Deficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Deficiencies: 1
Oct 22, 2025
Visit Reason
The Department of Social and Health Services completed a complaint investigation at the assisted living facility Brookdale Hearthstone Moses Lake on October 22, 2025, resulting in a civil fine due to violations found.
Findings
The facility failed to comply with the Washington State Patrol Office of State Fire Marshal requirements by failing their second Fire and Life Safety Inspection, placing residents, staff, and visitors at risk. This was a recurring citation previously noted in 2024.
Complaint Details
The visit was complaint-related, resulting in a civil fine of $400.00 for failure to comply with fire and life safety requirements. The violation was substantiated as it was a recurring citation.
Deficiencies (1)
| Description |
|---|
| Failure to ensure compliance with the Washington State Patrol Office of State Fire Marshal during Fire and Life Safety Inspection |
Report Facts
Civil fine amount: 400
Previous citation dates: November 6, 2024 and August 21, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the imposition of civil fine letter |
| Stephanie Jenks | Field Manager | Contact person for plan of correction and inquiries |
Inspection Report
Complaint Investigation
Census: 38
Deficiencies: 3
May 2, 2025
Visit Reason
The inspection was conducted due to a complaint alleging mold in the kitchen resulting in no staff access to the dishwasher or three compartment sinks.
Findings
The facility failed to report an incident affecting food preparation and kitchen sanitization, failed to ensure dietary staff had required food worker cards prior to working in the kitchen, and failed to follow its own dishwashing policy due to the dishwashing area being inaccessible. These failures placed residents at increased risk of foodborne illness.
Complaint Details
Complaint investigation regarding mold in kitchen causing no staff access to dishwasher or three compartment sinks. The complaint was substantiated with findings of mold and related deficiencies.
Deficiencies (3)
| Description |
|---|
| Failed to report to the department an incident affecting food preparation and kitchen sanitization. |
| Dietary staff did not obtain required Washington State food worker cards prior to working in the kitchen for 2 of 6 staff. |
| Failed to comply with facility policy regarding dishwashing; dishwashing area was inaccessible and staff used improper methods without proper sanitizing checks. |
Report Facts
Total residents: 38
Resident sample size: 38
Closed records sample size: 1
Staff without food worker cards: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Wright | NCI Complaint Investigator | Investigator who conducted the complaint investigation |
| Stephanie Jenks | Community Field Manager | Signed correspondence and oversight of investigation |
| Staff A | Executive Director | Named in findings related to failure to direct kitchen operations and non-compliance with dishwashing policy |
| Staff B | Dishwasher | Provided interview about dishwashing area closure and improper sanitizing practices |
| Staff C | Dining Services Manager | Observed preparing food without valid Washington State food worker card |
| Staff D | Cook | Worked in kitchen without valid Washington State food worker card |
Inspection Report
Complaint Investigation
Census: 43
Deficiencies: 1
Feb 21, 2025
Visit Reason
The inspection was conducted due to a complaint regarding a broken pipe resulting in an outage of the fire system and the relocation of three residents.
Findings
The facility failed to follow their fire watch policy by not assigning designated staff to fire watch and not completing fire watch hourly as required during a fire system outage. This failure placed residents at risk and caused delays in resident care.
Complaint Details
Complaint involved a broken pipe causing fire system outage and relocation of three residents. The complaint was substantiated with findings of failed provider practice and citation written.
Deficiencies (1)
| Description |
|---|
| Failed to provide additional staff support following an outage of the fire system requiring facility-wide fire watch and did not follow the fire watch policy for 4 of 4 staff, resulting in delays in resident care and unsafe environment. |
Report Facts
Total residents: 43
Resident sample size: 3
Closed records sample size: 0
Number of staff failing fire watch policy: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Wright | NCI Complain Investigator | Investigator who conducted the complaint investigation and on-site verification |
| Staff A | Maintenance Supervisor | Interviewed regarding fire system outage and fire watch coverage |
| Staff B | Caregiver | Interviewed about difficulties performing fire watch and resident care simultaneously |
| Staff C | Executive Director II | Interviewed about fire system status and fire watch policy awareness |
| Staff D | Caregiver | Interviewed about fire watch duties and resident care delays |
| Staff E | Medication Technician | Interviewed about fire watch duties causing delays in medication administration |
| Staff F | Caregiver | Interviewed about fire watch duties and falsification of fire watch log entries |
| Staff G | Receptionist | Asked staff to backlog missing fire watch log entries |
Inspection Report
Enforcement
Deficiencies: 1
Nov 6, 2024
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Brookdale Hearthstone Moses Lake to assess compliance after a previous fire and life safety inspection failure.
Findings
The facility failed their second Fire and Life Safety Inspection conducted by the Washington State Patrol Office of State Fire Marshal, resulting in a civil fine due to uncorrected deficiencies that placed residents, staff, and visitors at risk.
Deficiencies (1)
| Description |
|---|
| Failure to ensure compliance with the Washington State Patrol Office of State Fire Marshal during the second Fire and Life Safety Inspection. |
Report Facts
Civil fine amount: 700
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter regarding the civil fine. |
| Stephanie Jenks | Field Manager | Contact person for plan of correction and appeals. |
Inspection Report
Life Safety
Deficiencies: 14
Jul 2, 2024
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the Brookdale Hearthstone Moses Lake facility to assess compliance with fire safety and life safety codes.
Findings
Multiple violations were observed including improper disposal of cigarettes, storage of combustibles in mechanical and electrical rooms, lack of documentation for semi-annual kitchen hood servicing, missing ceiling tiles, failure to provide documentation for annual rated door inspections, hold-open devices inhibiting door closure, failed damper repairs, missing fire sprinkler head testing documentation, and incomplete fire alarm and emergency generator maintenance records.
Deficiencies (14)
| Description |
|---|
| Smoking area - cigarettes were disposed of on the ground. |
| Combustibles were stored in mechanical/electrical/boiler rooms in the mechanical room off of old employee lounge. |
| The facility was unable to provide documentation of semi-annual inspection/cleaning servicing of the kitchen hood system for the past twelve months. |
| Rated construction was not maintained behind and/or around PTACs in multiple locations and missing ceiling tile in corridor by room 215. |
| The facility was unable to provide documentation of annual rated door inspections within the past twelve months. |
| Doors with self closers were blocked open inhibiting closer in multiple locations including resident room 113 where a magnetic hold open device was not tied to the fire alarm system. |
| The facility was unable to provide documentation of repairs and retesting of dampers; three dampers failed testing on May 6 & 7, 2024. |
| The facility was unable to provide documentation of annual backflow inspections, quarterly fire sprinkler system inspections, and fire sprinkler head testing; excessive particulate observed on sprinkler heads and missing escutcheon rings in multiple locations. |
| The facility was unable to provide documentation of first semi-annual servicing of the kitchen hood suppression system for 2024. |
| The facility was unable to provide documentation of fire alarm system nuisance log and monthly testing of single station smoke alarms for the past twelve months. |
| The facility was unable to provide documentation of monthly testing of single station carbon monoxide alarms for the past twelve months. |
| Exit sign to the exterior of the building at the assisted dining room was not illuminated. |
| The facility was unable to provide documentation of weekly inspection and monthly load testing of the emergency generator for the past twelve months. |
| Unsecured oxygen cylinders were observed in the oxygen room. |
Report Facts
Damper failures: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Maier | Deputy State Fire Marshal | Signed the inspection report. |
Inspection Report
Enforcement
Deficiencies: 5
Nov 15, 2023
Visit Reason
The document is an amended notice by settlement regarding civil fines imposed on Brookdale Hearthstone Moses Lake for multiple regulatory violations related to medication services, staffing, and resident rights.
Findings
The licensee failed to implement policies and procedures related to medication services for thirteen residents, ensure availability of prescribed medications for two residents, ensure only licensed nurses received verbal medication orders, provide sufficient trained staff for seven residents, and protect residents from verbal abuse. These deficiencies were recurring from a prior citation dated December 28, 2022.
Deficiencies (5)
| Description |
|---|
| Failure to implement policies and procedures related to medication services for thirteen residents resulting in one resident vomiting and medication errors. |
| Failure to ensure prescribed medications were available for two residents causing delay in pain medication and increased leg swelling. |
| Failure to ensure only a licensed nurse received a verbal medication order for one resident causing transcription errors and health risk. |
| Failure to provide sufficient, trained staff for seven residents resulting in lack of care and decreased quality of life. |
| Failure to ensure residents were free from verbal abuse for two residents resulting in psychological trauma risk. |
Report Facts
Civil fines total: 1275
Civil fine amount: 225
Civil fine amount: 225
Civil fine amount: 225
Civil fine amount: 225
Civil fine amount: 375
Residents affected: 13
Residents affected: 2
Residents affected: 1
Residents affected: 7
Residents affected: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement notice |
| Jessica Salquist | Regional Administrator | Contact person for questions regarding the notice |
Inspection Report
Enforcement
Deficiencies: 12
Nov 15, 2023
Visit Reason
This document is an amended notice by settlement regarding civil fines imposed on Brookdale Hearthstone Moses Lake following regulatory deficiencies cited in prior inspections.
Findings
The facility was found to have multiple uncorrected deficiencies related to medication administration, resident assessments, service agreement planning, investigations, quality of life, background checks, tuberculosis testing, communication systems, and monitoring residents' well-being. These deficiencies resulted in risks to resident health, safety, and dignity.
Deficiencies (12)
| Description |
|---|
| Failed to ensure nurse delegated medication technicians were trained to safely perform blood sugar testing and insulin administration for three residents. |
| Failed to ensure medications were administered on time, safely and without error for five residents. |
| Failed to ensure an annual assessment addressing the ability of a resident to safely leave the facility unsupervised and consume alcohol was completed for one resident. |
| Failed to update negotiated service agreements after a change in condition for one resident. |
| Failed to ensure negotiated service agreements were signed by the resident or representative for seven residents. |
| Failed to document investigations for administration errors for four residents. |
| Failed to ensure care was provided including hygiene and living unit cleanliness for one resident. |
| Failed to complete a national fingerprint background check for one staff. |
| Failed to ensure completed character, competency, and suitability review related to criminal history for two staff. |
| Failed to complete tuberculosis screening for two staff. |
| Failed to ensure communication system worked consistently and reliably for three residents. |
| Failed to perform monitoring, intervention, and health care provider notification regarding skin integrity assessments, high blood pressure and blood sugar management for two residents. |
Report Facts
Civil fines total: 3000
Residents affected by medication technician training deficiency: 3
Residents affected by medication administration errors: 5
Residents affected by missing annual assessment: 1
Residents affected by unsigned negotiated service agreements: 7
Residents affected by undocumented investigations: 4
Residents affected by quality of life deficiencies: 1
Staff affected by missing fingerprint background check: 1
Staff affected by missing character, competency, suitability review: 2
Staff affected by missing tuberculosis screening: 2
Residents affected by communication system failure: 3
Residents affected by monitoring failures: 2
Inspection Report
Enforcement
Deficiencies: 1
Nov 15, 2023
Visit Reason
The document is an amended notice by settlement regarding a civil fine reduction related to failure to ensure two residents received care and services outlined in their Negotiated Service Agreement concerning assistance with outside health care appointments.
Findings
The licensee failed to provide required assistance for two residents to attend outside health care appointments, resulting in missed medical appointments and placing the residents at risk for unmet medical care. This deficiency was previously cited and remains uncorrected.
Deficiencies (1)
| Description |
|---|
| Failure to ensure two residents received care and services outlined in their Negotiated Service Agreement regarding assistance with outside health care appointments. |
Report Facts
Civil fine amount: 300
Previous civil fine amount: 400
Number of residents affected: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the amended notice by settlement. |
| Stephanie Jenks | Field Manager | Contact person for questions regarding the civil fine. |
Notice
Deficiencies: 0
Jun 23, 2023
Visit Reason
This letter serves as formal notice that the stop placement order prohibiting admissions placed on the facility's license on May 24, 2023, is lifted effective June 23, 2023.
Findings
The stop placement order prohibiting admissions at Brookdale Hearthstone Moses Lake has been officially lifted as of June 23, 2023.
Inspection Report
Follow-Up
Census: 6
Capacity: 41
Deficiencies: 2
Jun 22, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to negotiated service agreements and resident care.
Findings
The follow-up inspection on 06/22/2023 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to missed medical appointments and failure to provide care as outlined in negotiated service agreements were corrected.
Complaint Details
The complaint investigation was related to alleged neglect. The investigation found that a named resident did not receive needed care and services, placing the resident at risk of infection and harm due to lack of grooming, showering, monitoring, and eating assistance. Citation was issued under WAC 388-78A-2160.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure residents received care and services outlined in their Negotiated Service Agreement, resulting in missed medical appointments and risk for unmet medical care. |
| Facility failed to ensure resident received care and services regarding diet, hygiene, skin care, and weight monitoring, placing residents at risk for health complications. |
Report Facts
Resident sample size: 6
Resident sample size: 7
Total residents: 46
Missed medical appointments: 2
Resident census during follow-up: 6
Total licensed capacity: 41
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Jenks | Community Field Manager | Department staff who did the on-site verification during follow-up inspection |
| Janet Quirk | Investigator | Investigator for complaint investigation |
| Lisa Owen | Administrator (or Representative) | Signed Plan of Correction documents related to deficiencies |
Inspection Report
Follow-Up
Deficiencies: 4
Jun 1, 2023
Visit Reason
The Department of Social and Health Services completed a follow-up visit to Brookdale Hearthstone Moses Lake to assess correction of previously cited deficiencies and to impose civil fines based on violations found.
Findings
The facility was found to have recurring deficiencies including unqualified staff performing nurse delegated tasks, late and incorrect medication administration, failure to complete tuberculosis screening within required timeframe, and failure to properly monitor residents' well-being, resulting in civil fines totaling $2,600.
Deficiencies (4)
| Description |
|---|
| Caregiver was not qualified and credentialed prior to performing nurse delegated tasks for intermittent nursing services. |
| Medications were not administered on time and as prescribed for two residents, resulting in late administration and medication errors. |
| Tuberculosis screening was not completed within three days of hire for one staff member. |
| Failure to evaluate changes in condition and take appropriate action regarding altered skin integrity and high blood pressure for two residents. |
Report Facts
Civil fines total: 2600
Civil fine: 600
Civil fine: 800
Civil fine: 600
Civil fine: 600
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the imposition of civil fines letter |
| Stephanie Jenks | Field Manager | Contact person for appeals and plan of correction submission |
Inspection Report
Follow-Up
Deficiencies: 1
Jun 1, 2023
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Brookdale Hearthstone Moses Lake to verify correction of previously cited deficiencies.
Findings
The licensee failed to ensure two residents received the care and services outlined in their Negotiated Service Agreement regarding assistance with outside health care appointments, resulting in missed medical appointments and placing the residents at risk for unmet medical care. This deficiency was previously cited and remains uncorrected.
Deficiencies (1)
| Description |
|---|
| Failure to ensure two residents received care and services outlined in their Negotiated Service Agreement regarding assistance with outside health care appointments. |
Report Facts
Civil fine amount: 400
Number of residents affected: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the letter regarding the imposition of civil fine. |
| Stephanie Jenks | Field Manager | Contact person for plan of correction and inquiries. |
Notice
Deficiencies: 0
May 24, 2023
Visit Reason
The document serves as a Stop Placement Order issued by the Department of Social and Health Services based on a prior Statement of Deficiencies dated May 11, 2023.
Findings
The Stop Placement Order prohibits new placements at the facility until the order is lifted by formal notice, indicating unresolved deficiencies.
Report Facts
License number: 2524
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the Stop Placement Order notice |
Inspection Report
Complaint Investigation
Deficiencies: 6
May 11, 2023
Visit Reason
The Department of Social and Health Services completed a Complaint Investigation at the assisted living facility Brookdale Hearthstone Moses Lake on May 11, 2023, due to allegations of regulatory violations.
Findings
The investigation found multiple violations including failure to implement medication policies, nonavailability of medications, improper medication order handling, insufficient trained staff, verbal abuse of residents, and failure to provide minimum assistance with activities of daily living. These deficiencies resulted in harm or risk to residents and led to civil fines and a stop placement order prohibiting admissions.
Complaint Details
The visit was a complaint investigation completed on May 11, 2023. The deficiencies were substantiated and resulted in civil fines and a stop placement order prohibiting admissions.
Deficiencies (6)
| Description |
|---|
| Failure to implement policies and procedures related to medication services for thirteen residents, resulting in one resident vomiting and medication errors. |
| Failure to ensure prescribed medications were available for two residents, causing delayed pain medication and increased leg swelling. |
| Failure to ensure only a licensed nurse received a verbal medication order for one resident, resulting in transcription errors and health risk. |
| Failure to provide sufficient, trained staff to ensure care and services for seven residents, contributing to decreased quality of life. |
| Failure to ensure residents were free from verbal abuse for two residents, resulting in verbal abuse with threats and demeaning comments. |
| Failure to provide minimum assistance with activities of daily living and resident monitoring for nine residents, contributing to wounds, infections, and decreased quality of care. |
Report Facts
Civil fines total: 1700
Residents affected by medication policy failure: 13
Residents affected by medication nonavailability: 2
Residents affected by verbal abuse: 2
Residents affected by insufficient staff: 7
Residents affected by failure to provide minimum assistance: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter regarding civil fines and stop placement order. |
Inspection Report
Follow-Up
Deficiencies: 12
Mar 15, 2023
Visit Reason
The Department of Social and Health Services completed a follow-up visit to Brookdale Hearthstone Moses Lake to assess correction of previously cited deficiencies and to impose civil fines based on ongoing violations.
Findings
The facility was found to have multiple uncorrected deficiencies related to medication administration, resident assessments, service agreement planning, investigations, quality of life, background checks, tuberculosis testing, communication systems, and monitoring residents' well-being. These deficiencies placed residents at risk of harm and resulted in civil fines totaling $4,000.
Deficiencies (12)
| Description |
|---|
| Failed to ensure nurse delegated medication technicians were trained to safely perform blood sugar testing and insulin administration for three residents. |
| Failed to ensure medications were administered on time, safely and without error for five residents. |
| Failed to ensure an annual assessment addressing the ability of a resident to safely leave the facility unsupervised and consume alcohol was completed for one resident. |
| Failed to update negotiated service agreements after a change in condition for one resident. |
| Failed to ensure negotiated service agreements were signed by the resident or representative for seven residents. |
| Failed to document investigations for administration errors for four residents. |
| Failed to ensure care was provided including hygiene and cleaning for one resident, resulting in unsanitary living conditions. |
| Failed to complete a national fingerprint background check for one staff member. |
| Failed to complete character, competency, and suitability review related to criminal history for two staff members. |
| Failed to complete tuberculosis screening for two staff members. |
| Failed to ensure the communication system worked consistently and reliably for three residents. |
| Failed to perform monitoring, intervention, and health care provider notification regarding skin integrity assessments, high blood pressure and blood sugar management for two residents. |
Report Facts
Civil fines total: 4000
Residents affected: 3
Residents affected: 5
Residents affected: 1
Residents affected: 1
Residents affected: 7
Residents affected: 4
Residents affected: 1
Staff affected: 1
Staff affected: 2
Staff affected: 2
Residents affected: 3
Residents affected: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Salquist | Field Manager | Contact person for submission of Plan of Correction and inquiries. |
| Matt Hauser | Compliance Specialist | Author of the enforcement letter. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 27, 2023
Visit Reason
The inspection was conducted in response to a complaint regarding a smoke alarm triggered by burning pizza in the microwave.
Findings
The fire alarm sounded due to light smoke caused by burnt pizza in room 256. Staff responded appropriately according to the fire/disaster plan, and there were no injuries or evacuations. The resident was counseled on microwave use.
Complaint Details
Complaint #70369 was approved. The complaint involved a smoke alarm triggered by burning pizza in the microwave. The complaint was substantiated as staff confirmed the incident and response.
Report Facts
Complaint number: 70369
Inspection date: Feb 14, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Doug DeGraff | Deputy State Fire Marshal | Conducted the inspection and authored the report |
| Joe Ketterer | Executive Director | Authorized Facility Representative who signed the document |
Inspection Report
Enforcement
Census: 54
Deficiencies: 3
Dec 28, 2022
Visit Reason
The Department of Social and Health Services conducted an investigation at Brookdale Hearthstone Moses Lake on December 28, 2022, resulting in the imposition of civil fines due to violations of state regulations.
Findings
The facility failed to follow nurse delegation criteria for blood sugar monitoring and insulin administration, failed to provide timely and prescribed medication services, and failed to ensure adequate resident care including assistance with dressing, grooming, hydration, and incontinence care. These failures placed all 54 residents at risk and resulted in civil fines.
Deficiencies (3)
| Description |
|---|
| Failure to follow nurse delegation criteria for blood sugar monitoring and insulin administration placing residents at risk. |
| Failure to provide medications as prescribed and timely, resulting in unrelieved pain, increased tremors, and potential health decline. |
| Failure to ensure residents received adequate care including dressing, grooming, hydration, incontinence care, and response to falls, leading to decreased quality of life and dignity. |
Report Facts
Civil fine amount: 3000
Residents at risk: 54
Residents affected by medication service failure: 6
Residents affected by nurse delegation failure: 3
Residents affected by care service failure: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter |
| Tara Peacock | Field Manager | Contact person for the plan of correction and inquiries |
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 19, 2022
Visit Reason
The inspection was conducted by the Office of the State Fire Marshal on 12/19/2022 in response to a complaint regarding the sounding of the fire alarm system.
Findings
The fire alarm system sounded on 11/12/2022 due to the dry system tripping as it was going wet. No fire or sprinkler activation occurred, no evacuation or injuries were reported, and staff acted appropriately. The air compressor was found faulty and repaired by 11/14/2022.
Complaint Details
Complaint #59311 involved the fire alarm sounding. The complaint was investigated and found to be caused by a faulty air compressor triggering the dry system. No fire or injuries occurred, and the issue was resolved with repairs.
Report Facts
Complaint number: 59311
Inspection date: Dec 19, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Doug DeGraff | Deputy State Fire Marshal | Signed inspection report |
| Joseph Ketterer | Executive Director | Facility representative signing the report |
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 19, 2022
Visit Reason
The inspection was conducted due to a complaint (#60446) regarding a sprinkler system leaking into a resident room.
Findings
A water leak was discovered in resident room 211 caused by a frozen sprinkler pipe that began leaking after temperatures warmed. Repairs were completed on 12/08/2022. Two residents were displaced temporarily with no injuries, and no fire or sprinkler activation occurred.
Complaint Details
Complaint #60446 involved a sprinkler system leak into resident room 211. The complaint was investigated through interview and record review with the Administrator. The leak was confirmed and repaired, with no injuries or fire department involvement.
Report Facts
Complaint number: 60446
Date of leak discovery: Nov 22, 2022
Number of residents displaced: 2
Repair completion date: Dec 8, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Ketterer | Executive Director | Named as facility representative in relation to complaint investigation |
| Doug DeGraff | Deputy State Fire Marshal | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 57
Deficiencies: 1
Nov 18, 2022
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility on 11/18/2022 due to a complaint regarding staff availability to assist residents in emergencies.
Findings
The facility failed to have staff available to allow emergency medical personnel access to a locked resident room after a resident fell while showering independently and was injured. EMS had to use a master lockbox to enter the room as staff were not present to assist. Safety interventions were subsequently put in place.
Complaint Details
Complaint number 51552 was investigated and substantiated with a finding that the facility did not meet Assisted Living Facility requirements related to staff availability during emergencies.
Deficiencies (1)
| Description |
|---|
| Failed to have staff available to allow access for emergency medical staff to a locked resident's room. |
Report Facts
Total residents: 57
Resident sample size: 4
Closed records sample size: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Carroll | Nursing Consultant Institutional | Department staff who did the inspection and provided consultation |
Report
File
R_Brookdale_Hearthstone_FIRE_10-09-2025_-_ec.pdf
Report
File
R_Brookdale_Hearthstone_Moses_Lake_63866_66208_-_SW.pdf
Report
File
R_Brookdale_Hearthstone_Moses_Lake_Complaint_08-21-2024_-_SI.pdf
Report
File
R_Brookdale_Hearthstone_Moses_Lake_FIRE_10-29-2025_-_ec.pdf
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