Inspection Reports for
Wenatchee Senior Living

1550 CHERRY STREET, WENATCHEE, WA, 98801

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16 Reports

2022–2026

Inspection Report — May 6, 2026

Enforcement
Date: May 6, 2026

Visit Reason
The Department of Social and Health Services conducted a complaint investigation and full inspection at the assisted living facility, Wenatchee Senior Living, resulting in the imposition of a civil fine.

Complaint Details
The visit was a complaint investigation completed on May 6, 2026, which found recurring medication service deficiencies previously cited in 2025. The deficiency was substantiated and resulted in a civil fine.
Findings
The licensee failed to implement a safe medication system and ensure medications were administered as prescribed for three residents, placing them at risk for health complications. This deficiency is recurring and resulted in a $400 civil fine.

Deficiencies (1)
WAC 388-78A-2210 (1)(b) Medication services. The licensee failed to implement a safe medication system and ensure medications were administered as prescribed for three residents. These failures placed residents at risk for health complications.
Report Facts
Civil fine amount: 400 Residents affected: 3

Inspection Report — Apr 13, 2026

Complaint Investigation
Date: Apr 13, 2026

Visit Reason
The inspection and complaint investigation were conducted due to an allegation that the facility did not provide a detailed explanation of charges to residents.

Complaint Details
The complaint investigation was triggered by an allegation that the facility did not provide a detailed explanation of charges. The investigation confirmed multiple deficiencies including failure to provide signed negotiated service agreements and failure to inform residents of charges and services. The complaint number referenced is 219401.
Findings
The investigation found multiple deficiencies including failure to complete full resident assessments, lack of signed negotiated service agreements, unsafe medication administration practices, failure to notify physicians of medication refusals, lack of family assistance medication plans, incomplete staff orientation and training, and failure to inform residents in writing about services, charges, and facility rules. Some deficiencies were recurring. The facility was cited for these violations and required to correct them.

Deficiencies (10)
WAC 388-78A-2100 - The facility failed to complete full assessments addressing required elements for 6 of 7 residents, placing them at risk of unmet care needs.
WAC 388-78A-2150 - The facility failed to ensure negotiated service agreements were signed by residents or representatives for 7 of 7 residents, risking residents not knowing their care and service charges.
WAC 388-78A-2210 - The facility failed to implement a safe medication system and ensure medications were administered as prescribed for 3 of 6 residents, placing them at risk for health complications.
WAC 388-78A-2230 - The facility failed to notify physicians and evaluate residents when there was a pattern of medication refusals for 1 resident, increasing risk of complications.
WAC 388-78A-2290 - The facility failed to have written family assistance medication plans with required components and signatures for 4 residents, risking residents not receiving medications properly.
WAC 388-78A-2450 - The facility failed to ensure facility orientation was completed for 4 staff and First Aid/CPR certification for 1 staff, risking care by untrained staff.
WAC 388-78A-2474 - The facility failed to ensure dementia and mental health specialty training for 3 staff and continuing education credits for 1 staff, risking care by untrained staff.
WAC 388-78A-2480 - The facility failed to ensure tuberculosis screening within three days of hire for 2 staff, risking resident exposure to communicable disease.
WAC 388-78A-2484 - The facility failed to ensure a second tuberculosis skin test was completed for 1 staff, risking resident exposure to communicable disease.
RCW 70.129.030 and WAC 388-78A-2660 - The facility failed to inform 2 residents in writing at least every 24 months of services, charges, and facility rules, preventing residents from knowing available services and costs.
Report Facts
Total residents: 71 Resident sample size: 9 Medication refusal counts: 36 Days to complete facility orientation: 388 Days without First Aid/CPR certification: 311 Days delay for TB skin test: 144 Days delay for second TB skin test: 128

Inspection Report — Jan 14, 2026

Complaint Investigation
Date: Jan 14, 2026

Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation triggered by allegations that the facility failed to process and implement physician orders timely, had staff working without appropriate credentials and trainings, and failed to coordinate care with outside providers.

Complaint Details
The complaint investigation involved three complaint numbers (207143, 205714, 209583) alleging failure to process physician orders timely, staff working without appropriate credentials, and failure to coordinate care with outside providers. The investigation substantiated these allegations with citations issued.
Findings
The investigation found multiple deficiencies including failure to develop adequate negotiated service agreements, failure to coordinate health care services with outside providers, failure to ensure staff had required credentials and background checks, failure to administer medications as prescribed in a timely manner, and failure to verify staff credentials for delegated nursing tasks. Citations were written for these failures.

Deficiencies (6)
WAC 388-78A-2140 - The facility failed to develop negotiated service agreements with documented plans addressing assessed needs for medications, health support, and behavioral interventions for 3 of 7 residents, risking untimely care plans.
WAC 388-78A-2350 - The facility failed to coordinate health care services with external providers for 2 of 8 residents, resulting in worsening wounds and risk of harm due to diminished care.
WAC 388-78A-2468 - The facility failed to submit Washington state background checks within one day of hire for 7 of 10 staff and failed to ensure work references were submitted for 10 of 10 staff, placing residents at risk from disqualified staff.
WAC 388-78A-2210 - The facility failed to ensure 3 of 10 residents received medications as prescribed in a timely and accurate manner, resulting in delayed treatment and missed doses.
WAC 388-78A-2320 - The facility failed to verify that 1 of 10 staff held a valid long-term care worker credential required for delegation as a medication technician, resulting in uncredentialed staff providing delegated care.
WAC 388-78A-24642 - The facility failed to complete National Fingerprint Background Checks for 3 of 10 staff, placing residents at risk of care by disqualified staff.
Report Facts
Total residents: 77 Resident sample size: 7 Closed records sample size: 2 Staff with missing background checks: 7 Staff with missing work references: 10 Staff missing National Fingerprint Background Check: 3 Residents with medication administration failures: 3 Residents with failed care coordination: 2

Inspection Report — Sep 30, 2025

Follow-Up
Date: Sep 30, 2025

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to medication services.

Complaint Details
The complaint investigation found that a resident did not receive prescribed medication for an infection in a timely manner, resulting in a delay of eight days before antibiotic treatment started. The failure was substantiated with citations written.
Findings
The follow-up inspection found no deficiencies and confirmed that the previously cited medication service deficiencies were corrected.

Deficiencies (1)
WAC 388-78A-2210 Medication services. The facility failed to ensure medication was administered as prescribed, resulting in an 8-day delay in antibiotic treatment for one resident. The physician's order was not entered into the Medication Administration Record, delaying administration.
Report Facts
Total residents: 79 Resident sample size: 4 Days delay: 8

Employees mentioned
NameTitleContext
Staff AResident Care CoordinatorReceived resident's antibiotic medication and failed to enter physician order into MAR
Staff BMedication TechnicianReceived call from physician about delayed antibiotic administration
Staff CLicensed Practical NurseExplained medication card handling that led to delay in transcription to MAR

Inspection Report — Aug 26, 2025

Complaint Investigation
Date: Aug 26, 2025

Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding the facility's failure to notify and involve the identified resident's legal representative prior to issuing a discharge notice.

Complaint Details
The complaint investigation (Intake ID 191000) concerned the facility's failure to notify and involve the identified resident's legal representative before issuing a discharge notice. The allegation was substantiated, and citations were written for violations of WAC 388-78A-2660 and RCW 70.129.140.
Findings
The investigation found that the facility failed to contact the resident's legal representative before issuing a 30-day discharge notice, violating resident rights. A citation was written for this failure, and the facility was found not in compliance with licensing laws.

Deficiencies (1)
WAC 388-78A-2660 Resident rights. The assisted living facility failed to promote and protect resident rights by not involving the resident's legal representative prior to issuing a 30-day discharge notice.
Report Facts
Total residents: 76 Resident sample size: 4

Inspection Report — Jul 30, 2025

Follow-Up
Date: Jul 30, 2025

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to medication availability.

Complaint Details
The complaint investigation (Complaint #177828) found that a named resident did not receive medications as ordered by a physician. The investigation identified failed provider practice and citations were written. The deficiency was corrected by the follow-up inspection.
Findings
The follow-up inspection on 07/30/2025 found no deficiencies; previously cited medication availability issues were corrected. The facility demonstrated compliance with WAC 388-78A-2240 regarding timely and correct medication administration.

Deficiencies (1)
WAC 388-78A-2240 Nonavailability of medications. When the assisted living facility has assumed responsibility for obtaining a resident's prescribed medications, the assisted living facility must obtain them in a correct and timely manner.
Report Facts
Total residents: 75 Resident sample size: 13 Missed doses: 5 Missed doses: 10 Missed doses: 7

Employees mentioned
NameTitleContext
Nicole McgrawCommunity Complaint InvestigatorConducted the complaint investigation and follow-up inspection
Gilbert LutesExecutive DirectorNamed as responsible person in Plan of Correction
Mary MillerRegional NurseNamed as responsible person in Plan of Correction

Inspection Report — Jul 22, 2025

Life Safety
Date: Jul 22, 2025

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.

Findings
No violations were observed during this inspection. The facility passed the fire safety inspection with no deficiencies noted.

Inspection Report — Feb 26, 2025

Follow-Up
Date: Feb 26, 2025

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to resident rights and notification of room changes.

Complaint Details
The complaint investigation (Complaint #153189) found that a named resident did not receive appropriate 30-day written notification prior to being moved to a new apartment, resulting in distress. The deficiency was substantiated and cited in the Statement of Deficiencies dated 01/17/2025. The follow-up inspection on 02/26/2025 found the deficiency corrected.
Findings
The follow-up inspection found no deficiencies; all previously cited violations related to resident rights and notification of room changes were corrected.

Deficiencies (1)
WAC 388-78A-2660 Resident rights. The assisted living facility must comply with chapter 70.129 RCW, Long-term care resident rights. The facility failed to provide a resident with written 30-day notice prior to a room change, causing distress due to a hastened move and smaller apartment size.
Report Facts
Total residents: 77 Resident sample size: 5

Inspection Report — Jan 15, 2025

Life Safety
Date: Jan 15, 2025

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.

Findings
All violations cited during the inspection were corrected on site. The facility was approved following the inspection.

Deficiencies (6)
IFC 603.5, 2021 Relocatable power taps and current taps must comply with NFPA 70 and code. Unfused multiplug adaptors were found in Room 102 and the Salon. (Corrected)
IFC 603.6 2021 Extension cords shall not substitute permanent wiring and must be labeled per UL 817. A white extension cord was in use in Room 138. (Corrected)
IFC 604.1 2018 Electrical hazards must be abated. An outlet cover was missing in the Kitchen. (Corrected)
IFC 701.2 2021 Fire-resistance rating of structural members, walls, fire barriers, assemblies, and shaft enclosures must be maintained. Two penetrations were found in the ceiling of the second floor Mechanical Room. (Corrected)
IFC 705.2 2021 Opening protectives in fire-resistance-rated assemblies must be inspected and maintained per NFPA 80 and 105. Facility failed to provide documentation of deficiencies corrected from the 11/07/2022 fire and smoke damper inspection. (Corrected)
IFC 903.5 2021 Sprinkler systems must be tested and maintained per Section 901. Facility failed to provide documentation for annual forward flow testing, first quarter 2024 sprinkler testing, and testing of exterior canopy and quick response sprinkler heads. (Corrected)

Inspection Report — Dec 19, 2024

Complaint Investigation
Date: Dec 19, 2024

Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding allegations of pain medication used for pain not related to prescribed reason, a resident fall with injury, and residents' medications left on the counter to be taken later.

Complaint Details
The complaint investigation involved multiple allegations including inappropriate use of pain medication, a resident fall with injury, and improper medication handling. The investigation substantiated failed provider practices and citations were issued for medication administration and failure to report significant changes in a resident's condition.
Findings
The investigation found failed provider practices related to medication administration and reporting significant changes in a resident's condition. Citations were written for violations of WAC 388-78A-2640(1)(a)(b) and WAC 388-78A-2210(1)(a)(b). The facility failed to notify the provider of a resident's significant change in condition and left medications unattended in residents' apartments.

Deficiencies (2)
WAC 388-78A-2640(1)(a)(b) - The facility failed to notify the provider of a resident's significant change in condition after a fall and increased pain. This failure placed the resident at risk of unmet care needs.
WAC 388-78A-2210(1)(a)(b) - The facility failed to provide safe medication services by leaving medications on the counter in residents' apartments for later administration. This failure placed residents at risk of medication errors.
Report Facts
Total residents: 79 Resident sample size: 2 Closed records sample size: 1

Inspection Report — Jul 18, 2024

Follow-Up
Date: Jul 18, 2024

Visit Reason
The Department of Social and Health Services conducted a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.

Findings
The follow-up inspection on 07/18/2024 found no deficiencies and the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected as listed in the letter.

Report Facts
Sampled residents: 9 Total residents: 77

Employees mentioned
NameTitleContext
Jessica ClappAssisted Living Facility LicensorNamed as department staff who did the on-site verification

Inspection Report — Jan 10, 2024

Complaint Investigation
Date: Jan 10, 2024

Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding respiratory protection program compliance and infection control practices at the Assisted Living Facility.

Complaint Details
The complaint investigation (Complaint Number 109993) involved a sample of 7 residents out of 76 total residents. The investigation confirmed expired respiratory fit testing and inadequate respiratory protection practices. Citations were issued, substantiating the complaint.
Findings
The investigation found that the facility failed to implement a compliant Respiratory Protection Program, including expired respiratory fit testing for staff. Citations were issued for these deficiencies.

Deficiencies (1)
WAC 388-78A-2730 Licensee's responsibilities. The Assisted Living Facility failed to implement Federal and State standards of a Respiratory Protection Program by respiratory mask fit testing for staff, placing 76 residents, staff, and visitors at risk of exposure to SARS-CoV-2. Fit testing was expired and not properly conducted.
Report Facts
Total residents: 76 Resident sample size: 7

Inspection Report — May 23, 2023

Enforcement
Date: May 23, 2023

Visit Reason
The Department of Social and Health Services conducted a Complaint Investigation at the assisted living facility Avamere at Wenatchee on May 23, 2023, resulting in the imposition of a civil fine.

Complaint Details
This report is based on a complaint investigation conducted on May 23, 2023, which substantiated neglect related to skin injury interventions for one resident.
Findings
The licensee failed to protect residents from neglect by not providing interventions, monitoring skin injuries, and updating the Negotiated Service Agreement for one resident, resulting in three skin injuries and resident discomfort. This violation led to a $1,000 civil fine.

Deficiencies (1)
WAC 388-78A-2660 (7) Resident rights. The licensee failed to ensure residents were protected from neglect by not providing interventions, monitoring skin injuries, and updating the Negotiated Service Agreement for one resident. This resulted in the resident developing three skin injuries and experiencing discomfort.
Report Facts
Civil fine amount: 1000 Number of skin injuries: 3

Inspection Report — Apr 26, 2023

Complaint Investigation
Date: Apr 26, 2023

Visit Reason
The inspection was conducted as a complaint investigation triggered by allegations involving a named resident's fall and pressure injuries to bilateral buttocks.

Complaint Details
The complaint investigation involved multiple allegations including a resident's fall and pressure injuries. The investigation found deficient practices in assessment, monitoring, documentation, and reporting related to these allegations, resulting in citations for multiple WAC violations.
Findings
The investigation found that the facility failed to properly investigate and document changes in the named resident's condition, including skin issues and fall-related injuries. Deficient practices were identified related to assessment, monitoring, treatment, and reporting, resulting in citations for multiple WAC regulations.

Deficiencies (6)
WAC 388-78A-2100 On-going assessments. The assisted living facility failed to complete assessments focused on a resident's identified problems and related issues, including changes in condition and injury requiring practitioner intervention.
WAC 388-78A-2120 Monitoring residents' well-being. The facility failed to monitor skin and implement assessed interventions for a resident who developed skin injuries, contributing to skin injuries and placing residents at risk.
WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to update negotiated service agreements with interventions and treatment to address and prevent skin issues, contributing to skin injuries and risk.
WAC 388-78A-2371 Investigations. The facility failed to investigate and identify interventions to prevent deep skin injuries for residents, contributing to skin injuries including an open wound.
WAC 388-78A-2630 Reporting abuse and neglect. The facility failed to ensure staff made required reports to the Complaint Resolution Unit for incidents of significant injury, placing residents at risk of physical and emotional distress.
WAC 388-78A-2660 Resident rights. The facility failed to protect residents from neglect by not providing interventions, monitoring skin injuries, and updating service agreements, resulting in untreated skin injuries and discomfort.
Report Facts
Total residents: 67 Resident sample size: 7

Inspection Report — Mar 23, 2023

Complaint Investigation
Date: Mar 23, 2023

Visit Reason
The inspection was conducted as a complaint investigation following allegations that the facility failed to notify appropriate parties about a resident's hospital transfer and an unwitnessed fall with fracture.

Complaint Details
The complaint investigation referenced complaint number 72203 and included allegations that the facility failed to notify the family and HCS worker of a resident's hospital transfer and failed to report an unwitnessed fall with fracture. The investigation substantiated these allegations and citations were written.
Findings
The investigation found that the facility failed to notify the Home and Community Services worker and the department about a resident's hospital admission and an unwitnessed fall with fracture. The family member was notified of the hospitalization. Citations were written for these failures.

Deficiencies (2)
WAC 388-78A-2640 Reporting significant change in a resident's condition. The facility failed to notify the Home and Community Services worker of the resident's admission to the hospital.
WAC 388-78A-2630 Reporting abuse and neglect. The facility failed to notify the department of a resident who had an unwitnessed fall with a fracture.
Report Facts
Total residents: 71 Resident sample size: 1 Closed records sample size: 2

Inspection Report — Dec 28, 2022

Complaint Investigation
Date: Dec 28, 2022

Visit Reason
A complaint inspection was conducted due to a fire sprinkler pipe rupture caused by cold weather at Avamere at Wenatchee.

Complaint Details
Complaint #63407 involved a fire sprinkler pipe rupture due to cold weather. The allegation was unsubstantiated as no code violations were found and the issue was corrected.
Findings
The fire sprinkler pipe rupture was repaired promptly, and the facility's procedures were followed with no code violations observed. The facility was placed on fire watch which was discontinued after repairs.

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