Inspection Reports for
Bay Vista Commons Assisted Living Community
191 Russell Road, Bremerton, WA, 98312
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
41% better than Washington average
Washington average: 6.3 deficiencies/year
Deficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
83% occupied
Based on a January 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 63
Deficiencies: 1
Date: Jan 13, 2025
Visit Reason
The inspection was conducted as a complaint investigation regarding allegations of resident neglect and inappropriate discharge at Bay Vista Commons Assisted Living Community.
Complaint Details
The complaint involved two allegations: 1) Resident neglect where a resident was locked outside following a behavioral crisis, and 2) inappropriate discharge of a resident. The neglect allegation was substantiated with failed practice identified, while the discharge allegation was not substantiated.
Findings
The investigation found that the facility failed to adequately monitor a resident during a behavioral crisis, resulting in the resident being locked outside in inclement weather without staff checking on him. There was insufficient evidence to support a failed practice regarding the inappropriate discharge allegation.
Deficiencies (1)
Facility failed to adequately monitor the resident’s well-being during a behavioral crisis, placing the resident at risk for safety and further health complications.
Report Facts
Total residents: 63
Resident sample size: 2
Closed records sample size: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nikolas Jennings | Community Nurse Complaint Investigator | Investigator who conducted the complaint investigation |
| Jody Just | Field Services Administrator / Field Manager | Signed letters and reports related to the inspection and enforcement |
| Staff A | Administrator | Mentioned in interviews related to the incident of resident being locked outside |
| Staff B | Assistant Director of Nursing | Observed resident during incident but did not send staff outside to check on resident |
Inspection Report
Life Safety
Deficiencies: 8
Date: Oct 29, 2024
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at Bay Vista Commons Assisted Living Community to assess compliance with fire protection codes and standards.
Findings
The facility was found to have multiple fire safety violations including use of extension cords, penetration in electrical panel walls, failure to provide required sprinkler system documentation and maintenance, blocked fire alarm pull station, and blocked exit doors.
Deficiencies (8)
Lower level housekeeping storage has two extension cords being used.
Memory care nurse station walkie talkie cart has an extension cord connected to a power strip.
Penetration in walls in electrical panel room between IT room and electrical room.
Facility failed to provide documentation for fire sprinkler system including three year dry system full flow trip test and fire department connection hydrostatic test.
Facility failed to maintain sprinkler heads at the following locations (heads loaded with debris): first floor pantry and kitchen area.
Facility failed to maintain fire alarm pull station on the second floor, blocked by plants.
Lower level fire alarm electrical breaker panel needs breaker lock.
Facility failed to maintain exit door by room B25, 2 chairs blocking door.
Report Facts
Provider Number: 1983
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Raul Murcia | Deputy State Fire Marshal | Signed inspection report |
| Tony McCutcheon | Facility Manager | Named as facility representative signing inspection report |
Inspection Report
Complaint Investigation
Census: 1
Deficiencies: 1
Date: Jan 8, 2024
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding the facility's policy of calling EMS/9-11 to lift an uninjured resident from the floor instead of facility staff assisting.
Complaint Details
Complaint #109819 involved an allegation that facility staff called EMS/9-11 only to lift an uninjured resident from the floor. The complaint was substantiated with findings that the facility policy required EMS assistance for resident lifts, placing the resident at risk.
Findings
The Assisted Living Facility failed to ensure residents could be safely lifted from the floor without outside agency intervention, placing one resident at risk of harm. The facility policy was to call the fire department or EMS to lift residents, and staff reported no capability or equipment to lift residents safely. The resident involved was not injured but was unable to get up independently.
Deficiencies (1)
Failure to ensure residents were able to be safely lifted from the floor in the event of a fall without intervention of outside agency staff.
Report Facts
Resident sample size: 1
Investigation Date Start: Jan 8, 2024
Investigation Date End: Jan 12, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Goulet | Complaint Investigator | Conducted the complaint investigation and on-site verification |
| Manfay Chan | Field Manager | Signed follow-up letter confirming no deficiencies on 02/26/2024 |
| Jamie Payseno | Administrator or Representative | Signed Plan of Correction and attestation statement |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: May 25, 2023
Visit Reason
The Department of Social and Health Services completed a full inspection of the Bay Vista Commons Assisted Living Facility on 05/25/2023 to determine compliance with Assisted Living Facility requirements.
Findings
The facility was found not to meet the Assisted Living Facility requirements due to safety concerns related to loose pavers on the common patio outside the dining area. The facility administrator and maintenance director implemented a safety plan and planned to begin repairs within a week.
Deficiencies (1)
Loose pavers on the common patio outside of dining area creating a safety hazard.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Manfay Chan | Field Manager | Signed the letter regarding the inspection findings and corrective actions. |
| Cathleen Davis | ALF Licensor | Department staff who did the inspection and provided consultation. |
| Shirley Grew | LTC Surveyor | Department staff who did the inspection and provided consultation. |
| Lisa Mason | NCI ALF Licensor | Department staff who did the inspection and provided consultation. |
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