Deficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
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
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter regarding civil fines. |
| Jamie Singer | Field Manager | Contact 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
| Name | Title | Context |
|---|---|---|
| Teresa Pederson-Tuley | Nursing Consultant Institutional | Department staff who did the On Site verification during follow-up inspection |
| Kimberley Ripley | Field Manager | Investigator for complaint investigation |
| Anthony Devito | Field Services Administrator | Signed 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
| Name | Title | Context |
|---|---|---|
| Teresa Pederson-Tuley | Nursing Consultant Institutional | Department staff who conducted the on-site verification and complaint investigation |
| Staff E | Registered Nurse | Named in investigation for failure to report abuse |
| Staff D | Medication Technician | Named in investigation for failure to report abuse |
| Staff C | Health and Wellness Director | Named in investigation for failure to report abuse |
| Staff B | Associate Executive Director | Named 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
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Signed as Deputy State Fire Marshal conducting the inspection |
| Chris Schlitz | Maintenance | Owner 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
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Signed as Deputy State Fire Marshal on inspection report |
| Chris Schilz | Maintenance | Signed as Owner or Authorized Representative |
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