Inspection Reports for Brookdale Fisher’s Landing

WA, 98683

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Inspection Report Complaint Investigation Census: 82 Deficiencies: 1 Jul 1, 2025
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation related to allegations that the facility failed to comply with fire codes following a recent Fire Marshal visit.
Findings
The facility was found to have failed to comply with fire codes, specifically related to fire marshal ordinances. The failure was substantiated and citations were written. Issues included hanging decorations on fire doors and failure to maintain fire-resistance-rated construction.
Complaint Details
The complaint investigation was substantiated. The facility failed to comply with fire codes following a recent Fire Marshal visit. The failed practice was confirmed through interviews, observations, and record reviews.
Deficiencies (1)
Description
Facility failed to stay in compliance with local and state fire ordinances, placing residents at risk in the event of a fire.
Report Facts
Total residents: 82 Resident sample size: 82 Fire doors with hanging items: 38 Fire doors observed with hanging decorations: 8
Employees Mentioned
NameTitleContext
Clinton FridleyAdult Family Home Nurse Field ManagerInvestigator and author of the report
Yvonne ChitekweDepartment staff who did the on-site verification and investigation
Staff AExecutive DirectorInterviewed regarding facility handbook and compliance with fire marshal ordinance
Staff BMaintenance TechnicianInterviewed regarding compliance with fire marshal ordinance and facility handbook
Inspection Report Re-Inspection Deficiencies: 15 May 21, 2025
Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previously cited fire safety violations.
Findings
The facility was found to have multiple unresolved fire safety violations including holes in fire-resistance-rated walls, fire doors with items on them, and failure to provide required annual inspections and reports for fire resistance-rated construction and fire dampers.
Deficiencies (15)
Description
Hole in fire wall found near activities in corridor wall at gas valve
Fire doors throughout found to have items on doors
Facility failed to provide annual inspection of fire resistance-rated construction
Facility failed to provide 4 year fire damper inspection report
Facility failed fire door inspection found to have 85 percent failure of fire doors
Facility failed to provide semi annual hood suppression testing
Facility failed to provide annual fire alarm inspection report
Facility failed to provide monthly carbon monoxide detector testing
Facility failed to provide monthly emergency light testing
Facility failed to provide annual emergency light testing
Facility failed to conduct fire drills once per shift per quarter
Floor 2 dryer cords found unsecured (missing strain protection)
Hole in ceiling of floor 2 activities
Upon inspection of fire doors multiple found to be non compliant due to excessive gaps and failed self closing devices
Fire alarm cover missing in laundry room floor 2 (strobe base)
Report Facts
Failure rate: 85 Next inspection date: Jun 20, 2025 Next inspection date: Apr 18, 2025 Next inspection date: Oct 27, 2025 Next inspection date: Jun 7, 2025 Next inspection date: Aug 1, 2025 Next inspection date: Sep 5, 2025
Employees Mentioned
NameTitleContext
Michael HobbsMaintenance DirectorSigned as Owner or Authorized Representative on multiple pages
Nicholas WoldenDeputy State Fire MarshalSigned as Deputy State Fire Marshal on multiple pages
Carolyn VangerExecutive DirectorSigned as Owner or Authorized Representative on one page
Inspection Report Re-Inspection Deficiencies: 3 Mar 19, 2025
Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previous fire safety violations.
Findings
The facility failed to provide annual inspection of fire resistance-rated construction, fire door inspections, and a 4-year fire damper inspection report. Multiple fire safety deficiencies remain uncorrected.
Deficiencies (3)
Description
Facility failed to provide annual inspection of fire resistance-rated construction
Fire doors throughout found to have items on doors
Facility failed to provide 4 year fire damper inspection report
Inspection Report Complaint Investigation Deficiencies: 1 Mar 7, 2025
Visit Reason
The Department of Social and Health Services completed a Complaint Investigation at the assisted living facility Brookdale Fishers Landing on March 7, 2025, due to concerns about medication services.
Findings
The licensee failed to develop and implement systems that supported and promoted safe medication service when one resident had medications left and not observed ingested in a resident's room, placing residents at risk of harm due to inconsistent medication services. This was a recurring deficiency previously cited on November 21, 2024.
Complaint Details
Complaint investigation conducted on March 7, 2025. The deficiency was substantiated and resulted in a civil fine.
Deficiencies (1)
Description
Failure to develop and implement systems that supported and promoted safe medication service when medications were left and not observed ingested in a resident's room.
Report Facts
Civil fine amount: 300
Employees Mentioned
NameTitleContext
Clinton FridleyRN, Field ManagerContact person for plan of correction and follow-up related to the complaint investigation.
Matt HauserCompliance SpecialistSigned the imposition of civil fine letter.
Inspection Report Plan of Correction Deficiencies: 0 Feb 27, 2025
Visit Reason
This document reports the results of the Informal Dispute Resolution (IDR) process related to disputed deficiencies from a Statement of Deficiencies (SOD) report dated December 30, 2024.
Findings
After review of all materials, oral statements, and records, the decision was made to not change the original SOD report dated December 30, 2024. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 calendar days.
Report Facts
Correction timeframe: 45 IDR letter response timeframe: 10
Employees Mentioned
NameTitleContext
Staci DilgIDR Program ManagerAuthor of the IDR results letter
Clinton FridleyField ManagerContact for mailing Plan/Attestation Statement
Inspection Report Complaint Investigation Census: 83 Deficiencies: 1 Jan 29, 2025
Visit Reason
The investigation was conducted due to a complaint alleging that the facility was not following medication administration services correctly by not observing residents take their medications as ordered and agreed in the negotiated service agreement.
Findings
The investigation substantiated that the facility failed to follow medication administration service protocols by not observing residents take their medications as ordered, placing residents at risk of harm due to inconsistent medication services. This was a recurring deficiency previously cited.
Complaint Details
The complaint was substantiated based on interviews, observations, and record reviews. The facility failed to observe residents taking medications as ordered, violating medication administration service requirements.
Deficiencies (1)
Description
Facility failed to develop and implement systems that support and promote safe medication service when one resident had medications left and not observed ingested in their room.
Report Facts
Total residents: 83 Resident sample size: 4
Employees Mentioned
NameTitleContext
Yvonne ChitekweInvestigatorConducted the on-site complaint investigation
Staff AMedication TechnicianObserved leaving medications without observing ingestion
Staff BHealth and Wellness DirectorStated expectation that medication technicians observe residents taking medications
Inspection Report Complaint Investigation Deficiencies: 1 Dec 30, 2024
Visit Reason
The Department of Social and Health Services completed a complaint investigation visit at the assisted living facility Brookdale Fishers Landing on December 30, 2024.
Findings
The licensee failed to include the resident's representative and department case manager in the development of the personal service plan for one resident, resulting in a recurring deficiency that led to a civil fine.
Complaint Details
Complaint investigation visit completed on December 30, 2024. The deficiency was substantiated and resulted in a civil fine.
Deficiencies (1)
Description
Failure to include the resident's representative and department case manager in the development of the personal service plan (facility’s negotiated service agreement) for one resident.
Report Facts
Civil fine amount: 500
Employees Mentioned
NameTitleContext
Michael BurdickField ManagerContact person for submission of Plan of Correction and inquiries.
Matt HauserCompliance SpecialistSigned the letter imposing the civil fine.
Inspection Report Complaint Investigation Census: 83 Deficiencies: 2 Dec 20, 2024
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation triggered by allegations that a resident's care plan did not include required services and that the resident was not receiving care and services as prescribed.
Findings
The investigation found that the facility failed to provide care and services as agreed upon in the negotiated service agreement for one resident, resulting in risks to the resident's health and safety. The resident was found incontinent and not consistently assisted with toileting as required by their service plan. The facility also failed to involve the resident's representative and department case manager in the development of the service plan. Documentation of care provided was lacking, and follow-up on family concerns was inadequate.
Complaint Details
The complaint alleged that Resident 1's care plan did not include necessary services to maintain health and safety and that the resident was not receiving care as prescribed. The complaint was substantiated with findings of failed provider practice and citations issued.
Deficiencies (2)
Description
Failure to provide care and services as agreed upon in the negotiated service agreement for Resident 1, including toileting assistance and care plan adherence.
Failure to include the resident's representative and department case manager in the development of the negotiated service agreement for Resident 1.
Report Facts
Resident census: 83 Resident sample size: 3 Complaint number: 157018
Employees Mentioned
NameTitleContext
Emily BonifaceCommunity Program Nurse LicensorInvestigator and on-site verifier of the complaint investigation
Megan ZerbyCommunity ALF/AFH LicensorOn-site verifier of the follow-up inspection
Jody JustField Services AdministratorSigned the follow-up inspection report letter
Staff CHealth and Wellness DirectorInterviewed regarding care provision and documentation failures
Staff AExecutive DirectorAcknowledged care and service deficiencies during interviews
Inspection Report Follow-Up Deficiencies: 0 Nov 21, 2024
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. Previously cited deficiencies were corrected.
Inspection Report Re-Inspection Deficiencies: 13 Sep 27, 2024
Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previous fire safety deficiencies.
Findings
The facility failed to provide annual inspections and reports for fire resistance-rated construction, fire doors, fire dampers, fire sprinkler systems, fire extinguishing systems, fire alarm systems, carbon monoxide detectors, emergency lighting, and fire drills. Multiple violations were noted including non-compliant fire doors, missing inspection reports, and failure to conduct required testing and maintenance.
Deficiencies (13)
Description
Facility failed to provide annual inspection of fire resistance-rated construction
Facility failed fire door inspection found to have 85 percent failure of fire doors
Facility failed to provide 4 year fire damper inspection report
Facility failed to provide annual fire sprinkler inspection and related testing
Facility failed to provide semi annual hood suppression testing
Facility failed to provide annual fire alarm inspection report
Facility failed to provide monthly carbon monoxide detector testing
Facility failed to provide monthly emergency light testing
Facility failed to provide annual emergency light testing
Facility failed to conduct fire drills once per shift per quarter
Floor 2 dryer cords found unsecured (missing strain protection)
Hole in ceiling of floor 2 activities
Fire alarm cover missing in laundry room floor 2 (strobe base)
Report Facts
Fire door failure rate: 85 Fire drills required: 12
Employees Mentioned
NameTitleContext
Nicholas WoldenDeputy State Fire MarshalSigned inspection reports and conducted re-inspection
Inspection Report Life Safety Deficiencies: 7 Apr 25, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Brookdale Fishers Landing residential care facility to assess compliance with fire protection codes and regulations.
Findings
The facility was found to have multiple violations including inadequate electrical clearance in the fire sprinkler riser room, missing electrical receptacle cover in the laundry room, failure to provide annual forward flow testing of the sprinkler system, failure to maintain carbon monoxide detector monthly test logs, failure to provide monthly emergency light testing logs, failure to conduct annual emergency light testing and repairs, and failure to conduct required fire drills once per shift per quarter.
Deficiencies (7)
Description
Facility failed to maintain electrical clearance in fire sprinkler riser room
Electrical receptacle cover missing in laundry room floor 1
Facility failed to provide annual forward flow testing of sprinkler system
Facility failed to provide carbon monoxide detector monthly test log
Facility failed to provide monthly emergency light testing log
Facility failed to provide annual emergency light testing/conduct repairs as needed
Facility failed to conduct fire drills once per shift per quarter
Report Facts
Next inspection scheduled date: May 25, 2023
Employees Mentioned
NameTitleContext
Nicholas WoldenDeputy State Fire MarshalConducted the fire safety inspection and signed the report
Inspection Report Plan of Correction Deficiencies: 0 Mar 28, 2023
Visit Reason
This document is a follow-up letter communicating the results of the Informal Dispute Resolution (IDR) process conducted on March 28, 2023, regarding disputed deficiencies from a prior Statement of Deficiencies dated January 31, 2023.
Findings
After review of all written materials, oral statements, and records, the decision was made not to change the previously issued Statement of Deficiencies dated January 31, 2023.
Report Facts
Date of IDR process: Mar 28, 2023 Date of Statement of Deficiencies: Jan 31, 2023 ALF License Number: 2261
Employees Mentioned
NameTitleContext
Rebecca FuestonIDR Program ManagerAuthor of the IDR results letter
Michael BurdickField ManagerRecipient for Plan/Attestation Statement submissions
Inspection Report Follow-Up Census: 11 Deficiencies: 7 Feb 16, 2023
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.
Complaint Details
The inspection was triggered by complaint numbers 47385 and 51344. The department found the facility not in compliance with licensing laws and regulations as stated in the cited deficiencies.
Deficiencies (7)
Description
Facility failed to complete tuberculosis (TB) testing for 1 of 5 sampled staff, placing residents and staff at risk of exposure to communicable disease.
Facility failed to have documentation for 1 of 1 residents' preadmission and 14 day assessments.
Facility failed to have an assessment completed for 1 of 12 residents at least annually.
Facility failed to have documentation for 1 of 12 residents' service plan and failed to have initial and 30 day negotiated service agreements signed by responsible parties.
Facility failed to notify the department in writing within 10 calendar days of change in administrator.
Facility failed to complete TB testing for 5 of 5 sampled staff, placing all staff and residents at risk for possible exposure and harm.
Facility failed to ensure a registered nurse delegated nursing tasks as required for 15 of 15 care staff and failed to supervise and evaluate delegated nursing tasks at least every 90 days, placing residents at risk of harm due to untrained and unsupervised care staff.
Report Facts
Residents present during inspection: 11 Sample size for review: 11 Sample size for complaint investigation: 12 Staff sampled for TB testing: 5 Care staff requiring delegated nursing tasks: 15
Employees Mentioned
NameTitleContext
Kyle GehlenALF Licensor - LTCDepartment staff who inspected the Assisted Living Facility.
Jennifer SiharathALF LicensorDepartment staff who inspected the Assisted Living Facility.
Cory CisnerosField ManagerSigned compliance determination and follow-up inspection letter.
Jody JustField ManagerSigned complaint and statement of deficiencies letters.
Staff AExecutive DirectorNamed in findings related to TB testing and nurse delegation deficiencies.
Staff BHealth and Wellness DirectorNamed in findings related to TB testing deficiencies.
Inspection Report Complaint Investigation Census: 78 Deficiencies: 5 Jan 31, 2023
Visit Reason
The complaint investigation was conducted due to allegations of quality of care/treatment concerns, including resident elopement and failure to provide agreed upon care services, coordinate care with external providers, and provide medications as prescribed.
Findings
The investigation found failed provider practices including failure to coordinate services with external health care providers, failure to implement negotiated service agreements, failure to monitor residents' well-being, failure to provide medications as prescribed, and failure to update negotiated service agreements in a timely manner. Specific issues included residents not receiving prescribed psoriasis creams, lack of communication with external providers, and a resident going without a bed without proper notification.
Complaint Details
The complaint investigation was initiated due to concerns about quality of care/treatment, including resident elopement and failure to coordinate care with external providers and provide medications as prescribed. The investigation concluded that failed provider practices were identified and citations were written.
Deficiencies (5)
Description
Failed to coordinate services with external health care providers for 2 of 3 residents, placing residents at risk for unmet healthcare needs.
Failed to implement negotiated service agreements for 2 of 3 residents, resulting in unmet health needs due to not implementing residents' service plans.
Failed to monitor residents' well-being for 1 of 3 residents, risking healthcare needs not being recognized and met.
Failed to provide medication services as prescribed for 2 of 3 residents, risking health complications due to incorrect prescription management.
Failed to update negotiated service agreement within a reasonable time for 1 of 3 residents when the agreement no longer adequately addressed the resident's assessed needs.
Report Facts
Total residents: 78 Resident sample size: 3 Monetary reimbursement: 647 Monetary reimbursement: 1294
Employees Mentioned
NameTitleContext
Jacob UblInvestigatorConducted the complaint investigation
Michael BurdickField ManagerSigned follow-up inspection letter
Cory CisnerosField ManagerSigned complaint investigation letter
Staff ADistrict Director of OperationsReceived complaint about failure to apply psoriasis creams
Staff BMedication TechnicianReported Resident 1's inability to apply psoriasis creams and incontinence
Staff CHealth and Wellness CoordinatorDocumented issues with Resident 1's bed and psoriasis cream application; educated staff
Staff DExecutive DirectorReported on failures to recognize and report Resident 1's lack of bed and medication issues
Staff EFacility RNReported Resident 1 went without a bed and failure to report it
Collateral Contact 1Resident RepresentativeReported concerns about Resident 1's care and medication
Collateral Contact 2Home Hospice NurseReported Resident 1's lack of bed and incontinence issues
Collateral Contact 3Primary Care ProviderAttempted to coordinate care for Resident 2
Collateral Contact 4Registered NurseAttempted to communicate with facility about Resident 2's care
Collateral Contact 5Resident RepresentativeReported communication failures regarding Resident 2's care
Inspection Report Follow-Up Deficiencies: 1 Dec 22, 2022
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 medication nonavailability were corrected.
Complaint Details
The complaint investigation was related to financial exploitation, specifically the facility not refunding for services charged but not provided. The investigation found failed provider practice with citations written.
Deficiencies (1)
Description
Failure to obtain prescribed medications in a correct and timely manner, resulting in medications not being given and residents being charged for services not provided.
Report Facts
Total residents: 80 Medication not administered days: 20 Medication not administered days: 21 Medication not administered days: 22 Correction timeframe: 45
Employees Mentioned
NameTitleContext
Clinton FridleyNCI, ALF Complaint InvestigatorInvestigator who conducted complaint investigation
Jason RoseDepartment staff who did the on-site verification during follow-up inspection
Cory CisnerosField ManagerField Manager who signed enforcement and correction letters
Staff BLicensed Practical Nurse (LPN), Health and Services Coordinator (HSC)Interviewed regarding medication documentation and corrective processes
Staff CMedication TechnicianDocumented medication availability and resident spouse statements
Staff DMedication TechnicianDocumented medication availability and refusals on multiple dates
Staff EMedication TechnicianDocumented medication availability and refusals on multiple dates
Inspection Report Enforcement Deficiencies: 1 Nov 22, 2022
Visit Reason
The Department of Social and Health Services completed an investigation at the assisted living facility Brookdale Fishers Landing, resulting in a civil fine due to regulatory violations.
Findings
The licensee failed to complete tuberculosis testing for one staff member, placing residents and staff at risk of exposure to a communicable disease. This was an uncorrected deficiency previously cited on September 23, 2022.
Deficiencies (1)
Description
Failure to complete tuberculosis testing for one staff member
Report Facts
Civil fine amount: 300
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the enforcement letter
Cory CisnerosField ManagerContact person for plan of correction and inquiries
Notice Deficiencies: 0 Brookdale Fishers Landing 2261 IDR Scheduling Letter 0223
Visit Reason
The letter confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility administrator to dispute a citation from a Statement of Deficiencies dated January 31, 2023.
Findings
The document does not contain inspection findings but serves to schedule and provide instructions for the IDR meeting related to disputed citations.
Employees Mentioned
NameTitleContext
Casandra VargasExecutive DirectorNamed as participant representing the facility in the IDR process.
Amanda KellyHealth and Wellness DirectorNamed as participant representing the facility in the IDR process.
Notice Deficiencies: 0 Brookdale Fishers Landing 2261 51844 123024 Sched Ltr 0225
Visit Reason
The letter confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility to dispute citations related to a Statement of Deficiencies dated December 30, 2024, and a Civil Fine dated January 9, 2025.
Findings
The document does not contain inspection findings but relates to the dispute of citations WAC 388-78A-2160 and WAC 388-78A-2130.
Report Facts
Citation dates: Statement of Deficiencies dated December 30, 2024, and Civil Fine dated January 9, 2025 IDR meeting date: Scheduled for February 25, 2025, at 1:30pm
Employees Mentioned
NameTitleContext
Casandra VargasExecutive DirectorParticipant representing the facility in the IDR process
Amanda KellyHealth and Wellness DirectorParticipant representing the facility in the IDR process
Laci TraulsenProgram Specialist 2/ Volunteer CoordinatorAuthor of the scheduling letter
Matt HauserCompliance SpecialistMentioned in cc list

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