Inspection Reports for
Ciel of Wenatchee

All violations noted during the inspection were corrected on site, including deficiencies related to sprinkler system testing, fire extinguisher system service, and fire alarm system maintenance. The facility was placed on a fire watch due to a fire alarm trouble status, which was properly documented and corrected.

Complaint #211990 alleged the fire alarm system was in trouble status. The allegation was investigated and found unsubstantiated as the system was restored the same day with no violations noted.

The fire alarm system was found in trouble status on February 9, 2026, but was restored the same day. No fire, injuries, evacuations, or fire department response occurred. There were no violations noted and the system was reset to normal.

After review, no changes were made to the Statement of Deficiencies or the enforcement letter dated August 20, 2025. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 calendar days.

This letter schedules a documentation review only, with no meeting, to review the disputed citation WAC 388-78A-2660 and the associated civil fine.

The complaint investigation involved allegations that a named resident admitted on hospice did not receive expected services, failed communication with the resident's family, and inadequate bathing frequency. The investigation found the facility was not responsible for hospice services but failed to coordinate care with hospice, lacking hospice care plans and notes in facility records for 3 residents. This failure was substantiated and resulted in a citation.

The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies related to coordination of care with hospice services were corrected.

Complaint Investigation completed on August 7, 2025, found substantiated violation of resident rights involving involuntary confinement and mental abuse of one resident.

The investigation found a violation of WAC 388-78A-2660 (7) Resident rights due to failure to prevent involuntary confinement and mental abuse of one resident, resulting in a civil fine of $2,000. The violation involved the resident being confined to their bed for 13 days and experiencing mental anguish.

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

The complaint investigation involved a named resident with an injury of unknown source. The investigation found that staff failed to implement the facility's policy for identifying, reporting, and investigating abuse, resulting in delayed reporting and placing residents at risk. Multiple staff interviews and record reviews documented concerns about a resident's bruise and failure to report incidents timely. Citations were written for these deficiencies.

The Department found no deficiencies during the follow-up inspection and confirmed that previously cited deficiencies related to policies and procedures were corrected.

The report details multiple uncorrected deficiencies related to resident service agreements, medication availability, incident investigations, staff training, tuberculosis testing, and maintenance issues. Civil fines totaling $2,300.00 were imposed due to these ongoing violations.

The complaint investigation involved allegations that one resident received another resident's medication and that a resident did not receive pain medication for 8 hours. The medication error allegation was substantiated with citations written, while the pain medication allegation was not substantiated.

The investigation found that the facility staff failed to pass medications safely as prescribed, resulting in medication errors and a failed provider practice with citations written. The allegation regarding pain medication was not substantiated as residents did not show signs of pain and medications were administered per physician orders.

The complaint investigation included grievances about missing money, abuse allegations involving physical and verbal abuse by staff, failure to follow up on bed hold notices and Ombudsman notifications, inaccurate PASARR screening, incomplete baseline care plans, improper PICC line care, wound care order noncompliance, vaccine storage monitoring failures, inadequate hospice coordination, failure to offer pneumococcal vaccine, and accident prevention failures including a resident burn and fall risks.

The facility failed to promptly resolve resident grievances, report and investigate abuse allegations timely, conduct thorough fall investigations, complete baseline care plans, follow wound care orders, monitor vaccine storage temperatures correctly, coordinate hospice care effectively, and offer pneumococcal vaccines properly. Additionally, improper handling of a resident's PICC line and a resident burn from hot soup were noted.

After review, the department decided not to make any changes to the original Statement of Deficiencies report dated 03/12/2025. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 calendar days.

The complaint investigation involved allegations of resident-to-resident altercations and delay in treatment. The facility failed to conduct thorough investigations, assess residents after changes, update care plans, and timely administer medications. Multiple citations were issued based on these findings.

The investigation found multiple deficiencies including failure to complete thorough investigations of incidents, failure to assess residents after changes in condition, failure to update negotiated service agreements and care plans, and delays in medication administration. The facility was found not in compliance with Assisted Living Facility requirements and citations were written. A follow-up inspection on 01/27/2025 found no deficiencies and the facility met licensing requirements.

Four fire safety violations were identified during the inspection, all of which were corrected on site. The facility was approved following the inspection.

The facility failed to ensure the resident environment was free from accident hazards due to the placement of a 1500-[NAME] oil filled indoor electric space heater in one resident room. Staff did not follow the correct process for heating issues, and the Administrator was not notified prior to placing the heater.

The complaint investigation included three complaint numbers (130446, 131704, 132318) all related to resident to resident altercations. Staff were found to respond immediately and intervene in incidents, and resident care plans were reviewed and updated as needed. Despite these actions, a failed provider practice was identified due to missing appropriate behavioral interventions.

The investigation found that staff were available and responsive to residents' needs and behaviors, intervening immediately in resident interactions. However, a failed provider practice was identified related to the lack of appropriate behavioral interventions for residents.

The facility had multiple deficiencies including failure to complete appropriate medication self-administration assessments, inadequate resident accommodations, incomplete advanced directives documentation, failure to issue required beneficiary notices, unsafe and non-homelike environment conditions, unresolved resident grievances, incomplete abuse policy implementation, failure to provide bed hold notices, inaccurate PASARR screening, incomplete interdisciplinary care conferences, inadequate assistance with meals, failure to follow physician orders for bowel and pain management, lack of restorative therapy services, improper enteral feeding administration, incomplete dialysis care documentation, failure to provide trauma-informed care, medication administration errors, inadequate snack provision at bedtime, and improper dumpster lid management.

The facility failed to verify licensure for one staff member and did not provide required annual abuse and neglect training for five staff members. This failure placed residents at risk for unrecognized abuse and unmet care needs.

Complaint #115134 was investigated regarding fire safety concerns including sprinkler activation and evacuation. No injuries or evacuations occurred, and no citations were issued.

The facility was found to have no citations issued. The facility is actively working with a contractor on repairs and remains on fire watch until the system is fully functional.

The complaint investigation dated 05/22/2023 through 05/26/2023 involved allegations of unreported resident-to-resident incidents and a resident forced to move out due to Medicaid payment acceptance policy changes. The investigation found failed provider practice and citations were written for WAC 388-78A-2665 (2, 3, 4, 5, 6) due to failure to provide policy to residents and families. Three residents requested transfer due to planned Medicaid use.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies regarding the Medicaid payment acceptance policy were corrected.

No health deficiencies were found during the inspection.

No health deficiencies were found during the inspection.

The complaint investigation involved allegations of resident neglect and inadequate COVID-19 management. The neglect allegation was not substantiated as residents were observed to be clean and well cared for. The COVID-19 management allegation was substantiated due to failure to notify authorities of outbreaks.

The investigation found residents were clean, well groomed, and their needs were met. However, the facility failed to notify the local health jurisdiction and the department about COVID-19 outbreaks, violating WAC 388-78A-2610 (2)(f).

The facility was found deficient in maintaining resident dignity during meals, addressing resident council grievances, timely reporting and investigating abuse allegations, ensuring accurate PASARR screening, and preventing pressure ulcers in at-risk residents. Several residents experienced risks due to inadequate care and oversight.

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

Complaint #63344 involved a fire alarm activation due to a ruptured dry fire sprinkler supply line. The fire department responded, and repairs were completed with fire watch maintained until January 12, 2023.

The fire alarm activation was confirmed to be caused by a ruptured dry fire sprinkler supply line. Fire watch was maintained until repairs were completed and the sprinkler system was fully functional. The facility was approved following the resolution of the issue.

This document does not contain inspection findings but serves to schedule a documentation review for disputed citations.