Inspection Reports for Brookdale Meadow Springs

The department completed an unannounced on-site full inspection and complaint investigation of Brookdale Meadow Springs on 09/02/2025 through 09/05/2025, referencing complaint numbers 191518 and 189388.

Multiple deficiencies were found including failure to complete required background checks, fingerprint checks, tuberculosis screenings, and required training for staff. These failures placed residents at risk of being cared for by disqualified or untrained staff. The facility also failed to submit background checks timely and maintain valid certifications for staff.

The inspection was triggered by complaints numbered 191518 and 189388. The investigation found multiple deficiencies related to staff background checks, training, and tuberculosis screening, placing residents at risk.

The inspection was conducted as a complaint investigation regarding housekeeping concerns, including failure to provide weekly housekeeping services, restrictions on visitors cleaning apartments, and failure to wash laundry and bedding weekly for residents.

The investigation found multiple deficiencies related to maintenance and housekeeping, including unsafe and unsanitary conditions in common areas and resident rooms, failure to wash personal clothing and bedding weekly, and inadequate staffing for housekeeping duties. The facility lacked a housekeeping policy and had issues with cleanliness, odors, and maintenance of equipment and furnishings.

The complaint alleged that an identified resident was not receiving weekly housekeeping services, the facility would not allow visitors to clean the resident's apartment, and the resident's laundry and bedding were not washed weekly. The investigation substantiated these concerns with failed practices identified and citations written.

This document addresses the results of the Informal Dispute Resolution (IDR) process related to a Statement of Deficiencies (SOD) report dated March 04, 2025, disputing deficiencies cited during a prior inspection.

After review of all materials, oral statements, and records, the decision was made not to change the original SOD report dated March 04, 2025. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 calendar days.

The inspection was conducted as an unannounced complaint investigation regarding allegations involving a named resident's spouse's move-in agreement, billing issues, and the resident's falls.

The investigation found that the facility failed to ensure negotiated service agreements were signed by residents or their representatives for 1 former resident and 1 current resident, placing residents at risk for not being part of decision making and care planning. Additionally, the facility was unable to rent out an apartment due to a signed rental agreement by a spouse who did not move in. The facility refunded the named resident's account and no other failed practices were identified.

The complaint involved allegations that the named resident's spouse was to move into the facility but did not, the resident had multiple falls leading to relocation, the spouse had not received a refund, and the facility continued billing the spouse. The investigation substantiated a failed practice related to signing negotiated service agreements.

The inspection was conducted as a complaint investigation regarding allegations that two residents were not receiving their medications as ordered.

The investigation confirmed missed medications and delayed medication start times for two residents, resulting in deficient practice. Citations were issued for failure to ensure a safe medication system.

The complaint alleged that two residents were not getting their medications as ordered. The investigation substantiated the allegation with findings of missed and delayed medications.

The Department completed a full inspection of the Assisted Living Facility on 11/02/2023 following complaint investigations referencing complaint numbers 101673, 102290, and 102510.

The facility was found not in compliance with Assisted Living Facility requirements, with multiple deficiencies including intermittent nursing services, background checks, tuberculosis testing, pet records, resident rights notifications, ventilation, laundry, maintenance, housekeeping, orientation training, CPR and safety training. The facility failed to meet regulatory requirements in these areas, placing residents at risk.

The inspection was complaint-driven referencing complaint numbers 101673, 102290, and 102510. The facility was found not in compliance with multiple regulatory requirements.

The inspection was conducted as an unannounced complaint investigation following allegations that a resident was denied timely brief changes and care services, and that call lights were not answered promptly.

The investigation found deficient practices including failure to provide brief changes as requested by the resident and delays in responding to call lights, resulting in discomfort and skin issues for the resident. Citations were issued for failure to ensure resident care and services per resident choice.

The complaint investigation was substantiated with findings that the identified resident was told they could not have their briefs changed because it had not been long enough and experienced delays over 30 minutes in call light response. Facility staff interviews and record reviews confirmed these issues.

The inspection was conducted as a complaint investigation triggered by an allegation that a resident was found unresponsive in the hall and no lifesaving measures were performed despite a duty to act.

The investigation found that the facility failed to follow its policy regarding emergency care for an unresponsive resident, specifically failing to initiate CPR or lifesaving measures for a resident who was found unresponsive. The facility was cited for failed provider practice.

The complaint alleged that a named resident was found unresponsive in the hall and no lifesaving measures were done despite a duty to act. The investigation confirmed that staff delayed responding to the resident's call for help, did not perform CPR or open the airway as directed by emergency dispatch, and the resident was found unresponsive and cold. Emergency personnel initiated CPR upon arrival but the resident was pronounced deceased. The facility policy was not followed and staff cited difficulty moving the resident and uncertainty about CPR procedures.

This letter confirms the facility's request for an Informal Dispute Resolution (IDR) meeting to dispute a citation from a Statement of Deficiencies dated March 4, 2025.

The document schedules the IDR review meeting and identifies the citation being disputed (WAC 388-78A-2150).