Inspection Report Summary
The most recent inspection on October 27, 2025, found no deficiencies related to the complaint about the fire alarm system, confirming the facility had audible and visual alarms in sleeping areas. Earlier inspections showed a pattern of fire safety issues, such as door latch problems and outdated smoke alarms noted on October 7, 2025, which had not yet been fully corrected. Prior reports cited deficiencies mainly in medication administration, resident care planning, and staff compliance with health and safety protocols, including substantiated complaints about missed medications and delayed staff responses. Enforcement actions included a civil fine related to medication errors issued in November 2022, but no fines or license suspensions were listed in the available reports for more recent inspections. The facility appears to have addressed many earlier deficiencies, with follow-up inspections in 2025 confirming corrections, though some fire safety issues persisted as of the latest life safety inspection.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
7.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
24% worse than Washington average
Washington average: 6.3 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
48 residents
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 27, 2025
Visit Reason
The inspection was conducted to investigate complaint #198441 regarding the fire alarm system at Brookdale Walla Walla.
Complaint Details
Complaint #198441 involved a concern that a legally deaf resident would not be able to hear the fire alarm when activated and would like a visual alarm. The complaint was investigated by DSFM Harlan who interviewed the Executive Director and found the facility equipped with audible and visual alarms in sleeping areas. The facility was educated about adding visual alarms and proper modification processes.
Findings
The facility has an automatic fire alarm, sprinkler system, and standalone smoke detectors in sleeping areas that are audible and visual alarms. No International Fire Code violations were observed.
Report Facts
Complaint number: 198441
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alan Harlan | Deputy State Fire Marshal | Conducted the inspection and investigation of complaint #198441 |
| Janice Lippert | Executive Director | Interviewed during complaint investigation |
Inspection Report
Life Safety
Deficiencies: 2
Date: Oct 7, 2025
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the Brookdale Walla Walla residential care facility to assess compliance with fire protection and safety codes.
Findings
The inspection identified several fire safety violations, including a staff break room door latch issue and outdated smoke alarms in resident rooms. All other inspected areas and equipment were found to be corrected or in compliance.
Deficiencies (2)
The staff break room would not latch from a fully open position.
All single station smoke alarms in resident rooms greater than 10 years old need to be replaced.
Report Facts
Next inspection scheduled: Nov 6, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alan Harlan | Deputy State Fire Marshal | Signed as Deputy State Fire Marshal on the inspection report |
Inspection Report
Life Safety
Deficiencies: 2
Date: Oct 7, 2025
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the facility to assess compliance with fire protection and safety regulations.
Findings
Multiple fire safety code requirements were inspected, with all noted violations corrected except for one observed violation regarding staff break room door latch and one violation about smoke alarms in resident rooms over 10 years old needing replacement.
Deficiencies (2)
The staff break room would not latch from a fully open position.
All single station smoke alarms in resident rooms greater than 10 years old need to be replaced.
Report Facts
Next inspection scheduled: Nov 6, 2025
Smoke alarms age: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alan Harlan | Deputy State Fire Marshal | Conducted the inspection and signed the report |
| Frank Ramirez | Owner or Authorized Representative | Signed the inspection report |
| Jaynie Lippert | Executive Director | Listed as Owner or Owner's Representative |
Inspection Report
Follow-Up
Census: 48
Deficiencies: 9
Date: May 7, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 05/07/2025 to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. The prior deficiencies cited in the full inspection on 03/03/2025 to 03/06/2025 were corrected.
Deficiencies (9)
Failed to provide care as agreed upon in the Negotiated Service Agreement for one resident, resulting in injury and emergency department visit.
Medication errors including administration by unqualified staff and staff signing for medications they did not give.
Failure to ensure medication availability and administration as prescribed, including missed doses of budesonide, albuterol, atorvastatin, and metformin.
Failure to prevent cross contamination by food service staff, including lack of hand hygiene and improper glove use.
Failure to verify work references prior to hiring for multiple staff members.
Failure to maintain valid Washington state background checks for staff employed more than two years.
Failure to complete required character, competency, and suitability reviews for staff.
Failure to complete tuberculosis screening within three days of hire for multiple staff.
Failure to complete ongoing assessments for a resident with an injury requiring intervention.
Report Facts
Residents reviewed: 7
Days late for background check renewal: 358
Days late for background check renewal: 613
Days late for tuberculosis screening: 17
Days late for tuberculosis screening: 32
Days late for tuberculosis screening: 80
Days late for tuberculosis screening: 78
Medication doses missed: 17
Medication doses missed: 7
Medication doses missed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hall | AFH/ALF Licensor | On-site verification staff for follow-up inspection. |
| Robin Barnes | Assisted Living Facility Licensor | On-site verification staff for follow-up inspection. |
| Laura Williams-Davis | ALF Field Manager | Signed follow-up inspection letter and plan of correction attestations. |
| Staff B | Registered Nurse | Named in findings related to medication errors, medication availability, and resident care. |
| Staff H | Cook | Named in findings related to food sanitation and cross contamination. |
| Staff A | Administrator | Named in findings related to staff hiring practices, tuberculosis screening, and food service. |
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jun 7, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Krista Connelly | Community Nurse Consultant | Department staff who did the on-site verification during the follow-up inspection. |
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 3
Date: Oct 9, 2023
Visit Reason
The inspection was conducted as a complaint investigation based on allegations regarding care conference absence, medication administration issues, delayed staff response to call lights, lack of notification to family, inadequate monitoring, and other resident care concerns.
Complaint Details
The complaint included allegations of lack of care conference, medication not given at appropriate times, glaucoma eye drops not administered, delayed staff response to call lights (45 minutes to 1 hour), lack of notification to spouse after emergency room visit, inadequate monitoring during quarantine, improper handling of hearing aids, unclean apartments with soiled linens, failure to follow care plans, dismissive staff behavior, and transportation issues. Some allegations were substantiated with citations issued; others were not.
Findings
The investigation identified multiple deficiencies including failure to develop an initial care plan, failure to administer medications as prescribed, and failure to respond timely to call lights. Some allegations were not substantiated. Citations were issued for deficient practices related to care planning, medication administration, and resident rights.
Deficiencies (3)
Failure to develop an initial resident service plan for 1 of 5 residents.
Failure to administer prescribed medications timely and completely for 1 of 3 residents.
Failure to ensure staff responded to call lights in a timely manner for 3 of 3 residents.
Report Facts
Total residents: 46
Resident sample size: 5
Medication doses not given: 4
Residents with call light response failure: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elaine Lopez | Licensor | Conducted the on-site verification and investigation |
| Gwin Kaercher | Field Manager | Signed compliance determination and correspondence |
| Staff A | Administrator | Provided information about care plan and medication processes during investigation |
Inspection Report
Complaint Investigation
Census: 43
Deficiencies: 1
Date: Jun 7, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding allegations that a named resident did not receive medications for 24 hours upon returning from a Skilled Nursing Facility and that transportation arrangements were not billed through insurance.
Complaint Details
The complaint involved a named resident not receiving medications for 24 hours after returning from a Skilled Nursing Facility and issues with transportation billing. The medication issue was substantiated with a failed provider practice and citation issued; the transportation issue was not substantiated.
Findings
The investigation found that the facility failed to provide necessary medication and treatments to the named resident for over 24 hours after return from the Skilled Nursing Facility, violating their policies. However, no failed provider practice was identified regarding transportation billing. A citation was issued for the medication-related deficiency.
Deficiencies (1)
Failure to provide necessary medication and treatments to a resident for 24 hours after return from Skilled Nursing Facility.
Report Facts
Total residents: 43
Resident sample size: 2
Compliance Determination Completion Date: Completion date of compliance determination 25054 is 06/26/2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Robin Rainville | Assisted Living Facility Licensor | Investigator who conducted the complaint investigation |
| Krista Connelly | Community Nurse Consultant | Department staff who did the on-site verification during follow-up inspection |
Inspection Report
Life Safety
Deficiencies: 5
Date: Apr 11, 2023
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the facility to assess compliance with fire safety and life safety codes.
Findings
The inspection found multiple violations including lack of documentation for fire drills, a dropped fire damper/fan assembly compromising fire-resistive construction, fire doors failing to self-close and latch in several locations, missing quarterly sprinkler test documentation, and an unsecured oxygen D cylinder in room 137.
Deficiencies (5)
Unable to provide documentation of fire drills for 3rd quarter of 2022 for 2nd and 3rd shifts.
Fire damper/fan assembly dropped through ceiling, compromising fire rated resistive construction.
Fire rated doors failed to self-close and latch in multiple locations including 2nd floor attic access doors, Room 236, 2nd floor Salon, 1st floor south Mechanical Room, 1st floor storage closet within Activities Room, 1st floor Activities Room Entry coordinator not functioning, and 1st floor Nurses Station Dutch door.
Unable to provide documentation of a quarterly sprinkler test for first quarter 2023.
An unsecured oxygen D cylinder was discovered in room 137.
Report Facts
Inspection date: Apr 11, 2023
Inspection date: May 18, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Doug DeGraff | Deputy State Fire Marshal | Conducted the inspection and signed the report |
| Matthew Guy | Maintenance Manager | Owner or Owner's Representative who signed the report |
Inspection Report
Enforcement
Deficiencies: 1
Date: Nov 16, 2022
Visit Reason
The Department of Social and Health Services conducted an investigation at the assisted living facility Brookdale Walla Walla, resulting in the imposition of a civil fine due to violations related to medication services.
Findings
The licensee failed to ensure medications were administered as prescribed for eight residents, causing emotional distress, emergency medical services for one resident, increased pain and hospitalization for another, and possible decline in chronic medical conditions for all eight residents.
Deficiencies (1)
Failure to ensure medications were given as prescribed for eight residents requiring medication assistance/administration and insulin injections.
Report Facts
Civil fine amount: 1000
Number of residents affected: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter |
| Michelle Closner | Field Manager | Contact person for plan of correction and inquiries |
Inspection Report
Complaint Investigation
Census: 45
Deficiencies: 8
Date: Nov 16, 2022
Visit Reason
The inspection was conducted as a complaint investigation triggered by allegations including medication management failures, missing prescribed medications, potential financial exploitation related to narcotics destruction, and other care concerns at the Assisted Living Facility.
Complaint Details
The complaint investigation included allegations of medication cart key taken home causing insulin delays, resident not receiving prescribed medications leading to multiple emergency room visits, and potential financial exploitation related to undocumented narcotics destruction. The facility was found to have failed practices in medication administration and management, and was cited accordingly.
Findings
The facility was found to have multiple deficiencies including failure to ensure medications were administered as prescribed, inadequate medication management systems, failure to notify changes in administration timely, failure to maintain proper call systems, failure to provide required assessments, and failure to maintain clean and safe environment. Several residents missed medications leading to hospitalizations and increased health risks. The facility was cited for failed provider practices and required to submit plans of correction.
Deficiencies (8)
Failure to ensure medications were given as prescribed to residents, causing emotional distress and hospitalizations.
Failure to maintain accurate medication destruction logs and medication administration systems.
Failure to notify the department in writing within ten calendar days of a change in the assisted living facility administrator.
Failure to ensure call system was adequately working for residents, placing them at risk of not being able to call for assistance.
Failure to complete assessments for residents' problems or medical devices, placing residents at risk for decline in chronic conditions.
Failure to provide prescribed special diets and nutrition to residents, placing them at risk for harm and exacerbation of illness.
Failure to ensure kitchen staff washed hands, changed gloves properly, and prevented contamination of food, risking foodborne illness.
Failure to maintain clean and safe environment including carpets causing emotional distress and risk of infections.
Report Facts
Total residents: 45
Resident sample size: 16
Missed medication doses: 28
Missed medication doses: 17
Missed medication doses: 55
Missed medication doses: 7
Missed medication doses: 28
Missed medication doses: 16
Missed medication doses: 26
Missed medication doses: 57
Missed medication doses: 26
Missed medication doses: 7
Missed medication doses: 29
Missed medication doses: 11
Missed medication doses: 22
Missed medication doses: 6
Missed medication doses: 7
Missed medication doses: 9
Missed medication doses: 29
Missed medication doses: 15
Missed medication doses: 54
Missed medication doses: 5
Missed medication doses: 56
Missed medication doses: 4
Missed medication doses: 26
Missed medication doses: 4
Missed medication doses: 1
Missed medication doses: 4
Missed medication doses: 45
Missed medication doses: 4
Missed medication doses: 2
Missed medication doses: 4
Missed medication doses: 2
Missed medication doses: 7
Missed medication doses: 1
Missed medication doses: 11
Missed medication doses: 9
Missed medication doses: 20
Missed medication doses: 5
Missed medication doses: 2
Missed medication doses: 4
Missed medication doses: 3
Missed medication doses: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elaine Lopez | Licensor | Investigator conducting the complaint investigation. |
| Michelle Closner | Field Manager | Field Manager who signed enforcement and correspondence letters. |
| Krista Connelly | Community Nurse Consultant | Department staff who did on-site verification during follow-up inspection. |
| Staff E | Interim Registered Nurse (RN) | Wrote progress notes about missing medications and pharmacy communications. |
| Staff G | Medication Technician (MT) | Reported multiple missing medications for Resident 8 and attempts to obtain them. |
| Staff R | Medication Technician (MT) | Reported awareness of Resident 8 not getting medications but no action taken. |
| Staff D | Area Nurse Manager/Licensed Practical Nurse (LPN) | Asked about medication orders and assessments, and nursing coverage. |
| Staff A | Executive Director | Facility administrator involved in interviews and inspections. |
| Staff B | Associate Director | Facility associate director involved in interviews and inspections. |
| Staff C | Business Office Manager | Interviewed about kitchen staff handwashing and call system issues. |
| Staff K | Cook | Observed not washing hands or changing gloves properly during meal service. |
| Staff L | Cook | Observed not washing hands or changing gloves properly during meal service. |
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