Inspection Reports for
Brookdale Nine Mile

The facility failed to provide housekeeping services as agreed upon in negotiated service agreements for six residents, resulting in unsanitary conditions. This deficiency was uncorrected from a prior citation and resulted in a $600 civil fine.

The complaint investigation involved allegations of insufficient staff, residents not receiving showers as scheduled, and residents not receiving laundry services. The bathing assistance allegation was substantiated with citations written. Other allegations such as laundry services and staff availability were found to have no failed facility practice.

The investigation found that the facility failed to provide bathing assistance as agreed in the negotiated service agreement for one sampled resident, resulting in a citation. Other allegations such as insufficient staffing and laundry services were addressed with no failed facility practice identified. The facility was found to have failed provider practice and citations were written.

The inspection found that sprinkler systems were tested and maintained in accordance with code, with the latest IEFP report dated 12/15/25 received. The facility was approved with no open violations noted in this inspection.

The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected.

The facility was fined $1,000 for failing to ensure a safe medication delivery system and not providing medications as prescribed for five residents. These failures placed residents at risk for health complications and represent a recurring deficiency previously cited in prior years.

The complaint investigation involved allegations of sexual assault of a resident. The investigation included interviews, observations, and record reviews. The allegation was unsubstantiated, but a failed provider practice was identified due to delayed reporting. Citation(s) were written.

The investigation found that law enforcement and the department were not notified of the allegation for two days, constituting a failed provider practice. However, the abuse allegation was unsubstantiated and no harm was identified. Consultation was provided under WAC 388-78A-2630 Reporting abuse and neglect.

The complaint investigation identified a medication administration failure that caused distress to a resident during end-of-life care. The deficiency was recurring from previous citations in 2022 and 2023.

The facility failed to ensure a safe medication delivery system and did not provide medication as ordered for one resident, causing distress and difficulty breathing during the resident's dying process. This deficiency is recurring and resulted in a $1,500 civil fine.

The complaint investigation involved multiple complaint numbers and found substantiated deficiencies related to insufficient qualified staff for medication administration and unsafe medication delivery, resulting in citations.

The facility failed to ensure qualified staff were onsite to administer medications to residents, resulting in unmet medication administration needs and placing residents at risk. Citations were written for deficiencies related to medication services and staffing.

The complaint investigation included multiple complaint numbers and focused on resident medications being unavailable. The investigation substantiated the allegation and citations were written for failed provider practice.

The investigation found that the facility did not meet Assisted Living Facility requirements due to medication unavailability for a resident, which contributed to increased behaviors. The facility updated its resident admission process and contact information to improve medication availability and continuity. The report concluded that a failed provider practice was identified and citations were written.

The complaint investigation involved an allegation that staff gave non-delegable medication to a resident. The investigation confirmed that unqualified staff administered injectable medication to Resident 1, violating WAC 388-78A-2320(1)(a)(b).

The department found no deficiencies during the follow-up inspection and confirmed that previously cited deficiencies were corrected.

The complaint investigation involved allegations that staff were dismissive and impatient with residents and that a resident required CPR and hospitalization. The investigation substantiated failed provider practices related to staff training and background checks, resulting in citations.

The investigation found multiple deficiencies including staff not completing required orientation, CPR, first aid, and specialty trainings, as well as incomplete background checks and character reviews for caregivers. Citations were written for these failed provider practices.

The complaint investigation involved two allegations: 1) the administrator or nurse was not available to allow a resident's return from the hospital, and 2) no nurse was present 24/7. The first allegation was substantiated with citations issued; the second was unsubstantiated as regulations do not require 24/7 nursing coverage.

The investigation found a failed provider practice related to administrator responsibilities and coordination of health care services, resulting in a resident's unnecessary hospital stay. No deficiency was found regarding the absence of a nurse 24/7, as it is not required by regulations.

The complaint investigation addressed multiple allegations including lack of monitoring, falls, medication refill delays, missing valuables, resident injuries, aggression, staff substance use, understaffing, and failure to report incidents. The investigation substantiated failures related to missing money reports, resident rights violations involving assault and roommate placement, and staff record-keeping. Other allegations such as medication delays and staff substance use were not substantiated.

The investigation found multiple failed facility practices related to missing money reports, resident rights violations including allowing a roommate with a history of assault to share an apartment, and staff record-keeping deficiencies. Some allegations such as medication refill delays and staff substance use were not substantiated. Citations were issued for violations under WAC 388-78A-2371, 388-78A-2630, 388-78A-2660, and 388-78A-2450.

The complaint investigation identified two violations: failure to investigate missing money for two residents and failure to prevent physical abuse of one resident, which caused severe injury. These violations resulted in civil fines.

The investigation found failures to investigate and document missing money for two residents and failure to ensure residents were free from physical abuse, resulting in a resident sustaining a severe head injury requiring hospitalization. Civil fines totaling $2,300 were imposed.

The complaint investigation involved multiple allegations: 1) resident not administered medications as ordered, 2) resident wandering into another resident's room, and 3) insufficient staffing. Only the medication administration allegation was substantiated with citations issued. The wandering and staffing allegations were not substantiated.

The investigation found a failed provider practice related to medication administration where residents did not receive prescribed medications timely, resulting in citations under WAC 388-78A-2210. Other allegations regarding wandering and staffing were not substantiated. The facility was found not in compliance and a Statement of Deficiencies was issued.

The inspection found several fire safety deficiencies including unsealed penetrations and a door without a fire-resistance-rated glazing label, but most issues were corrected on site or scheduled for correction. The overall approval status was Approved.

The licensee failed to assist one resident with eating, transferring, laundry, and behavior management for anxiety as per the Negotiated Service Agreement. This recurring deficiency placed the resident at risk and was previously cited but remained uncorrected, leading to a $700 civil fine.

The complaint investigation was initiated due to allegations of resident neglect. The investigation confirmed failed provider practices and cited deficiencies related to resident rights and quality of life. Observations and interviews documented inadequate care, unattended residents, and safety risks. The complaint was substantiated with citations issued.

The investigation found failed provider practices related to resident rights and quality of life, including inadequate care and safety risks for residents. Citations were written for deficiencies observed, and the facility was found not in compliance with licensing requirements at the time of inspection.

The inspection identified multiple violations including unsealed penetrations, fire doors that would not close and latch properly, combustible storage too close to sprinkler heads, unapproved extension cords, failed fire-resistance-rated glazing labels, failed fire and smoke damper inspections, lack of intermediate-temperature sprinklers in walk-in coolers/freezers, missing smoke detector sensitivity testing documentation, and obstructions in means of egress reducing minimum width below required standards.

The complaint investigation involved multiple allegations including falls, bruises, weight loss, dietary neglect, medication errors, inadequate staffing and training, and COVID-19 outbreaks. The investigation substantiated many of these allegations and resulted in citations for failed provider practices.

The investigation found multiple instances of failed provider practices including inadequate investigation of falls and injuries, failure to follow dietary and medication plans, insufficient staffing and training, and failure to control COVID-19 outbreaks. Numerous citations were issued for violations of WAC regulations related to resident care, medication administration, investigations, and infection control. The facility was found not in compliance with assisted living facility requirements.