Inspection Report
Follow-Up
Census: 61
Deficiencies: 2
Apr 28, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to maintenance, housekeeping, and background checks were corrected.
Deficiencies (2)
| Description |
|---|
| Failure to provide a safe, sanitary, and well-maintained environment in multiple locations including first floor, second floor, and outside grounds, placing all residents at risk. |
| Failure to ensure 2 of 6 staff had valid Washington State background checks renewed every two years, placing resident safety at risk. |
Report Facts
Current residents sampled: 9
Total current residents: 61
Staff with expired background checks: 2
Days background check expired for Staff E: 16
Days background check expired for Staff F: 110
Dimensions of steel plate with raised lip: 30 inches by 37 inches
Raised lip height: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Allison Nunn | Long Term Care Surveyor | Conducted on-site verification during follow-up inspection |
| Kimberley Ripley | Field Manager | Signed follow-up inspection letter and enforcement letter |
| Staff E | Medication Technician | Had expired background check renewed late |
| Staff F | Medication Technician | Had expired background check renewed late |
| Staff H | Maintenance Director | Commented on maintenance issues and plans for correction |
| Staff I | Resident Care Coordinator | Commented on cleaning out offices and storage |
| Staff G | Business Office Coordinator | Managed tracking system for background checks |
| Jodi Condyles | ALF Licensor | Participated in unannounced on-site full inspection |
| Steven Kindle | Participated in unannounced on-site full inspection |
Inspection Report
Complaint Investigation
Deficiencies: 1
Mar 17, 2025
Visit Reason
The inspection was conducted to investigate a complaint (#171133) regarding a fire incident at the facility.
Findings
The investigation found that a resident was on fire due to smoking in a non-smoking area, resulting in injury to one resident and no staff injuries. No sprinkler activation or evacuation of other residents occurred. The facility was also cited for failure to prohibit smoking within 25 feet of entrances and operable windows.
Complaint Details
Complaint #171133 was substantiated. The fire cause is unknown and under investigation by the Snohomish County Fire Marshal's Office. One resident was injured; no staff were injured. No sprinkler activation occurred, and no other residents were evacuated.
Deficiencies (1)
| Description |
|---|
| Facility failed to prohibit smoking, vaping, or similar activities within twenty-five feet from entrances, exits, operable windows, and vents. |
Report Facts
Complaint number: 171133
Injured residents: 1
Injured staff: 0
Next inspection date: Apr 16, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Conducted the inspection and investigation |
| Tricia Taylor | Executive Director | Named in smoking violation and signed inspection report |
| John Domann | Owner or Owner's Representative who signed the inspection report |
Inspection Report
Life Safety
Deficiencies: 2
May 7, 2024
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the residential care facility Brookdale Everett on 05/07/2024.
Findings
The inspection identified combustible storage in the mechanical furnace room near room 227 and a through penetration of the ceiling assembly next to the smoke detector near room 110. Some issues related to emergency lighting and power systems were corrected during the inspection.
Deficiencies (2)
| Description |
|---|
| Combustible storage within the mechanical furnace room near 227. |
| Through penetration of the ceiling assembly next to the smoke detector near 110. |
Report Facts
Next inspection scheduled: Jun 6, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| John Domann | Maintenance | Signed as Owner or Authorized Representative |
| Brandon G. Brown | Deputy State Fire Marshal | Signed as Deputy State Fire Marshal |
Inspection Report
Complaint Investigation
Census: 65
Deficiencies: 1
Jun 5, 2023
Visit Reason
The inspection was conducted as a complaint investigation based on allegations regarding food service issues, bathing frequency, housekeeping, and cleanliness at the Assisted Living Facility Brookdale Everett.
Findings
The investigation found that the facility had a weekly menu including fruits and vegetables and provided warm meals on time. Bathing frequency for the Named Resident was increased and skin care was provided. However, housekeeping and maintenance failed to keep resident living quarters safe and sanitary, with clutter, unwashed dishes, and odors contributing to safety hazards and diminished quality of life. A failed provider practice was identified and citations were written.
Complaint Details
The complaint investigation was substantiated with findings of noncompliance related to housekeeping and maintenance issues affecting resident safety and quality of life.
Deficiencies (1)
| Description |
|---|
| Failed to provide basic housekeeping and maintenance services to keep resident living quarters safe and sanitary, including clutter, unwashed dishes, full laundry bins, and odors. |
Report Facts
Total residents: 65
Resident sample size: 3
Closed records sample size: 1
Bathing frequency: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wesler Dumecquias | Community Complaint Investigator | Investigator who conducted the complaint investigation |
| Christine Banta | Community Complaint Investigator | Department staff who did the on-site verification for follow-up inspection |
Inspection Report
Life Safety
Deficiencies: 10
Mar 9, 2023
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the Brookdale Everett residential care facility to assess compliance with fire safety and life safety code requirements.
Findings
The facility was found to have multiple violations including combustible materials stored too close to the ceiling, lack of documentation for semi-annual hood cleaning, annual fire resistance inspection, internal piping inspection, dry system trip test, annual system testing, smoke detector sensitivity testing, monthly carbon monoxide detector testing, non-illuminated exit signs, and lack of documentation for emergency generator servicing. The facility's approval status was disapproved due to these violations.
Deficiencies (10)
| Description |
|---|
| Combustible material stored within 18 inches of the ceiling in two storage rooms near #209 |
| Facility unable to provide documentation for the semi-annual hood cleaning |
| Facility unable to provide documentation that the annual fire resistance rated construction material inspection has been completed |
| Facility unable to provide documentation for the 5 year internal piping inspection |
| Facility unable to provide documentation for the 3 year dry system full flow trip test |
| Facility unable to provide documentation for the annual fire alarm system testing |
| Facility unable to provide documentation for the required smoke detector sensitivity testing |
| Facility unable to provide documentation for the monthly carbon monoxide detector testing |
| Internally illuminated exit signs in the kitchen did not illuminate in normal operation |
| Facility unable to provide documentation for the annual servicing of the emergency generator |
Report Facts
Inspection date: Mar 9, 2023
Next inspection scheduled: Apr 8, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Conducted the inspection and signed the report |
| Angela Kind | Executive Director | Facility representative signing the report |
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