Inspection Reports for Bonaventure of Salmon Creek

The Office of the State Fire Marshal conducted an inspection at the facility on 07/11/2025 following previous inspections and re-inspections to verify correction of prior deficiencies.

The inspection found that several previously cited violations related to appliance connection to building piping, commercial cooking systems, inspection and maintenance, and testing and maintenance were corrected. However, the facility remains disapproved due to unresolved issues noted in prior re-inspections.

The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previously identified violations.

The re-inspection found that violations related to appliance connection to building piping, inspection and maintenance of fire-resistance assemblies, and commercial cooking systems had not been corrected.

The Department completed a follow-up inspection of the Assisted Living Facility on 03/05/2025 to verify correction of previously cited deficiencies.

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

The Department of Social and Health Services conducted a follow-up visit to Bonaventure of Salmon Creek to assess compliance and impose civil fines based on previously cited deficiencies.

Multiple uncorrected deficiencies were found related to staff training and certification, background checks, documentation of negotiated service agreements, resident records, tuberculosis testing, and Medicaid policy notification. These deficiencies placed residents at risk and resulted in civil fines totaling $2,100.

The Department of Social and Health Services completed a Full Inspection visit at the assisted living facility, resulting in the imposition of a civil fine due to violations related to medication nonavailability.

The licensee failed to obtain prescribed medications in a correct and timely manner for three residents, placing them at risk of harm. This deficiency is recurring, having been previously cited multiple times.

The inspection was conducted in response to complaints alleging inappropriate administration and failure to administer antipsychotic medication as ordered by the doctor at Bonaventure of Salmon Creek Assisted Living Facility.

The investigation substantiated a failure to administer medication as ordered by the physician for one of three sampled residents, resulting in a citation. No failed facility practice was found regarding inappropriate administration of medication.

The complaint investigation was substantiated for failure to administer antipsychotic medication as ordered by the doctor. The allegation of inappropriate administration was not substantiated.

This letter serves as formal notice that the conditions placed on the assisted living facility license on December 29, 2022, are lifted effective March 10, 2023.

The document informs that the previously imposed license conditions have been officially lifted as of March 10, 2023.

The inspection was conducted in response to a complaint alleging that the facility failed to start a resident's prescription medication as ordered.

The investigation substantiated that the facility failed to administer the resident's prescription medication on the date it was ordered, resulting in a citation for failed provider practice.

Complaint that the facility failed to start resident's prescription medication when ordered. The investigation substantiated this allegation and a citation was issued.

The inspection was conducted as a complaint investigation regarding allegations of caregiver verbal abuse toward residents and unqualified staff providing personal care at Bonaventure of Salmon Creek Assisted Living Facility.

The investigation found no substantiated failed facility practice related to caregiver verbal abuse. However, it substantiated failed facility practice regarding maintaining unqualified personnel staff, resulting in citations.

The complaint investigation involved allegations of caregiver verbal abuse and unqualified staff providing personal care. The verbal abuse allegation was not substantiated, but the unqualified staff allegation was substantiated with citations issued.

The investigation was conducted due to a complaint alleging that medication was not given to a resident as ordered by their doctor.

The investigation substantiated failed facility practice in managing and administration of resident medications, resulting in citations. The facility failed to obtain prescribed medications for residents, leading to missed doses and placing residents at risk for health complications.

The complaint was substantiated based on interviews, observations, and record reviews. Failed provider practice was identified and citations were written.

The Department of Social and Health Services completed a complaint investigation at the assisted living facility Bonaventure of Salmon Creek on April 18, 2024, resulting in a civil fine due to medication service violations.

The licensee failed to ensure residents received medications as prescribed for two residents, resulting in one resident missing medication for 5 days and another for 11 days, placing them at risk for medical complications. This was a recurring deficiency previously cited on January 27, 2023.

The visit was complaint-related, and the deficiency was substantiated, resulting in a civil fine.

The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previously cited violations related to fire protection and safety systems.

The facility was found to have multiple violations including failure to provide required fire protection system testing and maintenance reports, failure to conduct required fire drills, and failure to provide documentation of emergency lighting tests. The facility remains disapproved due to these unresolved deficiencies.

The Department of Social and Health Services conducted a complaint investigation at Bonaventure of Salmon Creek to address allegations related to medication availability and compliance with regulatory requirements.

The investigation found that the licensee failed to obtain a prescribed medication for one resident, resulting in the resident not receiving the medication as ordered for 6 days, placing them at risk for health complications. This deficiency was recurring from previous citations.

The visit was complaint-related and resulted in a civil fine of $600.00 for nonavailability of medications. The deficiency was recurring, previously cited on September 20, 2022, and December 14, 2022.

The Department completed a follow-up inspection of the Assisted Living Facility on 11/20/2023 to verify correction of previously cited deficiencies.

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

The visit was an unannounced on-site complaint investigation triggered by an allegation of mismanagement of resident medications.

The investigation found a failed provider practice related to the facility's failure to obtain a prescribed medication for one resident, resulting in the resident missing medication doses for six days and being at risk for health complications.

The complaint involved an allegation of mismanagement of resident medications. The investigation substantiated a failed provider practice with citations written.

The Department of Social and Health Services completed a Complaint Investigation at Bonaventure of Salmon Creek on September 27, 2023, due to concerns about the facility's monitoring of residents' well-being.

The licensee failed to evaluate and take appropriate action for one resident with changes in physical condition and increased confusion, resulting in delayed evaluation, increased falls, hospitalization, and worsening urinary tract infection. This deficiency was recurring from a previous citation on January 31, 2023.

Complaint investigation conducted on September 27, 2023; the deficiency was substantiated and resulted in a civil fine.

The inspection was conducted as a complaint investigation based on allegations that residents' medical needs were not monitored or documented, nursing services were inadequate, the physical environment was unsafe, and residents' quality of life was compromised.

The investigation substantiated failed provider practices related to monitoring and documenting residents' well-being and nursing services, while no failed practice was found regarding the physical environment. Citations were written for the deficiencies identified.

The complaint investigation was substantiated with findings that residents' medical needs and well-being were not monitored or documented, nursing services failed to monitor resident well-being, and quality of life needs were unmet. The physical environment allegation was not substantiated.

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.

The follow-up inspection found no deficiencies, indicating the facility meets Assisted Living Facility licensing requirements and corrected prior deficiencies.

The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previous violations.

The facility was found to have multiple outstanding violations related to fire safety, including failure to provide fire damper repair reports, failure to provide 5-year fire department connection inspection, improper securing of carbon dioxide cylinders, lack of detection or ventilation for carbon dioxide systems, and failure to provide required fire drills.

The Department of Social and Health Services conducted a complaint investigation at Bonaventure of Salmon Creek to assess compliance with reporting significant changes in residents' conditions.

The licensee failed to report significant changes in condition for two residents, placing them at risk for health complications. This deficiency was recurring, previously cited on January 19, 2023.

Complaint investigation conducted on March 31, 2023; deficiency was substantiated as the licensee failed to report significant changes in condition for two residents.

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to medication administration and licensing compliance.

The follow-up inspection on 03/10/2023 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. The prior deficiencies related to failure to obtain prescribed medications for residents were corrected.

Complaint investigation conducted from 09/14/2022 through 09/19/2022 regarding allegations that the facility did not have medications available to give to residents as prescribed. The investigation found failed provider practice with citations written.

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.

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

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to infection control and staff practices.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to infection control and staff not locking medication carts were corrected.

The complaint investigation found that the facility failed to complete a plan of correction for infection control and staff not locking medication carts. The investigation concluded that a failed provider practice was identified and citations were written.

This document is a follow-up letter communicating the results of the Informal Dispute Resolution (IDR) process held on March 9, 2023, regarding disputed deficiencies from a prior Statement of Deficiencies dated January 19, 2023.

After review of all submitted materials and statements, the decision was made to uphold the original Statement of Deficiencies without changes.

The investigation was conducted due to multiple complaints alleging failure to monitor residents' well-being, failure to provide services as per negotiated agreements, medication availability issues, failure to notify primary care providers, failure to provide record requests timely, and failure to provide proper notice of charge increases.

Multiple failed practices were identified including failure to notify primary care providers of resident illness, failure to implement negotiated service agreements, failure to provide timely record requests, failure to monitor residents' blood pressure as prescribed, failure to provide medications timely, failure to provide 30-day notice for charge increases, failure to notify primary care providers of medication refusals, and failure to monitor residents' well-being. The facility was found not in compliance with several licensing laws and regulations.

The investigation was complaint-driven with allegations including failure to monitor residents' well-being, failure to provide services as per negotiated agreements, failure to provide medications timely, failure to notify primary care providers, failure to provide timely record requests, and failure to provide proper notice of charge increases. Multiple failed practices were substantiated and citations were written.

The Department of Social and Health Services conducted an investigation at the assisted living facility Bonaventure of Salmon Creek, resulting in a formal notice of a civil fine due to violations related to medication services.

The licensee failed to provide safe medication services for one resident, resulting in the resident not receiving their blood pressure check and related medications as ordered, placing the resident at risk for health complications. This deficiency was recurring from previous citations.

The complaint investigation was conducted due to allegations including infection control issues, medication errors, improper discharge notice, and failure to provide requested records timely.

The investigation found no substantiated concerns for infection control, medication errors, or discharge notice, but identified a failed practice related to the facility's failure to provide requested records timely. The facility was cited for this deficiency and required to correct it within 45 days.

The complaint investigation was based on allegations of infection control, medication errors, discharge notice issues, and failure to provide requested records. The facility was unable to substantiate failed practice for infection control, medication errors, and discharge notice, but failed practice was identified for not providing requested records timely.

The notice was issued to impose conditions on the facility's license based on a prior Statement of Deficiencies dated December 14, 2022, requiring development and implementation of an infection control system including PPE training and fit testing.

The Department requires the licensee to collaborate with the Local Health Jurisdiction to develop an infection control system, including PPE training and fit testing for all staff, and to provide documentation by January 31, 2023.

The Department of Social and Health Services conducted a follow-up visit to Bonaventure of Salmon Creek to address previously cited deficiencies and to impose a civil fine related to medication nonavailability violations.

The licensee failed to obtain prescribed medications for four residents, placing them at risk for health complications. This violation was previously cited and remains uncorrected, resulting in a $300 civil fine.

The Department of Social and Health Services completed a follow-up visit to the assisted living facility to assess compliance with infection control measures and to address previously cited deficiencies.

The facility failed to ensure required infection control measures to prevent the spread of COVID-19, including staff not wearing facemasks as required and failure to document and track fit testing of staff. These deficiencies placed residents, staff, and visitors at risk and were recurring and uncorrected from prior citations.

The inspection was conducted as an unannounced on-site complaint investigation regarding allegations of infection control failures, specifically that the facility did not notify the Local Health Jurisdiction of a suspected gastrointestinal virus outbreak.

The investigation found that the facility failed to notify or seek direction from the Local Health Jurisdiction about the suspected outbreak, violating infection control policies and placing all residents, staff, and visitors at risk. The facility did not officially declare the outbreak or notify family members despite multiple residents showing symptoms.

The complaint alleged that the facility did not notify the Local Health Jurisdiction of a suspected outbreak. The investigation substantiated this allegation, identifying a failed provider practice and issuing citations.

The inspection was conducted as a complaint investigation regarding a resident to resident altercation and issues related to admission, transfer, and discharge rights.

The facility had trained caregivers to minimize and avoid similar incidents and took appropriate actions after the altercation, but failed to complete an admission assessment for one resident, which was identified as a failed practice.

The complaint involved a resident to resident altercation. The facility was unable to substantiate failed practice related to quality of care/treatment but was found to have failed practice regarding admission assessment completion.

The document confirms the scheduling of an Informal Dispute Resolution meeting requested by the facility to dispute specific citations and an associated civil fine.

The letter does not contain inspection findings but addresses the dispute of citations WAC 388-78A-2130 and WAC 388-78A-2210 and the related civil fine.