20 Reports
Inspection Report — Dec 3, 2025
Follow-Up
Date: Dec 3, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to fire safety compliance.
Complaint Details
The visit was complaint-related, investigating a complaint about the facility failing the first re-inspection for fire safety. The complaint number is 197811. The investigation confirmed multiple fire and life safety code violations and cited the facility under WAC 388-78A-2040(2).
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previous deficiencies under WAC 388-78A-2040-2 were corrected.
Deficiencies (1)
WAC 388-78A-2040 Other requirements. The assisted living facility must have its building approved by the Washington state fire marshal to be licensed. The facility failed to ensure compliance with fire and life safety inspections, failing two inspections and placing residents, staff, and visitors at risk.
Report Facts
Total residents: 42
Facility bed count: 100
Number of code requirement categories failed: 5
Inspection Report — Oct 22, 2025
Enforcement
Date: Oct 22, 2025
Visit Reason
The Department of Social and Health Services conducted a complaint investigation at the assisted living facility following a failed second Fire and Life Safety Inspection, resulting in a civil fine.
Complaint Details
The visit was a complaint investigation conducted on October 22, 2025, triggered by a failed Fire and Life Safety Inspection. The violation was recurring, previously cited on November 6, 2024, and August 21, 2024.
Findings
The facility failed to comply with the Washington State Patrol Office of State Fire Marshal requirements during their second Fire and Life Safety Inspection, placing residents, staff, and visitors at risk. This violation is recurring and resulted in a $400 civil fine.
Deficiencies (1)
WAC 388-78A-2040 (2) Other requirements. The licensee failed to ensure compliance with the Washington State Patrol Office of State Fire Marshal during the second Fire and Life Safety Inspection, placing residents, staff, and visitors at risk.
Report Facts
Civil fine amount: 400
Inspection Report — Oct 6, 2025
Life Safety
Date: Oct 6, 2025
Visit Reason
An unannounced Fire and Life Safety Code inspection was conducted by the Washington State Patrol, State Fire Marshal's Office to determine compliance with applicable codes.
Findings
Multiple deficiencies were cited during the inspection, including fire-resistance construction documentation not provided and large holes behind AC units. Most deficiencies were corrected on site, but the overall approval status is Disapproved.
Deficiencies (17)
IFC 603.2.2 (2021) Open junction boxes and open-wiring splices shall be prohibited. Approved covers shall be provided for all switch and electrical outlet boxes.
IFC 603.5 (2021) Relocatable power taps and current taps shall be in accordance with NFPA 70 and this code.
IFC 701.6 (2021) The owner shall maintain an inventory of all required fire-resistance-rated construction and ensure annual inspection and proper repair or replacement.
IFC 703.1 (2021) Materials and firestop systems used to protect membrane and through penetrations in fire-resistance-rated construction shall be maintained to resist passage of smoke.
IFC 705.2 (2021) Opening protectives in fire-resistance-rated assemblies shall be inspected and maintained in accordance with NFPA 80 and NFPA 105.
IFC 705.2.4 (2021) Swinging fire doors shall close from the full-open position and latch automatically.
IFC 901.6 (2021) Fire protection and life safety systems shall be maintained in an operative condition and inspected, tested, and maintained as required.
IFC 903.3.1 (2021) Sprinkler systems shall be designed and installed in accordance with applicable code sections; calculation plates must be located and properly filled out.
IFC 903.5 (2021) Sprinkler systems shall be tested and maintained in accordance with Section 901.
IFC 906.2 (2021) Portable fire extinguishers shall be selected, installed, and maintained in accordance with NFPA 10; annual servicing must be performed.
IFC 907.8 (2021) Fire alarm and detection systems shall be maintained and tested according to NFPA 72; records must be maintained.
IFC 915.6 (2021) Carbon monoxide alarms and detectors shall be maintained and replaced if inoperable or end-of-life signals are produced.
IFC 1032.10.1 (2021) Emergency lighting equipment shall be tested monthly for at least 30 seconds and inspected for trouble indicators.
IFC 1031.10.2 (2021) Battery-powered emergency lighting equipment shall be tested annually for not less than 90 minutes.
IFC 1032.2 (2021) Required exit accesses, exits, and exit discharges shall be maintained free from obstructions and impediments to full instant use.
NFPA 72 10.6.5.2 Circuit Identification and Accessibility requires permanent identification of branch circuit disconnecting means and protection against physical damage.
WAC 212-12-044 At least twelve planned and unannounced fire drills shall be held annually with proper notification and record keeping.
Inspection Report — Sep 25, 2025
Follow-Up
Date: Sep 25, 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 found no deficiencies and confirmed that all previously cited deficiencies were corrected.
Deficiencies (2)
WAC 388-78A-2484 Tuberculosis Two step skin testing. The facility failed to ensure tuberculosis testing was completed within three days of hire for 2 of 5 staff, placing residents at risk of contagious disease.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure training requirements for dementia, mental health specialty, basic training, orientation, and safety were met for 1 of 5 staff, placing residents at risk of receiving care from untrained staff.
Report Facts
Sampled residents: 7
Sampled residents: 45
Days Staff B worked during May-August 2025: 63
Days late for TB testing Staff C first test: 133
Days late for TB testing Staff C second test: 34
Days late for basic training Staff B: 322
Days late for dementia specialty training Staff B: 127
Days late for mental health specialty training Staff B: 125
Days late for orientation and safety training Staff B: 127
Inspection Report — May 2, 2025
Complaint Investigation
Date: May 2, 2025
Visit Reason
The inspection was conducted as a complaint investigation regarding mold in the kitchen that resulted in no staff access to the dishwasher or three compartment sinks.
Complaint Details
The complaint investigation was triggered by mold found in the kitchen that prevented staff access to the dishwasher and three compartment sinks. The investigation found multiple deficiencies including failure to report the incident timely, failure to ensure staff had required food worker cards, and failure of the administrator to enforce dishwashing policies. Citations were issued.
Findings
The facility failed to report an incident affecting food preparation and kitchen sanitization in a timely manner, failed to ensure dietary staff had required food worker cards before working in the kitchen, and failed to comply with its dishwashing policies. These deficiencies placed residents at increased risk of foodborne illness. The investigation resulted in citations being written.
Deficiencies (3)
WAC 388-78A-2650 Reporting fires and incidents. The assisted living facility must immediately report to the department incidents threatening continuation of services. The facility failed to report a mold incident affecting food preparation and kitchen sanitization, delaying investigation and risking resident safety.
WAC 388-78A-2305 Food sanitation. The assisted living facility must ensure employees obtain food worker cards. The facility failed to ensure dietary staff received Washington State food worker cards prior to working in the kitchen for 2 of 6 staff, increasing risk of foodborne illness.
WAC 388-78A-2560 Administrator responsibilities. The licensee must direct and supervise facility operations. The administrator failed to direct kitchen operations and comply with dishwashing policies, placing residents at increased risk of foodborne illness.
Report Facts
Total residents: 38
Resident sample size: 38
Closed records sample size: 1
Staff without food worker cards: 2
Staff total in kitchen: 6
Inspection Report — Feb 21, 2025
Complaint Investigation
Date: Feb 21, 2025
Visit Reason
The inspection was conducted due to a complaint alleging a broken pipe resulting in an outage of the fire system and the relocation of three residents.
Complaint Details
The complaint involved a broken pipe causing a fire system outage and relocation of three residents. The investigation found that the facility did not assign designated staff to fire watch and failed to complete hourly fire watch as required. Staff interviews confirmed that fire watch duties were combined with caregiving duties, causing delays and incomplete fire watch logs. The complaint was substantiated with citations issued.
Findings
The facility failed to follow its fire watch policy by not assigning designated staff to fire watch and not completing hourly fire watch as required. This failure placed residents at risk and caused delays in resident care. Citations were written for these deficiencies.
Deficiencies (1)
WAC 388-78A-2600 Policies and procedures (2)(g) - The facility failed to provide additional staff support following a fire system outage and did not follow the fire watch policy for 4 of 4 staff, resulting in delays in resident care and placing residents at risk for an unsafe environment.
Report Facts
Total residents: 43
Resident sample size: 3
Closed records sample size: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Maintenance Supervisor | Provided interview about fire suppression system outage and fire watch coverage |
| Staff B | Caregiver | Interviewed about performing fire watch and caregiving duties simultaneously causing delays |
| Staff D | Caregiver | Interviewed about fire watch and caregiving duties causing delays and incomplete logs |
| Staff E | Medication Technician | Interviewed about delays in medication administration due to combined fire watch duties |
| Staff F | Caregiver | Interviewed about fire watch duties and incomplete log entries |
Inspection Report — Dec 10, 2024
Follow-Up
Date: Dec 10, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to fire and life safety inspections.
Findings
The follow-up inspection on 12/10/2024 found no deficiencies and the facility meets the Assisted Living Facility licensing requirements. Previous deficiencies related to fire and life safety inspections were corrected.
Deficiencies (1)
WAC 388-78A-2040 Other requirements. The assisted living facility must have its building approved by the Washington state fire marshal to be licensed. The facility failed to ensure compliance with the Washington State Patrol Office of State Fire Marshal after failing their second Fire and Life Safety Inspection, placing residents, staff, and visitors at risk.
Report Facts
Resident sample size: 56
Residents in facility: 46
Licensed beds: 100
Total residents: 51
Resident sample size: 4
Deficiencies cited: 1
Inspection Report — Nov 6, 2024
Enforcement
Date: Nov 6, 2024
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Brookdale Hearthstone Moses Lake to enforce compliance after the facility failed their second Fire and Life Safety Inspection.
Findings
The facility failed to comply with the Washington State Patrol Office of State Fire Marshal requirements, resulting in an uncorrected deficiency and a civil fine of $700.00. The deficiency was previously cited on August 21, 2024.
Deficiencies (1)
WAC 388-78A-2040 (2) Other requirements. The licensee failed to ensure compliance with the Washington State Patrol Office of State Fire Marshal when the facility failed their second Fire and Life Safety Inspection. This failure placed residents, staff, and visitors’ safety at risk.
Report Facts
Civil fine amount: 700
Inspection Report — Jul 2, 2024
Life Safety
Date: Jul 2, 2024
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.
Findings
The inspection identified multiple fire safety violations including improper disposal of burning objects, storage of combustibles in prohibited areas, missing documentation for required inspections and maintenance, and malfunctioning or missing fire safety equipment. The facility was disapproved due to these unresolved violations.
Deficiencies (12)
IFC 310.7 2015, 2018 - Smoking area cigarettes were disposed of on the ground, violating rules on burning objects disposal.
IFC 315.3 2012, 2015, 2018 - Storage of combustible materials was not orderly and stable, separated from heaters or heating devices to prevent ignition.
IFC 315.3.3 2018 - Combustibles were stored in mechanical, electrical, and boiler rooms, including the mechanical room off the old employee lounge.
IFC 607.3.3 2018 - The facility lacked documentation of semi-annual inspection and cleaning servicing of the kitchen hood system for the past twelve months.
IFC 701.1 2018 - Rated construction was not maintained behind and/or around PTACs in multiple locations including corridors and resident rooms; missing ceiling tile in corridor by room 215.
IFC 705.2 2018 - The facility lacked documentation of annual rated door inspections within the past twelve months and reports reflecting condition and repairs of rated doors.
IFC 705.2.3 2018 - Doors with self closers were blocked open in multiple locations, including resident rooms and kitchen storage; door held open by magnetic hold device not tied to fire alarm system inhibiting closure.
IFC 706.1 2018 - The facility lacked documentation of repairs and retesting of dampers; three dampers failed testing on May 6 and 7, 2024.
IFC 903.5 2009, 2012, 2015, 2018 - The facility lacked documentation of annual backflow inspections, quarterly fire sprinkler system inspections, and fire sprinkler head testing; some sprinkler heads dated 2006 require testing or replacement; excessive particulate observed on sprinkler heads; escutcheon rings missing or dislodged at front entrance canopy and entrance.
IFC 904.12.5.2 2018 - The facility lacked documentation of semi-annual servicing of the kitchen hood suppression system; only August 25, 2023 report was provided.
IFC 1013.5 2018 - Exit sign at assisted dining room exterior was not illuminated.
IFC 1203.4 2018 - The facility lacked documentation of weekly emergency generator inspections and monthly load testing for the past twelve months.
Report Facts
Failed dampers: 3
Inspection Report — Nov 15, 2023
Enforcement
Date: Nov 15, 2023
Visit Reason
This document is an amended notice by settlement regarding civil fines imposed on Brookdale Hearthstone Moses Lake for multiple uncorrected deficiencies related to resident care and facility operations.
Findings
The report details multiple uncorrected deficiencies previously cited on December 28, 2022, including failures in medication administration, resident assessments, service agreement planning, investigations, quality of life, background checks, tuberculosis testing, communication systems, and monitoring residents' well-being. The civil fines were reduced from $4,000 to $3,000 as part of a settlement agreement.
Deficiencies (12)
WAC 388-78A-2320 (1)(a) Intermittent nursing services systems. The licensee failed to ensure nurse delegated medication technicians were trained to safely perform blood sugar testing and insulin administration for three residents, resulting in incorrect diabetic testing and medication administration.
WAC 388-78A-2210 (1)(a)(2)(a)(b) Medication services. The licensee failed to ensure medications were administered on time, safely, and without error for five residents, resulting in medication errors.
WAC 388-78A-2100 (1) On-going assessments. The licensee failed to complete an annual assessment addressing a resident's ability to safely leave the facility unsupervised and consume alcohol, placing the resident at risk of injury and harm.
WAC 388-78A-2130 (3)(a)(b) Service agreement planning. The licensee failed to update negotiated service agreements after a change in condition for one resident, placing the resident at risk of inadequate support for their needs.
WAC 388-78A-2150 (1) Signing negotiated service agreement. The licensee failed to ensure negotiated service agreements were signed by the resident or representative for seven residents, risking lack of acknowledgment of their care plans.
WAC 388-78A-2371 (1)(2)(3) Investigations. The licensee failed to document investigations for administration errors for four residents, placing them at risk of harm and continued medication errors.
RCW 70.129.140 (1) Quality of life – Rights. The licensee failed to ensure care was provided, including preventing residents from wearing soiled briefs for extended periods, providing grooming and hygiene assistance, and maintaining a clean living unit for one resident, resulting in unsanitary and undignified conditions.
WAC 388-78A-24642 (1) Background checks- National fingerprint background check. The licensee failed to complete a national fingerprint background check for one staff, risking unsupervised care from a potentially disqualified caregiver.
WAC 388-78A-24701 (1) Background checks- Employment No disqualifying information. The licensee failed to complete character, competency, and suitability reviews for two staff, risking care from staff with unresolved criminal history or negative actions.
WAC 388-78A-2480 (1)(2) Tuberculosis Testing Required. The licensee failed to complete tuberculosis screening for two staff, risking resident exposure to a communicable disease.
WAC 388-78A-2930 (1)(b)(i) Communication system. The facility failed to ensure the communication system worked consistently and reliably for three residents, placing them at risk of unmet health, safety, and care needs.
WAC 388-78A-2120 Monitoring residents' well-being. The licensee failed to perform monitoring, intervention, and health care provider notification regarding skin integrity, blood pressure, and blood sugar management for two residents, placing them at risk of health complications.
Report Facts
Civil fines total: 3000
Residents affected: 7
Residents affected: 5
Residents affected: 4
Residents affected: 3
Staff affected: 2
Staff affected: 2
Staff affected: 1
Notice — Jun 27, 2023
Date: Jun 27, 2023
Visit Reason
This letter serves as formal notice that the stop placement order prohibiting admissions placed on the facility's license on May 24, 2023, is lifted effective June 23, 2023.
Findings
The stop placement order prohibiting admissions at Brookdale Hearthstone Moses Lake has been officially lifted as of June 23, 2023.
Report Facts
Date order placed: May 24, 2023
Date order lifted: Jun 23, 2023
Inspection Report — Jun 22, 2023
Follow-Up
Date: Jun 22, 2023
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 06/22/2023 found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies under WAC 388-78A-2160 were corrected.
Deficiencies (1)
WAC 388-78A-2160 Implementation of negotiated service agreement. The assisted living facility failed to ensure residents received the care and services outlined in their Negotiated Service Agreement, resulting in missed medical appointments and placing residents at risk for unmet medical care.
Inspection Report — Jun 1, 2023
Enforcement
Date: Jun 1, 2023
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Brookdale Hearthstone Moses Lake to enforce civil fines based on recurring violations of state regulations.
Findings
The facility was cited for multiple recurring deficiencies related to nursing services, medication administration, tuberculosis testing, and monitoring residents' well-being. These deficiencies were uncorrected from previous citations and resulted in civil fines totaling $2,600.
Deficiencies (4)
WAC 388-78A-2320(1)(a)(b)(2)(a)(b)(c)(d)(e)(3)(a) Intermittent nursing services systems. The licensee failed to ensure that a caregiver was qualified and credentialed prior to performing nurse delegated tasks for one staff sampled. This failure placed residents at risk.
WAC 388-78A-2210(1)(b)(2)(a)(b) Medication services. The licensee failed to ensure medications were administered on time and as prescribed for two residents, resulting in late administration and medication errors.
WAC 388-78A-2480(1)(2) Tuberculosis- Testing- Required. The licensee failed to ensure tuberculosis screening was completed within three days of hire for one staff, placing residents at risk for TB infection.
WAC 388-78A-2120(1)(2)(a)(b)(3)(a)(b)(4) Monitoring residents' well-being. The licensee failed to evaluate changes in condition and take appropriate action regarding altered skin integrity and high blood pressure for two residents, contributing to wound development and ongoing high blood pressure.
Report Facts
Civil fines total: 2600
Civil fine: 600
Civil fine: 800
Civil fine: 600
Civil fine: 600
Notice — May 24, 2023
Date: May 24, 2023
Visit Reason
The Department of Social and Health Services issued a Stop Placement Order based on a prior Statement of Deficiencies dated May 11, 2023.
Findings
The Stop Placement Order prohibits new placements at the facility effective May 24, 2023, until formally lifted by the Department.
Inspection Report — May 11, 2023
Enforcement
Date: May 11, 2023
Visit Reason
The Department of Social and Health Services conducted a complaint investigation at the assisted living facility Brookdale Hearthstone Moses Lake on May 11, 2023, resulting in civil fines and a stop placement order prohibiting admissions due to multiple regulatory violations.
Complaint Details
The visit was a complaint investigation completed on May 11, 2023, which found multiple violations including medication errors, staffing deficiencies, verbal abuse, and inadequate care. Several deficiencies were recurring from a prior citation on December 28, 2022.
Findings
The investigation found multiple violations including failure to implement medication policies, nonavailability of medications, improper medication authorizations, insufficient trained staff, verbal abuse of residents, and failure to provide minimum assistance with activities of daily living. These violations resulted in civil fines totaling $1,700 and a stop placement order prohibiting new admissions until corrections are made.
Deficiencies (6)
WAC 388-78A-2600 (1)(l) Policies and procedures. The licensee failed to implement policies related to medication services for thirteen residents, resulting in one resident vomiting and medication errors.
WAC 388-78A-2240 Nonavailability of medications. The licensee failed to ensure prescribed medications were available for two residents, causing delayed pain medication and increased leg swelling.
WAC 388-78A-2220 (1)(b)(d) Prescribed medication authorizations. The licensee failed to ensure only a licensed nurse received a verbal medication order for one resident, resulting in transcription errors and health risk.
WAC 388-78A-2450 (1)(a)(2)(h)(iii) Staff. The licensee failed to provide sufficient trained staff for seven residents, contributing to lack of care in hygiene, toileting, housekeeping, and monitoring, decreasing quality of life.
WAC 388-78A-2660 (7) Resident rights. The licensee failed to ensure residents were free from verbal abuse for two residents, resulting in threats, demeaning comments, and risk of psychological trauma.
WAC 388-78A-2730 (1)(b)(c) Licensee’s responsibilities. The licensee failed to provide minimum assistance with activities of daily living and resident monitoring for nine residents, contributing to wounds, infections, and decreased quality of care.
Report Facts
Civil fines total: 1700
Residents affected: 13
Residents affected: 2
Residents affected: 1
Residents affected: 7
Residents affected: 2
Residents affected: 9
Inspection Report — Mar 15, 2023
Enforcement
Date: Mar 15, 2023
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Brookdale Hearthstone Moses Lake to assess compliance and impose civil fines based on previously cited deficiencies.
Findings
The report details multiple uncorrected deficiencies related to medication administration, resident assessments, service agreement planning, investigations, quality of life, background checks, tuberculosis testing, communication systems, and monitoring residents' well-being. Civil fines totaling $4,000 were imposed for these ongoing violations.
Deficiencies (12)
WAC 388-78A-2320 (1)(a) Intermittent nursing services systems. The licensee failed to ensure nurse delegated medication technicians were trained to safely perform blood sugar testing and insulin administration per orders for three residents.
WAC 388-78A-2210 (1)(a)(2)(a)(b) Medication services. The licensee failed to ensure medications were administered on time, safely and without error for five residents, resulting in medication errors.
WAC 388-78A-2100 (1) On-going assessments. The licensee failed to ensure an annual assessment addressing a resident's ability to safely leave the facility unsupervised and consume alcohol was completed for one resident.
WAC 388-78A-2130 (3)(a)(b) Service agreement planning. The licensee failed to update negotiated service agreements after a change in condition for one resident, placing the resident at risk.
WAC 388-78A-2150 (1) Signing negotiated service agreement. The licensee failed to ensure negotiated service agreements were signed by the resident or representative for seven residents.
WAC 388-78A-2371 (1)(2)(3) Investigations. The licensee failed to document investigations for administration errors for four residents, placing residents at risk of harm and continued medication errors.
RCW 70.129.140 (1) Quality of life – Rights. The licensee failed to ensure care was provided, including wearing soiled briefs, lack of grooming and hygiene assistance, and unsanitary living conditions for one resident.
WAC 388-78A-24642 (1) Background checks. The licensee failed to complete a national fingerprint background check for one staff member.
WAC 388-78A-24701 (1) Background checks. The licensee failed to ensure completed character, competency, and suitability reviews related to criminal history for two staff members.
WAC 388-78A-2480 (1)(2) Tuberculosis Testing Required. The licensee failed to complete tuberculosis screening for two staff members.
WAC 388-78A-2930 (1)(b)(i) Communication system. The facility failed to ensure the communication system worked consistently and reliably for three residents.
WAC 388-78A-2120 Monitoring residents' well-being. The licensee failed to perform monitoring, intervention, and health care provider notification regarding skin integrity assessments, high blood pressure, and blood sugar management for two residents.
Report Facts
Civil fines total: 4000
Residents affected: 3
Residents affected: 5
Residents affected: 1
Residents affected: 1
Residents affected: 7
Residents affected: 4
Residents affected: 1
Staff affected: 1
Staff affected: 2
Staff affected: 2
Residents affected: 3
Residents affected: 2
Inspection Report — Feb 27, 2023
Complaint Investigation
Date: Feb 27, 2023
Visit Reason
The inspection was conducted in response to a complaint about a smoke alarm triggered by burning pizza in the microwave.
Complaint Details
Complaint #70369 involved a smoke alarm triggered by burnt pizza in the microwave. The allegation was substantiated as the fire alarm did sound and staff responded accordingly, but no violations or injuries were noted.
Findings
The fire alarm sounded due to burnt pizza causing light smoke in a resident's room. Staff responded appropriately according to the fire/disaster plan, no injuries or evacuations occurred, and the resident was counseled on microwave use.
Inspection Report — Dec 28, 2022
Enforcement
Date: Dec 28, 2022
Visit Reason
The Department of Social and Health Services conducted an investigation at the assisted living facility following identified violations, resulting in the imposition of civil fines.
Findings
The licensee failed to comply with multiple WAC regulations related to nursing services, medication administration, and resident care, placing all 54 residents at risk. Civil fines totaling $3,000 were imposed based on these violations.
Deficiencies (3)
WAC 388-78A-2320(1)(a)(b)(2)(a)(b)(c)(d)(e)(3)(a) The licensee failed to follow nurse delegation criteria and ensure three residents received blood sugar monitoring and insulin administration by qualified staff, placing all residents at risk of unsafe medication administration.
WAC 388-78A-2210(1)(b)(2)(a)(b) The licensee failed to provide medications as prescribed and timely for six residents, resulting in unrelieved pain, increased tremors, late medication administration, and increased risk of falls and health decline for residents.
WAC 388-78A-2660(1) The licensee failed to ensure five residents received adequate care and services including dressing, grooming, hydration, incontinence care, and hygiene, leading to decreased quality of life and dignity for residents.
Report Facts
Civil fines total: 3000
Residents at risk: 54
Residents affected by medication services violation: 6
Residents affected by care services violation: 5
Residents affected by nurse delegation violation: 3
Inspection Report — Dec 19, 2022
Complaint Investigation
Date: Dec 19, 2022
Visit Reason
The inspection was conducted in response to a complaint (#60446) regarding a sprinkler system leaking into a resident room.
Complaint Details
Complaint #60446 involved a sprinkler system leak into resident room 211. The leak was confirmed and repaired. Residents were displaced temporarily with no injuries. No fire department response was needed.
Findings
A water leak from a frozen sprinkler pipe was discovered in resident room 211 and repaired by Johnson Controls on 12/08/2022. The affected residents were relocated temporarily, no injuries occurred, and no fire or sprinkler activation happened.
Report Facts
Complaint number: 60446
Number of residents displaced: 2
Inspection Report — Nov 18, 2022
Complaint Investigation
Date: Nov 18, 2022
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility due to complaint number 51552 regarding staff availability to assist residents in emergencies.
Complaint Details
Complaint number 51552 alleged the facility failed to have staff available to allow emergency medical staff access to a locked resident's room. The allegation was substantiated with citations written.
Findings
The facility failed to have staff available to allow emergency medical personnel access to a locked resident room after a resident fell and was injured. Safety interventions were implemented following the investigation.
Deficiencies (1)
WAC 388-78A-2450(2)(f) - The facility failed to have staff available to allow access to a locked resident room for emergency medical personnel after a resident fell and was injured.
Report Facts
Total residents: 57
Resident sample size: 4
Viewing
Loading inspection reports...



