Inspection Reports for
Brookdale Torbett

The inspection identified multiple fire safety violations, including issues with power taps, fire extinguisher documentation, fire alarm breaker lock, and fire drill documentation. Several violations were corrected on site, but some remain uncorrected, resulting in a disapproved status.

The IDR process resulted in the deletion of one cited deficiency, WAC 388-78A-2650 (2)(3), from the original Statement of Deficiencies.

The document does not contain inspection findings but serves to schedule and outline the IDR process for disputing a specific citation (WAC 388-78A-2650).

The complaint investigation was triggered by an outbreak of norovirus causing nausea, vomiting, and diarrhea among residents and staff. The investigation found failures in infection control practices, lack of PPE use, inadequate staff training, and improper cleaning protocols. Multiple residents and staff were symptomatic, and the facility also experienced a COVID-19 outbreak during the investigation.

The follow-up inspection on 03/24/2025 found no deficiencies and confirmed that all previously cited infection control deficiencies were corrected.

This was a complaint investigation conducted on February 19, 2025, resulting in a civil fine for medication nonavailability affecting three residents.

The facility was fined $600 for failing to ensure medication availability for three residents, which led to residents not receiving medications and placed them at risk for health decline. This violation was recurring from previous citations.

Complaint investigation #155445 involved allegations of a staff member violating HIPAA and concerns about a dangerous resident. The investigation found that the facility failed to investigate and document incidents and failed to monitor residents properly, resulting in citations.

The follow-up inspection on 02/12/2025 found no deficiencies and confirmed that all previously cited deficiencies were corrected. The facility corrected issues related to investigations, monitoring residents' well-being, medication services, nursing delegation, staff training, background checks, tuberculosis screening, and electronic monitoring consent.

The complaint investigation (Complaint #164890) found that four named residents missed doses of medications. The allegation was substantiated as three residents missed multiple consecutive doses, contributing to agitation and health risks. The facility failed to follow up on medication refills as required.

The investigation found that the facility failed to ensure medications were available for three of four residents, resulting in missed doses and increased agitation. Citations were written for noncompliance with WAC 388-78A-2240 regarding nonavailability of medications.

The complaint investigation dated 10/01/2024 through 11/07/2024 involved allegations that a resident was neglected causing skin breakdown. The investigation confirmed that staff failed to follow shift change procedures, leaving a resident without sheets and clothing for hours. Citations were written related to resident rights and quality of life.

The follow-up inspection on 12/25/2024 found no deficiencies; all previously cited issues were corrected.

The complaint investigation (Complaint #131882) was initiated due to allegations that a resident was not receiving medication services as ordered and that residents were helping each other when staff were busy. The investigation confirmed the medication service failure for one resident, resulting in a citation. The second allegation was not substantiated.

The follow-up inspection on 08/12/2024 found no deficiencies and confirmed that the previously cited medication service deficiencies were corrected. The facility now meets Assisted Living Facility licensing requirements.

The complaint investigation involved two complaint numbers (128507 and 128568) regarding sexual abuse of an identified resident by another resident. The facility staff were unaware of the reporting requirements and failed to report the incidents to the Complaint Resolution Unit or law enforcement. The allegation was substantiated with citations issued.

The investigation found that the facility failed to report the sexual abuse incident to the appropriate authorities as required. The resident was assessed, monitored, and assigned one-on-one staff for safety. A failed provider practice was identified and citations were written.

The complaint investigation dated 03/14/2024 through 04/04/2024 involved allegations that an identified resident was not getting assistance with toileting and changing incontinence products and had fallen while trying to transfer themselves. The investigation found failed practices related to failure to implement the care plan as cited under WAC 388-78A-2160.

The follow-up inspection on 05/14/2024 found no deficiencies and confirmed that the facility meets licensing requirements. Previous deficiencies related to failure to implement the negotiated service agreement were corrected.

The complaint investigation involved three complaint numbers (107832, 107377, 104858) and found substantiated deficiencies related to failure to provide one-to-one staffing and medication nonavailability leading to a seizure. The facility was cited and required to submit a plan of correction.

The investigation found deficient practices including failure to provide agreed one-to-one staffing for residents and medication nonavailability that led to a resident seizure. Citations were written for WAC 388-78A-2160 and WAC 388-78A-2240. The facility submitted a plan of correction with corrective actions and monitoring measures.

All violations noted during previous related inspections have been corrected and the facility was approved.

The complaint investigation referenced complaint numbers 76972 and 75974. The facility was found not to meet Assisted Living Facility requirements due to a non-functioning call system, which was corrected on site.

The facility's call system was not functioning at the time of the visit, including in bathrooms and a resident room. The facility corrected the issue on site by replacing batteries and providing staff education.

The follow-up inspection conducted on 11/23/2022 found no deficiencies and confirmed that all previously cited deficiencies were corrected. The facility meets the Assisted Living Facility licensing requirements.