Inspection Reports for
Brookdale Olympia West

All violations noted during previous related inspections have been corrected, resulting in an approved status for this inspection.

The complaint investigation involved multiple complaint numbers and focused on allegations of medication neglect and financial exploitation. Both allegations were substantiated with citations issued for failure to administer medications as prescribed and failure to reimburse a resident's representative timely.

The investigation found failed provider practices in both medication administration and financial reimbursement. The facility failed to obtain and administer resident medications timely, resulting in health risks, and failed to reimburse a resident's representative within 30 days after discharge. Citations were written for these deficiencies.

This report is based on a complaint investigation conducted on August 8, 2025, regarding failure to investigate and protect residents after injuries of unknown origin. The deficiency was substantiated and resulted in a civil fine.

The licensee failed to investigate, document investigative actions/findings, and protect residents after awareness of injuries of unknown origin in the community, placing two residents at risk for ongoing physical abuse. This deficiency was recurring from prior citations and resulted in an $800 civil fine.

The complaint investigation involved multiple allegations including injury of unknown origin, nursing services, and quality of care/treatment. The facility failed to investigate or document findings for injuries reported on 07/26/2025 and 08/04/2025 involving two residents. Staff interviews were verbal and undocumented. The facility acknowledged missed steps and lack of investigations, unable to rule out abuse or neglect.

The investigation found that the facility failed to follow policies and procedures for abuse/neglect investigations and documentation. Multiple injuries of unknown origin were reported without proper investigation or documentation. The facility did not complete incident reports or written summaries for these injuries, and staff interviews were not documented. The investigation concluded with citations written for failed provider practices.

The facility was fined for uncorrected deficiencies related to water supply and water temperature policy violations that placed 40 residents at risk. Both deficiencies were previously cited on June 26, 2024, and remain uncorrected.

The investigation addressed two complaint numbers (137146 and 136782) involving cold water temperatures and low staffing. Both complaints were substantiated with citations written. The cold water issue involved staff pouring cold water on a resident causing distress, confirmed by multiple staff interviews. The low staffing complaint was confirmed by staff and documentation showing failure to provide showers as agreed.

The investigation substantiated claims that the facility failed to maintain appropriate water temperatures during showers and that staff followed management instructions to pour cold water over a resident, causing distress. Additionally, the facility failed to provide resident showers as per negotiated service agreements due to insufficient staffing. Citations were written for these deficiencies.

The facility was cited for uncorrected and recurring deficiencies related to fire extinguisher maintenance and food sanitation, resulting in civil fines totaling $2,000. These violations placed residents, staff, and visitors at risk of harm.

Two complaints were investigated: 1) Quality of Care/Treatment regarding water temperatures in shower rooms being too cold, which was substantiated with citations written for failed provider practices; 2) Misappropriation of property regarding missing clothing and blankets, which was unsubstantiated as several items were found and no failed practice was identified.

The facility failed to ensure that 2 of 4 showers had properly functioning shower handles, adequate water pressure, and readily available hot water, placing all 42 residents at risk. The facility's water temperature policy was not in compliance with state law. The allegation of misappropriation of property was unsubstantiated.

The complaint investigation found that the facility failed to report two incidents of alleged abuse and neglect involving staff members. The allegation was substantiated with citations written.

The follow-up inspection on 05/17/2024 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies regarding failure to report allegations of abuse and neglect were corrected.

The facility was cited for multiple uncorrected and recurring deficiencies related to fire extinguisher maintenance, food sanitation, and maintenance and housekeeping. These violations placed all 41 residents, staff, and visitors at risk and resulted in civil fines totaling $2,350.

The complaint investigation (Complaint #129448) found that the facility documented freezer temperatures that were not checked, confirmed by interviews and record reviews. The allegation was substantiated with citations issued.

The investigation found that the kitchen staff falsely documented freezer temperatures that were not taken, placing all 41 residents at risk of exposure to improperly stored food. A citation for failed provider practice was issued.

The stop placement order prohibiting admissions placed verbally on February 15, 2024, and continued in notices dated February 16 and March 4, 2024, is officially lifted as of April 16, 2024.

The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. All previously cited deficiencies were corrected.

The facility was cited for uncorrected and recurring deficiencies related to failure to implement negotiated service agreements and failure to investigate allegations of abuse and neglect. These violations resulted in civil fines totaling $900.00.

The facility was found to have multiple uncorrected deficiencies related to staff training, safe storage, pet health, background checks, infection control, maintenance, and grievance resolution. These deficiencies placed residents, staff, and visitors at risk and resulted in civil fines totaling $5,900.

The complaint investigation involved allegations that a resident was not receiving prescribed medication for a rash. The investigation confirmed these allegations with findings of failed medication administration and failure to notify the physician of medication refusal. Citations were issued.

The facility failed to provide prescribed medication to one resident and failed to notify the physician when the resident refused medications. These failures were identified as provider practice violations and citations were written.

The stop placement order prohibits admissions to the facility pending completion of the investigation and remains in effect until formally lifted by the Department.

This was a complaint investigation triggered by allegations of insufficient staffing and unmet resident care needs. The complaint was substantiated as violations were found leading to a stop placement order.

The investigation found the licensee failed to ensure sufficient and qualified staff to meet resident needs in both memory care units, placing all 47 residents at risk for unmet care needs and decreased quality of life. This resulted in a continued stop placement order prohibiting admissions.

The complaint investigation involved allegations of a resident to resident altercation and quality of care concerns. The investigation found failed practices related to alert charting and care plan completion. Citations were issued for these deficiencies.

The facility failed to follow policy and procedures related to alert charting for residents after a fall and failed to complete initial and 14-30 day care plans for a sampled resident within the required timeframe. These failures placed residents at risk of unmet care needs and decreased quality of life. Citations were written for these deficiencies.

The complaint investigation addressed nine allegations including unqualified staff administering medication, residents not receiving showers, insufficient staffing, incomplete laundry, fingerprint background check noncompliance, and billing concerns. The investigation substantiated multiple deficiencies and citations were issued.

The investigation found multiple deficiencies including unqualified medication technicians, failure to provide showers per service plans, insufficient staffing, incomplete laundry services, and lack of fingerprint background checks. Citations were written for these failed provider practices.

The visit was complaint-related and resulted in a substantiated violation that led to a civil fine for failure to maintain proper heating and cooling temperatures in resident rooms.

The facility failed to maintain required temperature ranges in resident rooms for multiple residents, resulting in complaints of cold conditions and placing all residents at risk. A civil fine of $200 was imposed based on these violations.

The complaint investigation (Complaint #114779) found that the facility failed to maintain adequate heating, causing residents to be cold and wear excessive clothing indoors. The allegation about insufficient supplies was not substantiated, and residents' personal care needs were met. The facility did not follow its temperature control policies and failed to document temperatures properly. A safety plan was submitted and residents with cold rooms were relocated until repairs were made.

The investigation found a failed provider practice related to inadequate heating in resident rooms and common areas, resulting in residents being cold and at risk of discomfort and illness. Other allegations regarding supplies and personal care were not substantiated. The facility failed to maintain required temperatures and did not follow its own policies, but a safety plan was implemented to correct the deficiencies.

The complaint investigation included allegations of failure to provide showers, housekeeping, grooming, and adequate staffing. The investigation confirmed these allegations and found multiple additional deficiencies including unsafe environment, infection control breaches, food safety violations, incomplete staff background checks and training, and failure to resolve grievances. The facility had recurring deficiencies from prior inspections.

The facility was found non-compliant with multiple licensing laws and regulations including failure to ensure proper nurse delegation training and supervision, secure hazardous supplies, maintain adequate staffing and housekeeping, provide proper resident care including showers and grooming, maintain infection control practices, ensure safe food handling and storage, maintain safe and sanitary environment, provide proper grievance resolution, and maintain required staff background checks and training documentation. Many deficiencies were recurring and uncorrected from prior inspections.

Complaint allegations included showers not being provided as agreed, housekeeping not provided, residents not groomed as preferred, and insufficient staff. The investigation confirmed these issues and additional deficiencies.

The facility was found not in compliance with multiple licensing requirements including nurse delegation, staff training and credentials, infection control, food safety, housekeeping, resident rights, grievance handling, medication management, and facility maintenance. Several deficiencies were recurring and placed residents at risk for harm, decreased quality of life, and exposure to unsafe conditions.

All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.

After review and consideration of written materials, oral statements, and records, one citation (WAC 388-78A-2610) was deleted and another citation (WAC 388-78A-2630) was upheld with no change.

The document does not contain inspection findings but serves to notify the facility of the IDR meeting details and the citations under dispute.

The complaint investigation involved three complaint numbers (90818, 92694, 92657) all related to quality of care issues including a resident fall with injury, failure to complete incident reports timely, failure to notify the Complaint Resolution Unit timely, and a resident-to-resident altercation. Multiple failed provider practices were identified and citations were written for some issues, while others were found not to warrant citations.

The investigation found multiple failed provider practices including failure to follow and implement care plans, failure to complete incident reports timely, failure to notify the Complaint Resolution Unit as required, and failure to follow policies after incidents requiring staff intervention. Citations were written for some of these deficiencies.

The complaint involved a resident-to-resident altercation in the community. The investigation found that the facility failed to notify the department's hotline and failed to monitor residents after incidents. Citations were written for these failures.

The facility investigated the incident and implemented appropriate interventions but failed to monitor residents per facility policy after the incidents. A failed provider practice was identified and citations were written.

All violations noted during previous related inspections have been corrected. The facility was approved at this inspection.