Inspection Reports for Callaway Gardens Alzheimer’s Special Care Center
5505 W Skagit Ct, Kennewick, WA 99336, United States, WA, 99336
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Inspection Report
Follow-Up
Census: 53
Deficiencies: 2
Jul 30, 2025
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. The prior deficiencies related to nursing delegation and medication administration were corrected.
Complaint Details
Complaint investigation referenced complaint number 180719. The investigation found multiple deficiencies related to nursing delegation, medication administration, and facility maintenance.
Deficiencies (2)
| Description |
|---|
| Failure to ensure registered nurse delegator assessed each resident receiving delegated task assistance every 90 days and failure to ensure nurse delegated medication administration was performed by properly trained/credentialed staff. |
| Failure to ensure chairs in the facility were kept clean and in good repair, with multiple chairs showing stains, tears, cracks, and sharp edges. |
Report Facts
Residents sampled for review: 8
Residents total census: 53
Staff C medication administrations: 7
Calmoseptine ointment administrations: 124
Calmoseptine ointment administrations: 107
Calmoseptine ointment administrations: 110
Dining room chairs with cracks: 11
Dining room chairs with cracks: 15
Dining room chairs with cracks: 10
Swivel rocker chairs stained: 2
Vinyl recliner chairs cracked: 4
Green striped upholstered armchairs torn: 2
Dining room style chairs cracked: 2
Green striped upholstered armchairs stained: 2
Large brown vinyl recliner chairs cracked: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robin Barnes | Assisted Living Facility Licensor | Conducted on-site verification and inspection. |
| Elizabeth Hall | AFH/ALF Licensor | Assisted in inspection of the Assisted Living Facility. |
| Laura Williams-Davis | ALF Field Manager | Signed enforcement and compliance letters. |
| Staff C | Medication Technician | Administered medications without valid credentialing or training. |
| Staff F | Resident Care Coordinator | Provided interview statements regarding Staff C training and RND visits. |
| Staff I | Medication Technician | Interviewed regarding resident medication needs and delegation. |
| Staff G | Maintenance Director | Interviewed about cleaning and maintenance of chairs. |
| Staff H | Administrator | Interviewed about furniture replacement requests. |
Inspection Report
Follow-Up
Capacity: 48
Deficiencies: 6
Mar 13, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 03/13/2024 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. Prior deficiencies related to licensing laws and regulations were corrected.
Complaint Details
The inspection was triggered by complaints numbered 110724 and 113957. The department conducted a full inspection and complaint investigation on 01/16/2024, 01/17/2024, and 01/18/2024.
Deficiencies (6)
| Description |
|---|
| Failure to ensure long-term care workers received CPR and first aid training within 30 days of hire. |
| Failure to ensure employees working as food service workers obtained a food worker card. |
| Failure to ensure staff had initial tuberculosis two-step skin testing within three days of hire. |
| Failure to submit valid Washington state name and date of birth background checks every two years for staff. |
| Failure to complete review of non-disqualifying background check results for staff to determine character, competence, and suitability. |
| Failure to ensure long-term care workers completed all required basic training within 120 days of hire. |
Report Facts
Current residents reviewed: 7
Total current residents: 48
Former residents reviewed: 0
Days late for background check renewal: 156
Training deadline extension period: 4
Basic training hours required: 70
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robin Rainville | Assisted Living Facility Licensor | Department staff who inspected the facility. |
| Anna Cairns | ALF Long Term Care Surveyor | Department staff who inspected the facility. |
| Jessica Clapp | Assisted Living Facility Licensor | Department staff who inspected the facility. |
| Sarah Clark | Community Complaint Investigator | Department staff who inspected the facility. |
| Elaine Lopez | Licensor | Department staff who inspected the facility. |
| Gwin Kaercher | Community Field Manager / Field Manager | Signed enforcement and follow-up letters. |
| Dauna Ruypa | Administrator | Signed Plan/Attestation Statements for correction of deficiencies. |
Inspection Report
Complaint Investigation
Deficiencies: 2
Dec 4, 2023
Visit Reason
The Department of Social and Health Services completed a Complaint Investigation at Callaway Gardens Alzheimers Special Care Center on December 4, 2023, resulting in civil fines for violations related to medication and food services.
Findings
The facility failed to implement safe medication services and failed to provide a modified diet of nothing by mouth (NPO) as required prior to a dental procedure for one resident, which contributed to the resident aspirating during the procedure.
Complaint Details
Complaint Investigation completed on December 4, 2023, resulting in civil fines for medication and food service violations that contributed to resident aspiration.
Deficiencies (2)
| Description |
|---|
| Failure to implement safe medication services when a resident was not supposed to receive any food or medication prior to a dental procedure, contributing to aspiration. |
| Failure to provide a modified diet of nothing by mouth (NPO) as per the Resident Care In-Service/Change in Plan of Care Record prior to a dental appointment, contributing to aspiration. |
Report Facts
Civil fine amount: 500
Civil fine amount: 500
Total civil fines: 1000
Days to return SOD: 10
Days for appeal via IDR: 10
Days for appeal via hearing: 28
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gwin Kaercher | Field Manager | Contact person for returning Statement of Deficiencies and inquiries |
| Matt Hauser | Compliance Specialist | Signer of the imposition of civil fines letter |
Inspection Report
Complaint Investigation
Census: 47
Deficiencies: 2
Oct 25, 2023
Visit Reason
The investigation was conducted due to a complaint that a named resident aspirated at a dental appointment after being fed when they were supposed to have had nothing by mouth (NPO).
Findings
The facility failed to implement safe medication and food protocols for one resident who was to be NPO prior to a dental appointment, resulting in aspiration during the procedure. Multiple staff were unaware of the NPO status, indicating a breakdown in communication and failure to follow care plans.
Complaint Details
The complaint involved a named resident who aspirated at a dental appointment after being fed despite instructions for NPO status. The complaint was substantiated with citations issued.
Deficiencies (2)
| Description |
|---|
| Failure to implement safe medication service resulting in resident aspiration during dental procedure. |
| Failure to provide modified diet of nothing by mouth (NPO) as per resident care plan prior to dental appointment. |
Report Facts
Total residents: 47
Resident sample size: 3
Closed records sample size: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Clark | Community Complaint Investigator | Investigator who conducted the complaint investigation |
| Staff A | Medication Technician | Administered medication in pudding despite NPO status and documented communication |
| Staff B | Registered Nurse | Interviewed regarding communication and caregiver responsibilities |
| Staff C | Caregiver | Caregiver for resident on NPO day, unaware of NPO status |
| Staff D | Health Services Director | Interviewed about caregiver responsibilities and meal service |
| Staff E | Caregiver | Confirmed seeing resident eating, unaware who served food |
| Staff F | Dietary Manager | Received and posted NPO slip in kitchen |
| Gwin Kaercher | Field Manager | Signed follow-up inspection letter stating no deficiencies found on 2024-01-11 |
| Laura Rugos | Administrator or Representative | Signed Plan/Attestation Statement to correct deficiencies |
Inspection Report
Life Safety
Deficiencies: 0
Feb 6, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility on 02/06/2023.
Findings
No violations were observed during the inspection. The facility was approved with no deficiencies noted.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Doug DeGraff | Deputy State Fire Marshal | Conducted the fire safety inspection and signed the report. |
| Laura Rigas | Administrator | Named as Owner's Representative and signed the report. |
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