Inspection Reports for Brookdale Stanwood

WA, 98292

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Deficiencies per Year

16 12 8 4 0
2022
2023
2025
Severe High Moderate Low Unclassified

Census Over Time

57 60 63 66 69 Jul '25 Oct '25
Inspection Report Follow-Up Census: 62 Deficiencies: 2 Oct 28, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Brookdale Stanwood to assess correction of previously cited deficiencies related to staff training and tuberculosis screening.
Findings
The facility failed to ensure one staff member completed First Aid training and two staff members were not screened for tuberculosis within three days of hire. These deficiencies were uncorrected from a prior citation dated July 15, 2025, resulting in civil fines.
Deficiencies (2)
Description
Failure to ensure one staff member completed First Aid training.
Failure to ensure two staff members were screened for tuberculosis within three days of hire.
Report Facts
Civil fine amount: 200 Civil fine amount: 200 Total residents at risk: 62 Total civil fines: 400
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the enforcement letter regarding civil fines.
Jamie SingerField ManagerContact person for the enforcement and plan of correction.
Inspection Report Follow-Up Census: 64 Deficiencies: 1 Jul 7, 2025
Visit Reason
The visit was a follow-up inspection of the Assisted Living Facility to verify correction of previously identified deficiencies related to resident records and medication administration.
Findings
The follow-up inspection on 07/07/2025 found no deficiencies, indicating that previously cited issues regarding medication administration records and documentation were corrected. The earlier complaint investigation found failed provider practices related to incomplete medication administration documentation for multiple residents.
Complaint Details
The complaint alleged that staff were not responding to a named resident's requests for care. The investigation found the resident was receiving care but refusing help during showers. Medication Administration Records showed missing documentation limiting ability to confirm medication provision. A citation was issued for failed provider practice.
Deficiencies (1)
Description
Failed to document staff initials and medication administration for 4 of 4 residents, resulting in inability to determine if medications were provided.
Report Facts
Total residents: 64 Resident sample size: 4 Medications not documented: 8 Residents with failed documentation: 4
Employees Mentioned
NameTitleContext
Teresa Pederson-TuleyNursing Consultant InstitutionalDepartment staff who did the On Site verification during follow-up inspection
Kimberley RipleyField ManagerInvestigator for complaint investigation
Anthony DevitoField Services AdministratorSigned follow-up inspection letter
Inspection Report Follow-Up Deficiencies: 1 Jul 7, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to reporting abuse and neglect.
Findings
The follow-up inspection found no deficiencies and confirmed that the previously cited deficiencies related to failure to report abuse and neglect were corrected.
Complaint Details
The complaint investigation was triggered by injuries of unknown origin to an identified resident. The facility failed to report the incident to the hotline and law enforcement as required. The investigation found that the resident had significant lacerations and bruising and that staff did not follow reporting procedures. The complaint was substantiated with a citation issued for failure to report abuse.
Deficiencies (1)
Description
Failure to report to the Complaint Resolution Unit hotline and law enforcement when there was reasonable cause to believe that a resident had been abused.
Report Facts
Total residents: 63 Resident sample size: 3
Employees Mentioned
NameTitleContext
Teresa Pederson-TuleyNursing Consultant InstitutionalDepartment staff who conducted the on-site verification and complaint investigation
Staff ERegistered NurseNamed in investigation for failure to report abuse
Staff DMedication TechnicianNamed in investigation for failure to report abuse
Staff CHealth and Wellness DirectorNamed in investigation for failure to report abuse
Staff BAssociate Executive DirectorNamed in investigation for failure to report abuse
Inspection Report Life Safety Deficiencies: 15 Oct 9, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility on 10/09/2023.
Findings
Multiple fire safety violations were observed including combustible materials stored improperly, incomplete fire drill records, use of extension cords as permanent wiring, blocked fire doors, missing maintenance on fire extinguishers, improperly installed smoke detectors, missing locking devices on power breakers, trouble status on fire alarm panel, blocked emergency exits, unilluminated exit signs, lack of emergency generator servicing documentation, and unsecured oxygen cylinders.
Deficiencies (15)
Description
Combustible material stored against the portable electric heater in the kitchen office.
Fire drill records did not include list of employees participating in the drill on multiple dates.
Multi-plug adapter without over current protection in the Maintenance Office.
Two extension cords utilized as permanent wiring in the Kitchen and other areas.
Facility unable to provide documentation of annual fire resistance rated construction material inspection.
Resident room #316 fire door blocked open by a shell, preventing closing and latching.
Sagging sprinkler head near storage room 311.
Monthly maintenance for portable fire extinguishers in the Kitchen not completed.
Smoke detector heads near rooms 258 and 257 installed within 36 inches of air supply diffuser or return air opening, preventing proper operation.
Power breakers #11, #35, #3, and #4 missing locking devices.
Fire alarm panel in trouble status due to non-operational smoke detector in the lobby.
Table and chairs blocking emergency exit in the dining room.
Internally illuminated exit sign near 253 was not illuminated on normal power.
Facility unable to provide documentation for annual servicing of the emergency generator.
Oxygen cylinder in room #210 not secured to prevent falling.
Report Facts
Inspection date: Oct 9, 2023 Next inspection scheduled: Nov 8, 2023
Employees Mentioned
NameTitleContext
Brandon G. BrownDeputy State Fire MarshalSigned as Deputy State Fire Marshal conducting the inspection
Chris SchlitzMaintenanceOwner or Authorized Representative signing the inspection report
Inspection Report Life Safety Deficiencies: 11 Nov 14, 2022
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility on 11/14/2022.
Findings
The inspection found multiple violations including improper power supply use, lack of documentation for semi-annual hood cleaning and kitchen suppression system servicing, fire extinguishers with broken seals or overdue servicing, fire alarm system trouble status, missing smoke alarms, non-illuminated exit signs, missing documentation for emergency generator servicing, and incomplete fire drill records.
Deficiencies (11)
Description
Power strip plugged into another power strip in the Dining Services Director's office.
Facility unable to provide documentation for the semi-annual hood cleaning.
Facility unable to provide documentation for the semi-annual kitchen suppression system servicing.
Fire extinguisher in room 357 has a broken tamper seal.
Fire extinguisher in storage room near 310 has not been serviced in the last 12 months.
Fire extinguisher in mechanical room near 105 has not been serviced in the last 12 months.
Fire alarm system is in trouble status.
Two single station smoke alarms are missing in the 1st floor guest room.
Internally illuminated exit signs in corridor near room 153 did not illuminate in normal operation.
Facility unable to provide documentation for the annual servicing of the emergency generator.
Facility cannot provide documentation for completion of twelve planned and unannounced fire drills in the previous 12 months; missing drills on 1st Shift - Quarter 1 and 4, 2nd Shift - Quarter 3 and 4, 3rd Shift - Quarter 1.
Report Facts
Next inspection scheduled date: Dec 14, 2022 Number of missing fire drills: 5 Number of missing smoke alarms: 2 Number of fire extinguishers not serviced in last 12 months: 2
Employees Mentioned
NameTitleContext
Brandon G. BrownDeputy State Fire MarshalSigned as Deputy State Fire Marshal on inspection report
Chris SchilzMaintenanceSigned as Owner or Authorized Representative

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