Inspection Reports for Brookdale Nine Mile

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 the Assisted Living Facility licensing requirements. The prior deficiencies related to medication services, resident monitoring, staff training, tuberculosis testing, and background checks were corrected.

The Department of Social and Health Services conducted a full inspection of the assisted living facility Brookdale Nine Mile on March 18, 2025, resulting in the imposition of a civil fine due to regulatory violations.

The licensee failed to ensure a safe medication delivery system and did not provide medications as prescribed for five residents, resulting in residents receiving contraindicated medications, missed medications, and vital health measurement omissions, placing residents at risk for health complications. This deficiency was recurring from previous citations.

The Department completed a complaint investigation of the Assisted Living Facility regarding allegations of sexual assault of a resident.

The investigation found that the facility failed to notify law enforcement and the department of the allegation for two days. The abuse was unsubstantiated and no harm was identified. A failed provider practice was identified and citations were written.

Complaint investigation related to sexual assault of a resident. The abuse was unsubstantiated but a failed provider practice was identified due to delayed reporting.

The Department of Social and Health Services completed a complaint investigation at Brookdale Nine Mile assisted living facility due to concerns about medication administration.

The investigation found that the licensee failed to ensure a safe delivery system for medication administration and failed to provide medication as ordered for one resident, resulting in the resident not receiving end-of-life pain and comfort medications, causing distress and difficulty breathing. This deficiency was recurring from previous citations.

Complaint investigation completed on May 16, 2024. The deficiency was substantiated and resulted in a civil fine.

The inspection was conducted as an unannounced on-site complaint investigation regarding allegations of insufficient staff to address resident care needs.

The facility failed to ensure that a qualified staff member was onsite to administer medications for 1 of 4 sampled residents, resulting in unmet end-of-life symptom management, discomfort, and difficulty breathing for Resident 1. This failure placed all residents at risk of unmet medication administration.

The complaint alleged insufficient staff to address resident care needs. The investigation substantiated that the facility failed to have qualified staff onsite to administer medications, leading to unmet symptom management for Resident 1.

The Department completed a complaint investigation of the Assisted Living Facility on 02/27/2024 due to complaints regarding resident medications being unavailable.

The investigation found that the facility did not meet Assisted Living Facility requirements due to nonavailability of medications, which contributed to increased resident behaviors. The facility updated its resident admission process and contact information to ensure medication availability and continuity of care. Residents were observed without distress during the unannounced visit.

Complaint investigation included multiple complaint numbers (117014, 118390, 118704, 119085, 119649) regarding resident medications unavailable. The complaint was substantiated with failed provider practice identified and citation(s) written.

The inspection was conducted as a follow-up and complaint investigation related to allegations of staff being dismissive and impatient with residents, and a resident requiring cardiopulmonary resuscitation (CPR) and hospitalization.

The Department found deficiencies related to staff training, orientation, and background checks. Specifically, staff failed to complete required CPR, first aid, and specialty trainings, and background checks were incomplete or missing. These deficiencies placed residents at risk for unmet care needs. The follow-up inspection found no deficiencies.

The complaint allegations included staff being dismissive of resident's need for assistance with transfers and staff being impatient and yelling at a resident. Another complaint involved a resident requiring CPR and hospitalization. The investigation found failed provider practices and citations were written.

The inspection was conducted as a complaint investigation regarding staff giving non-delegable medication to a resident.

The investigation found that a named resident received medication from staff who were unqualified to administer it, constituting a failed practice under WAC 388-78A-2320(1)(a)(b).

The complaint was substantiated with failed provider practice identified and citations written. The allegation was that staff gave non-delegable medication to a resident.

The inspection was conducted as a complaint investigation regarding allegations that the facility administrator or nurse was not available to allow a resident's timely return from the hospital and that there was no nurse in the facility 24/7.

The investigation found that the facility failed to ensure the administrator or a designee was available to address a resident's timely return from the hospital, resulting in an unnecessary hospital stay. No deficiency was found regarding the absence of a nurse 24/7 as it is not required by regulations.

The complaint investigation was substantiated with failed provider practice identified and citations written under WAC 388-78A-2560 Administrator responsibilities and WAC 388-78A-2350 Coordination of health care services.

The inspection was conducted as a follow-up and complaint investigation related to multiple allegations including lack of monitoring of foot swelling/infection, fall and injury to the head, lack of timely medication refill resulting in hospitalization, missing valuables including money, resident injury, resident altercation, resident aggression toward staff, staff substance use, understaffing, and failure to make required reports.

The investigation found multiple failed facility practices including failure to investigate and report missing money, failure to maintain staff personnel records, failure to protect residents from physical abuse and assault, and failure to ensure staff credentials were maintained. Some allegations such as medication refill delay and understaffing did not result in citations. The facility was found not in compliance with several Washington Administrative Codes and citations were issued.

The complaint investigation included allegations of lack of monitoring related to foot swelling/infection, fall and injury to the head, lack of timely medication refill resulting in hospitalization, missing valuables including money, resident injury, resident to resident altercation, resident aggression toward staff, facility not allowing resident to return, staff substance use on duty, understaffing, failure to make required reports, and resident hitting another resident. Some allegations were substantiated with failed facility practices and citations, while others were not supported by findings.

The Department of Social and Health Services completed a complaint investigation at Brookdale Nine Mile assisted living facility regarding violations related to resident safety and investigation procedures.

The investigation found failures to investigate and document missing money for two residents, and failure to ensure residents were free from physical abuse, resulting in a resident sustaining a severe head injury requiring hospitalization.

Complaint investigation completed on August 21, 2023. The licensee failed to investigate missing money for two residents and failed to prevent physical abuse of one resident, resulting in severe injury. Civil fines were imposed based on these violations.

The complaint investigation was conducted due to allegations that a resident was not administered medications as ordered, a resident wandered into another resident's room, and there was insufficient staffing.

The investigation found that the facility failed to administer prescribed medications to residents who required assistance, resulting in delayed medication administration and placing residents at risk for health complications. Other allegations regarding wandering and staffing were not substantiated. The facility was cited for failed provider practice related to medication administration.

The complaint investigation was substantiated with failed provider practice identified and citations written related to medication administration failures. Other allegations about resident wandering and insufficient staffing were not substantiated.

The Department of Social and Health Services completed an investigation at the assisted living facility Brookdale Nine Mile, resulting in a formal notice of a civil fine due to violations of negotiated service agreements.

The licensee failed to assist one resident with eating, transferring, laundry, and behavior management for anxiety as per the Negotiated Service Agreement, placing the resident at risk of harm. This deficiency was recurring and previously cited on October 19, 2022, and September 1, 2022.

The inspection was conducted as a complaint investigation triggered by allegations of resident neglect at the Assisted Living Facility.

The facility failed to provide care in a manner that promoted safety, dignity, respect, and resident rights for 3 of 6 sampled residents, placing all 38 residents at risk for injury and health complications. Specific issues included unattended residents, inadequate assistance, and locked resident rooms without staff availability.

The complaint involved allegations of resident neglect. The investigation found failed provider practice under WAC 388-78A-2660 (Resident rights) and RCW 70.129.140 (Quality of life). Citation(s) were written.

The Office of the State Fire Marshal conducted an inspection at the Brookdale Nine Mile residential care facility to assess compliance with fire protection and life safety codes.

The inspection identified multiple violations including unsealed penetrations, fire doors that would not close and latch properly, combustible storage too close to sprinkler heads, unapproved extension cords, failed fire-resistance-rated glazing labels, failed fire and smoke damper inspections, lack of intermediate-temperature sprinklers in walk-in coolers/freezers, missing smoke detector sensitivity testing documentation, and obstructions in means of egress reducing minimum width below required standards.

The investigation was conducted due to multiple complaints alleging issues such as lack of bathroom assistance, untrained caregivers, dietary accommodations not followed, resident falls, bruising, COVID-19 positive cases, and medication administration concerns at Brookdale Nine Mile Assisted Living Facility.

The investigation found multiple deficiencies including failure to assist residents with eating and toileting, inadequate investigation of falls and bruises, failure to follow dietary accommodations, improper medication administration, insufficient infection control measures during a COVID-19 outbreak, and inadequate staff training and supervision. Several citations were issued for failed facility practices.

Multiple complaints were investigated including allegations of lack of bathroom assistance, untrained caregivers, dietary issues, resident falls, bruising, COVID-19 positive cases, and medication administration problems. Several failed facility practices were substantiated and citations issued.