Inspection Reports for Brookdale Monroe

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 Assisted Living Facility licensing requirements. The original inspection identified multiple deficiencies related to food sanitation, safe storage of supplies, coordination of health care services, water supply temperatures, medication services, and background checks.

The Office of the State Fire Marshal conducted an inspection at the Brookdale Monroe residential care facility to assess compliance with fire safety and electrical hazard regulations.

Multiple violations were found including missing electrical outlet faceplates, missing ceiling tiles, malfunctioning fire doors, lack of documentation for fire and smoke damper inspections, sprinkler system maintenance deficiencies, missing documentation for fire suppression system servicing, smoke alarm and carbon monoxide detector testing deficiencies, and non-functioning exit stairway illumination.

The Office of the State Fire Marshal conducted a fire safety inspection at the Brookdale Monroe residential care facility.

The inspection identified multiple fire safety violations including missing electrical outlet faceplates, missing ceiling tiles, non-operating fire doors, lack of documentation for fire and smoke damper inspections, sprinkler system maintenance issues, and problems with fire alarm, smoke detector, carbon monoxide detector testing, and egress illumination.

The inspection was conducted due to a complaint alleging that the Assisted Living Facility had positive COVID residents and failed to ensure health care workers were fit tested for appropriate face masks prior to an outbreak.

The investigation found that the facility failed to ensure health care workers were fit tested for the appropriate face mask prior to a COVID outbreak, violating the Respiratory Protection Program requirements. Citations were written for this failure.

The complaint alleged that the Assisted Living Facility had positive COVID residents. The investigation concluded that the facility failed to follow the Respiratory Protection Program ensuring care staff wore fit-tested respiratory masks, placing all 57 residents at risk of exposure. The complaint was substantiated with citations written.

The Department of Social and Health Services completed a Complaint Investigation at Brookdale Monroe assisted living facility due to concerns related to compliance with fire and life safety regulations.

The facility failed their second follow-up Fire and Life Safety Inspection conducted by the Washington State Fire Marshal Office, placing 58 residents, staff, and visitors at risk. This deficiency was recurring, having been previously cited in 2021 and 2022.

Complaint Investigation completed on October 18, 2023. The deficiency was substantiated as the facility failed the follow-up fire and life safety inspection.

The inspection was conducted as an unannounced complaint investigation based on allegations that the Assisted Living Facility charged a resident for care not provided, caused harassment and intimidation by increasing care charges, and had malfunctioning emergency pull cords. Additionally, a failed Fire Marshal re-inspection triggered investigation.

The investigation found that the facility re-assessed a resident increasing care costs but lowered rent to balance charges, denied harassment or intimidation allegations, and failed to ensure all battery-operated call lights were functioning. The facility also failed multiple fire and life safety code requirements, including broken electrical outlets, missing fire inspection documentation, and lack of required kitchen hood and smoke alarm maintenance documentation.

The complaint investigation was substantiated with findings of failed provider practice and citations written. Allegations included charging for care not done, harassment/intimidation by increased charges, and malfunctioning emergency pull cords.

The Office of the State Fire Marshal conducted an annual fire and life safety inspection of Brookdale Monroe to identify violations and ensure compliance with state law.

The inspection identified multiple violations related to electrical hazards, fire extinguishing systems, power supply issues, record keeping deficiencies, and lack of documentation for required inspections and maintenance. The facility was disapproved due to failure to maintain compliance, placing residents, staff, and visitors at risk.

The inspection was conducted as an unannounced on-site complaint investigation regarding allegations that the Assisted Living Facility failed to follow physician's orders related to a resident's high blood sugar, failed to reorder medications resulting in missed doses, made changes to resident living conditions without notification, bullying and isolating residents, increased care and rent without proper notice, and failed to maintain cleanliness in a resident's apartment.

The investigation found that the facility failed to notify the physician of a resident's high blood sugar, failed to ensure medications were available for a resident, and other allegations were either not substantiated or corrected. Citations were written for the medication and notification failures. A follow-up inspection on 09/06/2023 found no deficiencies and confirmed compliance with licensing requirements.

The complaint investigation was substantiated with citations written for failure to notify the physician of a high blood sugar reading and failure to ensure medication availability for a resident. Other allegations such as bullying, unauthorized changes to living conditions, rent increase notification, and apartment cleanliness were not substantiated or were corrected.

The Department of Social and Health Services conducted a follow-up visit to Brookdale Monroe to assess compliance with previously cited deficiencies related to nurse delegation and medication administration.

The facility failed to follow nurse delegation criteria for one resident requiring blood sugar checks and insulin administration, resulting in unqualified staff performing delegated nursing tasks without proper credentials or training. This violation was previously cited and remains uncorrected.

The visit was conducted as an unannounced on-site complaint investigation regarding the Assisted Living Facility's failure to properly transcribe physician's orders, resulting in missed medications for a resident.

The investigation found that the Assisted Living Facility nurse discontinued a prescribed medication in error instead of only discontinuing the parameters, causing the resident to miss several doses. This was confirmed by interview and record review.

The complaint alleged that the facility failed to properly transcribe physician's orders for a named resident, resulting in missed medications. The complaint was substantiated with a finding of failed provider practice and citation written.

The Department of Social and Health Services conducted a follow-up visit to Brookdale Monroe to address previously cited deficiencies and to impose a civil fine related to violations found during the inspection.

The licensee failed to ensure that consent and Nurse Delegation services were in place for Medication Technicians to check one resident’s blood sugar, placing the resident at risk of harm. This was an uncorrected citation previously cited on March 2, 2023, resulting in a $300 civil fine.

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

The follow-up inspection found no deficiencies and the facility met the Assisted Living Facility licensing requirements. Previous deficiencies related to fire safety violations were corrected.

On 09/08/2022, the Office of the State Fire Marshal conducted an unannounced Fire and Life Safety Code inspection at Brookdale Monroe to determine compliance with applicable codes and to re-inspect previously cited deficiencies.

The facility was found to have multiple fire and life safety code violations including use of extension cords, open junction boxes, missing outlet cover plates, failure to provide inventory and inspection records for fire-resistant construction and doors, malfunctioning fire doors, missing escutcheon rings, lack of annual fire sprinkler inspection documentation, incomplete maintenance of fire extinguishers, absence of carbon monoxide alarms in required areas, burnt out exit signs, and failure to provide documentation for emergency power systems and fire drills. Some violations were corrected at the time of inspection, while others remained unresolved.

R_Brookdale_Monroe_Inspection_03-02-2023-as.pdf