Inspection Reports for
Victoria Place Senior Living
491 Discovery Rd, Port Townsend, WA 98368, United States, WA, 98368
Back to Facility Profile14 Reports
Inspection Report — Mar 31, 2026
Life Safety
Date: Mar 31, 2026
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — Aug 28, 2025
Complaint Investigation
Date: Aug 28, 2025
Visit Reason
A complaint investigation was conducted following a fire incident caused by a lithium bike battery in the back of the building.
Complaint Details
Complaint #191152 involved a fire started by a lithium bike battery. The sprinkler system failed to activate. The fire department responded and evacuated the building. No injuries occurred.
Findings
The fire department responded and evacuated the building. The sprinkler system did not activate, but there were no injuries and the fire department responded as required.
Inspection Report — May 29, 2025
Follow-Up
Date: May 29, 2025
Visit Reason
Follow-up inspection to verify correction of previously cited deficiencies at Victoria Place Assisted Living Facility.
Findings
The Department completed a follow-up inspection on 05/29/2025 and found no deficiencies. All previously cited deficiencies were corrected as documented in the prior Statement of Deficiencies dated 04/22/2025 and earlier.
Deficiencies (25)
WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to ensure nurse delegation was completed and documented for sampled residents, resulting in medication services being provided by unqualified staff and risk of unmet medical care needs.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure staff had required dementia specialty training, home care aide certification, CPR and first aid training, and facility orientation, placing residents at risk of harm due to untrained staff.
WAC 388-78A-2470 Background check Employment-disqualifying information. The facility employed a staff member with disqualifying background check results and failed to ensure a safety plan to prevent unsupervised access to residents.
WAC 388-78A-2462 Background checks Who is required to have. The facility failed to have Washington State name and date of birth and fingerprint background checks completed prior to employment for contracted agency caregivers and some staff.
WAC 388-78A-2484 Tuberculosis Two step skin testing. The facility failed to ensure staff received required two-step tuberculosis skin testing within required timeframes.
WAC 388-78A-2305 Food sanitation. The facility failed to maintain safe food handling and storage practices in the kitchen and activity room and failed to ensure all food service workers had valid food worker cards.
WAC 388-78A-2040 Other requirements. The facility failed to maintain fire safety in the inner outside courtyard by having a designated smoking area less than 25 feet from the building and no approved smoking receptacles.
RCW 70.129.070 Examination of survey or inspection results. The facility failed to post or make publicly available the most recent survey or inspection results for residents and visitors to review.
WAC 388-78A-2300 Food and nutrition services. The facility failed to provide a variety of foods, notify residents of menu substitutions, document menu changes, and have a diet manual approved by a dietitian.
WAC 388-78A-2732 Liability insurance required Ongoing. The facility failed to maintain liability insurance with coverage limits required by the Department of Social and Health Services.
WAC 388-78A-2610 Infection control. The facility failed to provide necessary handwashing supplies and soap in multiple resident rooms and laundry room, placing residents and staff at risk for infection.
WAC 388-78A-2400 Protection of resident records. The facility failed to maintain confidentiality of resident records by leaving medication cart computers unattended with resident personal information visible.
RCW 70.129.060 Grievances. The facility failed to provide privacy when entering resident rooms unannounced and failed to have a system to address and resolve resident grievances.
WAC 388-78A-2260 Storing, securing, and accounting for medications. The facility failed to properly store medications in an unlabeled cup in the medication cart, risking medication errors.
WAC 388-78A-2710 Disclosure of services. The facility failed to provide signed disclosure of services to multiple residents prior to admission.
WAC 388-78A-2120 Monitoring residents' well-being. The facility failed to identify changes in condition and implement interventions for residents with falls and other health changes.
WAC 388-78A-2150 Signing negotiated service agreement. The facility failed to ensure residents or their representatives signed the negotiated service agreement at admission and annually.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure new staff completed orientation, safety training, CPR/first aid, dementia specialty training, continuing education, and home care aide certification within required timeframes.
WAC 388-78A-2821 Design, construction review, and approval plans. The facility failed to submit construction documents to the Department of Health Construction Review Services prior to construction and renovation of multiple areas, risking resident safety.
WAC 388-78A-3090 Maintenance and housekeeping. The facility failed to maintain a safe, sanitary, and well-maintained environment including broken light fixtures, soiled kitchen drawers and utensils, mold in resident rooms, and unclean ice machine.
WAC 388-78A-2730 Licensee's responsibilities. The facility failed to ensure clear leadership and communication of the executive director role and failed to have a system to ensure qualified staff were scheduled to administer delegated nursing tasks.
WAC 388-78A-2466 Background checks Washington state name and date of birth background check Valid for two years National fingerprint background check Valid indefinitely. The facility failed to ensure background checks were current and completed timely for staff.
WAC 388-78A-2400 Protection of resident records. The facility failed to provide soap and paper towels in resident rooms for staff hand hygiene.
WAC 388-78A-2100 Ongoing assessments. The facility failed to complete ongoing assessments and implement interventions for residents with falls and changes in condition.
WAC 388-78A-2130 Service agreement planning. The facility failed to complete initial and updated negotiated service agreements within required timeframes and failed to document resident care needs and preferences.
Report Facts
Deficiencies cited: 26
Resident sample size: 26
Staff sample size: 6
Resident falls: 6
Inspection Report — May 9, 2025
Follow-Up
Date: May 9, 2025
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 on 05/09/2025 found no deficiencies; all previously cited deficiencies were corrected as required.
Report Facts
Total residents: 26
Resident sample size: 26
Inspection Report — Apr 22, 2025
Enforcement
Date: Apr 22, 2025
Visit Reason
This document is a formal notice of civil fines following a follow-up visit conducted by the Department of Social and Health Services Residential Care Services at Victoria Place assisted living facility on April 22, 2025.
Findings
The facility was cited for uncorrected and recurring deficiencies related to nurse delegation and staff training requirements. The licensee failed to ensure nurse delegation was properly completed and documented, and one staff member lacked required dementia specialty training and home care aide certification, placing residents at risk.
Deficiencies (2)
WAC 388-78A-2320 (2)(b)(3)(b)(c)(d)(e) Intermittent nursing services systems. The licensee failed to ensure nurse delegation was completed and documented for three residents, resulting in medication services being provided by unqualified staff and risk of unmet medical care needs.
WAC 388-78A-2474 (1)(2)(a)(b)(c)(d)(e)(4)(5)(6) Training and home care aide certification requirements. The licensee failed to ensure one staff had dementia specialty training and home care aide certification, placing 25 residents at risk due to untrained staff in emergencies and unmet care needs.
Report Facts
Civil fine amount: 1200
Civil fine amount: 600
Total civil fines: 1800
Notice — Mar 4, 2025
Date: Mar 4, 2025
Visit Reason
This letter formally notifies the facility that the stop placement order prohibiting admissions, previously placed verbally and continued in prior notices, is lifted effective March 4, 2025.
Findings
The stop placement order prohibiting admissions at the facility has been officially lifted as of March 4, 2025, following prior verbal and written notices.
Inspection Report — Feb 21, 2025
Enforcement
Date: Feb 21, 2025
Visit Reason
This document is a follow-up visit conducted by the Department of Social and Health Services Residential Care Services to impose civil fines on Victoria Place assisted living facility due to multiple uncorrected deficiencies.
Findings
The report details multiple uncorrected deficiencies related to nursing delegation, background checks, staff training, tuberculosis testing, food sanitation, nutrition services, disclosure of services, and resident rights. These deficiencies placed residents at risk and resulted in civil fines totaling $3,900. All deficiencies were previously cited and remain uncorrected.
Deficiencies (9)
WAC 388-78A-2320 (2)(b)(3)(b(c)(d)(e) Intermittent nursing services systems. The licensee failed to maintain and provide current nurse delegation documents for three residents, resulting in medication services by unqualified staff and risk of unmet medical care needs.
WAC 388-78A-2470 (1) Background check—Employment—Disqualifying information—Disqualifying negative actions. The licensee failed to ensure one staff with disqualifying background check results was not employed, placing 26 residents at risk.
WAC 388-78A-2462 (2)(a)(b)(3)(c)(d) Background checks—Who is required to have. The licensee failed to complete background checks for two contracted agency caregivers prior to employment, placing 26 residents at risk.
WAC 388-78A-2474 (1)(2)(a)(b)(c)(d)(e)(4)(5)(6) Training and home care aide certification requirements. The licensee failed to ensure required orientation, safety, CPR, First Aid, dementia specialty training, and home care aide certification for multiple staff, placing 26 residents at risk.
WAC 388-78A-2484 (1)(2) Tuberculosis—Two step skin testing. The licensee failed to ensure one staff received required Tuberculosis testing within time requirements, placing 26 residents at risk of exposure.
WAC 388-78A-2305 (1)(2) Food sanitation. The licensee failed to follow safe food handling and storing practices in the kitchen, placing 26 residents at risk of food-borne illnesses.
WAC 388-78A-2300 (1)(c)(iii)(v)(e)(ii)(f)(g)(2)(a)(ii) Food and nutrition services. The license failed to provide a variety of food in the kitchen, placing 26 residents at risk of diminished quality of life.
WAC 388-78A-2710 (1)(2) Disclosure of services. The licensee failed to provide signed documentation that five residents received a copy of the facility’s disclosure of services, placing 26 residents and representatives at risk of lacking knowledge of services provided.
WAC 388-78A-2665 (1)(2)(3)(4)(5)(6) Resident rights—Notice—Policy on accepting medicaid as a payment source. The licensee failed to provide Medicaid policy to four residents, placing 26 residents and responsible parties at risk of uninformed placement decisions.
Report Facts
Civil fines total: 3900
Residents at risk: 26
Residents with nurse delegation document issues: 3
Residents with disclosure of services documentation missing: 5
Residents without Medicaid policy: 4
Inspection Report — Feb 19, 2025
Complaint Investigation
Date: Feb 19, 2025
Visit Reason
A complaint investigation was conducted following a report of broken sprinkler pipes at Victoria Place.
Complaint Details
Complaint #167159 alleged broken sprinkler pipes. The investigation confirmed the pipe break and fire watch but found no fire or injuries. The sprinkler and fire alarm systems are now functioning normally.
Findings
The sprinkler pipe in the residential hallway broke on 2/8/25, triggering the fire watch until the system was fixed on 2/12/25. The sprinkler system and fire alarm are now in normal status with no fire or injuries reported.
Inspection Report — Jan 15, 2025
Enforcement
Date: Jan 15, 2025
Visit Reason
The Department of Social and Health Services imposed a Continued Stop Placement Order on the license of Victoria Place due to deficiencies identified in a prior Statement of Deficiencies dated January 2, 2025.
Findings
The Stop Placement Order was initially imposed verbally on December 19, 2024, continued by notice on December 20, 2024, and remains in effect as of January 15, 2025. The order restricts the facility's license until formally lifted by the Department.
Inspection Report — Jan 2, 2025
Enforcement
Date: Jan 2, 2025
Visit Reason
The Department of Social and Health Services conducted a Full Inspection at the assisted living facility Victoria Place to assess compliance with licensing requirements and resident care standards.
Findings
The inspection resulted in multiple violations including employing staff with disqualifying background checks, failure to ensure qualified staff and proper nurse delegation, unsafe food handling, and failure to submit required construction documents. Civil fines totaling $900 were imposed and a continued stop placement order prohibiting admissions was issued due to risks to resident safety.
Deficiencies (5)
WAC 388-78A-2470(1) Background checks—Washington state name and date of birth background check. The licensee failed to ensure one staff with disqualifying negative background check results was not employed by the facility, placing 26 residents at risk.
WAC 388-78A-2730(1)(a)(b)(c)(5) Licensee's responsibilities. The licensee failed to ensure the facility operated in compliance with licensing requirements and residents received care from qualified staff, resulting in risks to resident safety.
WAC 388-78A-2821(2)(b)(i)(A)(B)(C)(D)(c)(d)(i)(A)(C)(ii)(iii)(vi)(e)(i)(ii)(iii) (A)(B)(C) Design, construction review, and approval plans. The licensee failed to submit construction documents to construction review services before scheduled construction for three areas, placing 26 residents’ safety at risk.
WAC 388-78A-2320(2)(b)(3)(b)(c)(d)(e) Intermittent nursing services systems. The licensee failed to ensure facility staff had required nurse delegation training and credentials for five staff and failed to maintain nurse delegation documents for three residents, placing residents at risk for unmet medical care needs.
WAC 388-78A-2305(1)(2) Food sanitation. The licensee failed to implement safe food handling and storing practices for two areas and failed to ensure one staff had a food worker card, placing 26 residents at risk of food-borne illnesses.
Report Facts
Civil fines total: 900
Residents at risk: 26
Staff lacking nurse delegation training: 5
Residents with missing nurse delegation documents: 3
Construction areas without submitted plans: 3
Food handling areas with violations: 2
Inspection Report — Apr 24, 2024
Life Safety
Date: Apr 24, 2024
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.
Findings
All violations noted during previous related inspections have been corrected. The facility is approved following this inspection.
Inspection Report — Jan 30, 2024
Complaint Investigation
Date: Jan 30, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding a resident-to-resident altercation reported by the facility.
Complaint Details
Complaint number 112855 involved a resident-to-resident altercation. The facility failed to report the incident immediately as required. The complaint was substantiated with citations written for failed provider practice.
Findings
The facility investigated the incident and monitored residents but failed to report the physical resident-to-resident altercation immediately to the Department as required by policy. A failed provider practice was identified and citations were written.
Deficiencies (1)
WAC 388-78A-2600 Policies and procedures. The facility failed to implement the policy to notify the Department's Complaint Resolution Unit hotline immediately upon awareness of a resident-to-resident altercation. This failure placed residents at risk due to delayed reporting and investigation.
Report Facts
Total residents: 34
Resident sample size: 2
Inspection Report — Aug 21, 2023
Complaint Investigation
Date: Aug 21, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation related to allegations of false billing and failure to assist a resident's representative with billing issues at the assisted living facility.
Complaint Details
Complaint number 91155 involved allegations of false billing and failure to assist a resident's representative with billing issues. The investigation substantiated the allegation by identifying a failure to resolve grievances promptly, resulting in a citation.
Findings
The investigation found that the facility failed to ensure prompt efforts by management staff to resolve grievances in a timely manner, resulting in a citation for failed provider practice. Additional residents reviewed had no concerns with billing, care, services, or safety.
Deficiencies (1)
WAC 388-78A-2660 Resident rights. The assisted living facility failed to ensure prompt efforts by management staff to resolve grievances in a timely manner for one sampled resident, placing residents at risk for unresolved grievances.
Report Facts
Total residents: 27
Resident sample size: 3
Closed records sample size: 1
Outstanding balance: 6508.6
Inspection Report — Mar 7, 2023
Life Safety
Date: Mar 7, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 03/07/2023.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved at this inspection.
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