Follow-Up
Date: Apr 15, 2026
Visit Reason
Follow-up inspection to verify correction of previously cited deficiencies at an Assisted Living Facility.
Findings
The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected. The facility meets Assisted Living Facility licensing requirements.
Deficiencies (7)
WAC 388-78A-2484 Tuberculosis Two step skin testing. The facility failed to test 1 of 11 sampled staff for tuberculosis within three days of hire and failed to perform a second TB test one to three weeks after the first test for 1 sampled staff.
WAC 246-215-02310 and WAC 388-78A-2305 Food sanitation. The facility failed to follow proper sanitation procedures in the kitchen by not changing gloves or washing hands between handling dirty and clean dishes.
WAC 388-112A-0611 and WAC 388-78A-2474 Continuing education. The facility failed to ensure 1 of 2 sampled staff completed the required 12 hours of continuing education training between their 2024 and 2025 birthdays.
WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to properly implement oxygen therapy through nurse delegation for 1 sampled resident, including failure to verify oxygen flow rate on a portable oxygen machine.
WAC 388-78A-2130 Service agreement planning. The facility failed to update the service plans for 3 sampled residents to reflect current use of medical devices and care needs.
WAC 388-78A-2100 Ongoing assessments. The facility failed to assess 5 sampled residents with medical devices for their ability to safely use the devices and failed to assess 1 sampled resident's wound.
WAC 388-78A-2090 Full assessment topics. The facility failed to assess 1 sampled resident for seizure activity and safe use of medical devices within 14 days of admission, and failed to ensure safe installation of a bedside rail.
Report Facts
Residents present: 93
Sampled residents: 9
Sampled staff: 11
Continuing education hours required: 12
Continuing education hours completed: 5.5
Inspection Report — Nov 22, 2024
Follow-Up
Date: Nov 22, 2024
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. The facility meets the Assisted Living Facility licensing requirements.
Deficiencies (2)
WAC 388-78A-2483 Tuberculosis One test. The facility failed to ensure 2 of 5 sampled staff were screened for tuberculosis, placing residents at risk of exposure. The deficiency was corrected by 09/27/2024.
WAC 388-78A-2040 Other requirements. The facility failed to follow required federal and state regulations to conduct medical tests for 1 of 1 sampled resident, placing the resident at risk of medication errors. This deficiency was corrected.
Report Facts
Sampled residents: 5
Sampled staff: 5
Deficiencies cited: 2
Inspection Report — Oct 11, 2024
Enforcement
Date: Oct 11, 2024
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to impose civil fines based on uncorrected deficiencies previously cited related to tuberculosis screening and medical testing compliance.
Findings
The facility failed to ensure tuberculosis screening for two staff members and failed to conduct required medical tests for one resident, placing residents at risk. Both deficiencies were uncorrected from a prior citation and resulted in civil fines.
Deficiencies (2)
WAC 388-78A-2483 (1)(2) Tuberculosis—One test. The licensee failed to ensure two staff were screened for tuberculosis, placing residents at risk of exposure to tuberculosis and infectious disease.
WAC 388-78A-2040 (1) Other requirements. The licensee failed to follow required federal and state regulations to conduct medical tests for one resident, placing the resident at risk of medication errors from misinterpretation of test results.
Report Facts
Civil fine amount: 400
Inspection Report — Mar 31, 2023
Follow-Up
Date: Mar 31, 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 the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Inspection Report — Mar 9, 2023
Follow-Up
Date: Mar 9, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to infection control and respiratory protection.
Complaint Details
The complaint investigation (Complaint #61993) involved one COVID-positive resident and identified failed practice related to staff fit-testing for N95 respirators. The facility was found not in compliance at the time of the complaint investigation conducted 12/15/2022 through 12/29/2022.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to staff fit-testing for N95 respirators were corrected.
Deficiencies (1)
WAC 388-78A-2600 Policies and procedures. The facility failed to implement their policy ensuring 27 of 27 staff were fit-tested for N95 respirators to prevent COVID-19 transmission. This failure placed seven residents at increased risk of contracting COVID-19.
Report Facts
Total residents: 7
Resident sample size: 2
Staff fit-tested: 27
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