12 Reports
Inspection Report — Mar 16, 2026
Follow-Up
Date: Mar 16, 2026
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 — Jun 18, 2025
Life Safety
Date: Jun 18, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on June 18, 2025.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved at this inspection.
Inspection Report — Jan 2, 2025
Follow-Up
Date: Jan 2, 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 care and licensing compliance.
Complaint Details
The complaint investigation found that a resident had a fracture of unknown origin and that staff delayed medical evaluation contrary to policy. Citation was written for failure to follow Change of Condition policy. The complaint number was 48911.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2600 Policies and procedures. The assisted living facility failed to implement their Change of Condition policy when one resident could no longer ambulate or transfer independently, resulting in pain and delayed medical evaluation following a broken hip.
Report Facts
Total residents: 36
Resident sample size: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Mcglon | Nursing Consultant Institutional | Named as investigator and on-site verifier |
Inspection Report — Nov 12, 2024
Enforcement
Date: Nov 12, 2024
Visit Reason
The Department of Social and Health Services conducted a complaint investigation at the assisted living facility Brookdale Alderwood on November 12, 2024, resulting in a civil fine.
Complaint Details
The visit was a complaint investigation triggered by an allegation regarding failure to implement the Change of Condition policy. The violation was substantiated and resulted in a civil fine.
Findings
The licensee failed to implement their Change of Condition policy when a resident could no longer ambulate or transfer independently and was experiencing pain, leading to delayed medical evaluation after a broken hip. This violation is recurring and resulted in a $700 civil fine.
Deficiencies (1)
WAC 388-78A-2600 (1)(b) Policies and procedures. The licensee failed to implement their Change of Condition policy when a resident could no longer ambulate or transfer independently and was experiencing pain, causing delayed medical evaluation after a broken hip.
Report Facts
Civil fine amount: 700
Inspection Report — Oct 14, 2024
Follow-Up
Date: Oct 14, 2024
Visit Reason
This document is a follow-up inspection report for Brookdale Alderwood Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection conducted on 10/14/2024 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. All previously cited deficiencies were corrected.
Deficiencies (8)
WAC 388-78A-2610 Infection control. The facility failed to ensure proper infection control practices by a Medication Technician who did not perform hand hygiene while passing medications, placing 36 residents at risk.
WAC 388-78A-2660 Resident rights. The facility failed to protect confidentiality and privacy of 36 residents by storing resident notebooks in public locations and not securing medication records.
WAC 388-78A-2483 Tuberculosis. The facility failed to ensure one staff member completed the required one-step tuberculin skin test, placing 36 residents at risk of communicable disease exposure.
WAC 388-78A-2260 Storing, securing, and accounting for medications. The facility failed to secure a medication cart in the Garden Path neighborhood, placing 12 residents with dementia at risk for ingesting medications.
WAC 388-78A-2210 Medication services. The facility failed to promote safe medication services for 11 sampled residents by not ensuring staff assisted with medication administration as prescribed.
WAC 388-78A-3100 Safe storage of supplies and equipment. The facility failed to secure hazardous supplies and equipment, including unsecured cabinets and cleaning supplies accessible to residents, placing 36 memory care residents at risk.
WAC 388-78A-3090 Maintenance and housekeeping. The facility failed to ensure wet mops were consistently hung to dry after use, placing 36 residents at risk of infection control issues.
WAC 388-78A-2100 Ongoing assessments. The facility failed to complete an ongoing assessment related to a change of condition for one sampled resident, placing the resident at risk for inadequate care.
Report Facts
Sampled residents: 7
Residents at risk: 36
Residents with dementia: 12
Sampled residents with medication service deficiencies: 11
Sampled residents with ongoing assessment deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Medication Technician | Named in infection control and medication administration deficiencies |
| Staff H | Health and Wellness Director | Provided statements confirming training and unsafe practices related to medication and infection control |
| Staff A | Executive Director | Interviewed regarding privacy and security deficiencies |
Inspection Report — May 16, 2024
Follow-Up
Date: May 16, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to compliance determinations 41320 and 34739.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Inspection Report — Dec 22, 2023
Follow-Up
Date: Dec 22, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Complaint Details
The inspection was a follow-up to complaint investigations with complaint numbers 98275, 98935, 99873, and 100054. The original complaint investigation found noncompliance related to electronic monitoring documentation and privacy safeguards.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2690 - The facility failed to conduct, document, and obtain resident or representative signatures for quarterly evaluations and time duration of electronic monitoring for 2 of 3 residents, placing their privacy and rights at risk.
Report Facts
Sampled residents: 3
Sampled former residents: 1
Inspection Report — Aug 23, 2023
Complaint Investigation
Date: Aug 23, 2023
Visit Reason
The inspection was conducted as a complaint investigation regarding allegations that a named resident had an untreated deep wound resulting in sepsis and death, and that the facility failed to notify the resident's family about the change of condition.
Complaint Details
The complaint investigation involved two allegations: one regarding an untreated deep wound leading to sepsis and death, and another about failure to notify the resident's family. The investigation confirmed failed provider practices with citations issued related to wound care documentation, updating service agreements, and providing agreed care.
Findings
The investigation found failed provider practices with citations written. The facility failed to update the resident's negotiated service agreement after a change in condition and wound development, failed to implement wound documentation policies, and failed to provide agreed-upon care such as repositioning and incontinence care, which may have contributed to pressure injuries and an unstageable wound.
Deficiencies (3)
WAC 388-78A-2130 Service agreement planning. The assisted living facility must review and update each resident's negotiated service agreement consistent with WAC 388-78A-2120. The facility failed to update the negotiated service agreement for 1 of 2 sampled residents after a change of condition and wound development, placing the resident at risk of not receiving needed care.
WAC 388-78A-2600 Policies and procedures. The assisted living facility must develop and implement policies and procedures to provide necessary care and services. The facility failed to implement their policy for documenting an unstageable wound for 1 sampled resident, resulting in no documentation and potentially inadequate medical interventions.
WAC 388-78A-2160 Implementation of negotiated service agreement. The assisted living facility must provide care and services as agreed upon in the negotiated service agreement. The facility failed to provide agreed-upon care, including repositioning and incontinence care every two hours, for 1 of 2 sampled residents, which may have contributed to pressure injuries.
Report Facts
Total residents: 36
Resident sample size: 2
Closed records sample size: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Mcglon | Nursing Consultant Institutional | Investigator who conducted the complaint investigation and on-site verification |
Inspection Report — Apr 6, 2023
Life Safety
Date: Apr 6, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 04/06/2023.
Findings
All violations noted during previous related inspections have been corrected as of this inspection. The facility was approved with no open violations.
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.
Complaint Details
The inspection included a complaint investigation referencing complaint numbers 63191 and 64949. The complaint investigation found multiple deficiencies related to staff orientation, food sanitation, nurse delegation, negotiated service agreements, policies for physician notification, and medication services.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (7)
WAC 388-78A-2450 Staff. The assisted living facility must provide staff orientation and appropriate training for expected duties. The facility failed to ensure new staff received orientation, affecting all 35 residents.
WAC 388-78A-2570 Notification of change in administrator. The licensee must notify the department within ten calendar days of a change in administrator. The facility failed to notify the department of the administrator change.
WAC 388-78A-2305 Food sanitation. The assisted living facility must maintain safe refrigerator temperatures. The facility failed to maintain safe temperatures in 3 of 3 neighborhood kitchen refrigerators, placing 35 residents at risk.
WAC 388-78A-2320 Intermittent nursing services systems. The facility must ensure nurse delegation was in place for 2 sampled residents who received blood sugar checks and insulin injections by unlicensed staff. This was not met.
WAC 388-78A-2140 Negotiated service agreement contents. The facility must develop and document a negotiated service agreement that clearly defines roles and responsibilities. This was not met for 2 sampled residents, placing them at risk.
WAC 388-78A-2600 Policies and procedures. The facility must develop and implement policies to provide necessary care and services. The facility failed to notify the physician when 2 residents refused to wear compression stockings, placing them at risk.
WAC 388-78A-2210 Medication services. The facility must develop systems to promote safe medication service. The facility failed to promote safe medication services for 1 sampled resident, placing the resident at risk.
Report Facts
Residents at risk: 35
Sampled residents: 9
Residents requiring nurse delegation: 2
Residents with negotiated service agreement issues: 2
Residents refusing compression stockings: 2
Residents with medication service issues: 1
Inspection Report — Feb 27, 2023
Complaint Investigation
Date: Feb 27, 2023
Visit Reason
The inspection was conducted as a complaint investigation following an allegation that a caregiver at the Assisted Living Facility hit a resident, who was observed with blood on her lip.
Complaint Details
Complaint number 70056 involved an allegation that a caregiver hit a resident, causing visible injury. The allegation was substantiated with findings that staff failed to report the abuse promptly to management and the Department. The facility received citations for these failures.
Findings
The investigation substantiated the allegation of abuse and identified deficient practices related to failure to timely report the incident to management and the Department. Citations were written for failed provider practices.
Deficiencies (1)
WAC 388-78A-2630 Reporting abuse and neglect - The assisted living facility failed to ensure a mandatory reporter reported alleged physical abuse for one resident in a timely manner, placing the resident at risk of further harm.
Report Facts
Total residents: 37
Resident sample size: 2
Inspection Report — Dec 5, 2022
Follow-Up
Date: Dec 5, 2022
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Complaint Details
The complaint investigation involved allegations of an unpleasant odor in a resident's apartment. The investigation included interviews, observations, and record reviews. The complaint was substantiated with citations written for failure to ensure signed negotiated service agreements and failure to update service agreements.
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 as verified on-site.
Deficiencies (2)
WAC 388-78A-2150 Signing negotiated service agreement. The assisted living facility failed to ensure that the negotiated service agreement was agreed to and signed at least annually by the resident or authorized representatives for 2 of 3 sampled residents.
WAC 388-78A-2130 Service agreement planning. The assisted living facility failed to update the negotiated service agreement for 1 of 3 sampled residents, placing the resident at risk for not receiving appropriate care.
Report Facts
Total residents: 34
Resident sample size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Mcglon | Nursing Consultant Institutional | Conducted on-site verification and complaint investigation |
| Jamie Singer | Field Manager | Signed official documents related to the inspection |
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