Inspection Reports for
Weatherly Inn Tacoma
6016 N Highlands Pkwy, Tacoma, WA 98406, United States, WA, 98406
Back to Facility Profile7 Reports
Inspection Report — Sep 5, 2025
Follow-Up
Date: Sep 5, 2025
Visit Reason
This document reports a follow-up inspection conducted to verify correction of previously cited deficiencies related to tuberculosis testing compliance at the Assisted Living Facility.
Findings
The follow-up inspection on 09/05/2025 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited tuberculosis testing deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2480 Tuberculosis Testing Required. The facility failed to ensure 4 of 5 sampled staff were screened for tuberculosis within three days of employment as required, placing residents and staff at risk of exposure to TB.
Report Facts
Sampled staff not screened for TB within three days: 4
Sample size of staff reviewed: 5
Inspection Report — Jul 25, 2025
Enforcement
Date: Jul 25, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to verify compliance and imposed a civil fine based on violations found during the inspection.
Findings
The facility was fined $400 for failing to ensure four staff members were screened for tuberculosis within three days of employment. This deficiency was uncorrected from a previous citation dated May 23, 2025.
Deficiencies (1)
WAC 388-78A-2480 (1)(2) Tuberculosis—Testing—Required. The licensee failed to ensure four staff were screened for tuberculosis within three days of employment, placing residents and staff at risk of exposure.
Report Facts
Civil fine amount: 400
Number of staff not screened: 4
Inspection Report — Jun 10, 2025
Complaint Investigation
Date: Jun 10, 2025
Visit Reason
A complaint investigation was conducted due to a reported fire alarm incident involving a burnt toaster at Weatherly Inn.
Complaint Details
Complaint #179017 involved a fire alarm caused by a burnt toaster. The investigation confirmed the fire was contained without injuries or evacuation, and the fire department responded.
Findings
The fire was contained, the sprinkler system did not activate, the resident was moved from the room until repairs were made, the building was not evacuated, there were no injuries, and the fire department responded.
Inspection Report — Jun 10, 2025
Life Safety
Date: Jun 10, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Weatherly Inn facility on June 10, 2025.
Findings
The inspection identified multiple fire safety violations including missing inspections, inadequate documentation, and maintenance issues. The facility was disapproved due to these outstanding deficiencies.
Deficiencies (9)
IFC 701.6 2021 - The owner failed to maintain an inventory of required fire-resistance-rated construction and inspections. The main laundry room had multiple ceiling penetrations.
IFC 706.1 2018 - Facility failed to provide required fire/smoke damper inspections every 4 years.
IFC 903.5 2021 - Facility failed to provide documentation for sprinkler system tests and had leaks and debris in sprinkler heads in multiple areas.
IFC 904.13.5.2 2021 - Facility failed to provide reports for kitchen suppression system inspections twice a year.
IFC 907.8 2021 - Facility failed to provide annual and monthly inspection reports for fire alarm and smoke alarm systems. Fire alarm report from 2/25/2025 showed 5 doors failing to release were not fixed. Pull station blocked and breaker lock needed.
IFC 1032.10.1 2021 - Facility failed to provide monthly 30-second test of exit signs and emergency lights.
IFC 1031.10.2 2021 - Facility failed to provide annual 1.5 hour power test of exit signs and emergency lights.
IFC 1203.4 2021 - Generator report from 1/15/25 indicated fuel lines and belt need replacement.
NFPA 80 - Memory care employee bathroom door had gaps exceeding allowed clearances and did not meet door clearance requirements.
Report Facts
Next inspection scheduled: Jul 16, 2025
Inspection Report — May 3, 2024
Complaint Investigation
Date: May 3, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation due to reports that residents were positive for a communicable disease.
Complaint Details
The complaint investigation (Intake ID 124833) was triggered by reports that residents were positive for a communicable disease. The investigation substantiated failed provider practices related to infection control and respirator fit testing, resulting in citations.
Findings
The investigation found failed provider practices related to infection control, specifically failure to ensure staff were properly fit tested for respirators, placing all residents and staff at risk during a communicable disease outbreak. Citations were written under WAC 388-78A-2610 (2)(a) and (2)(c).
Deficiencies (1)
WAC 388-78A-2610 Infection control. The assisted living facility failed to ensure 6 of 8 sampled staff were fit tested for respirators, placing all 72 residents and staff at risk during a communicable disease outbreak. Failure to ensure proper fitting respirators increases risk of health decline.
Report Facts
Total residents: 72
Resident sample size: 2
Staff fit testing failures: 6
Inspection Report — Nov 8, 2023
Complaint Investigation
Date: Nov 8, 2023
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility on 11/08/2023 following a complaint regarding a resident found deceased in her room.
Complaint Details
Complaint number 101478 involved a resident found deceased in her room. The investigation substantiated a failure in staff monitoring and supervision policies. A full retraining of staff occurred prior to the investigation date.
Findings
The investigation found a system failure in verifying a resident's location, resulting in the resident being found deceased between the nightstand and bed. Facility-wide staff training was completed after the event, and no changes to residents' health were noted prior to the event.
Deficiencies (1)
WAC 388-78A-2600(2)(i) Policies and procedures. The assisted living facility failed to properly supervise and monitor residents, including accounting for residents who leave the premises, leading to a resident being found unresponsive after not being identified as missing.
Report Facts
Closed records sample size: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Mason | NCI ALF Licensor | Conducted the inspection and provided consultation |
Inspection Report — Sep 25, 2023
Life Safety
Date: Sep 25, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 09/25/2023.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Deficiencies (5)
IFC 604.3 2018 - Storage was found within designated working spaces blocking access to electrical panels throughout the facility.
IFC 604.5 2018 - Extension cord was utilized as permanent wiring under a vending machine on the first floor in the service hallway.
IFC 701.6 2018 WAC 51-54A - Multiple unprotected penetrations were found throughout the building's fire-resistance-rated construction in corridor walls and rated ceilings. Facility must provide an inventory of all fire-resistance-rated construction and conduct annual inspections with maintenance records.
IFC 903.5 2009, 2012, 2015, 2018 - Unable to provide documentation showing the last 3-year full flow trip test report for the dry fire sprinkler system.
IFC 906.2 2015, 2018 - No Class K placard was found conspicuously placed near the Class K fire extinguisher in the kitchen.
Report Facts
Next inspection date: Aug 30, 2023
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