Inspection Reports for Cascade Inn

11613 SE 7th St, Vancouver, WA 98683, United States, WA, 98683

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Inspection Report Re-Inspection Deficiencies: 2 May 16, 2025
Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the facility to verify that previously identified fire safety violations had been corrected.
Findings
The inspection found that the corridors failed to be rated as required for fire resistance, and fire door inspections and repairs were incomplete. The City of Vancouver has been contacted to lead the permit and construction inspection process for necessary repairs.
Deficiencies (2)
Description
Corridors failed to be rated for fire resistance as required.
Fire door inspection and repairs were not completed.
Inspection Report Annual Inspection Deficiencies: 1 Mar 12, 2025
Visit Reason
The Department completed a full inspection of the Assisted Living Facility on 03/12/2025 to determine compliance with Assisted Living Facility requirements.
Findings
The facility was found not to meet requirements due to failure to ensure that 1 of 9 sampled residents had a signed Medicaid policy in the resident's records. The facility provided an immediate plan of correction.
Deficiencies (1)
Description
Failure to ensure 1 of 9 sampled residents had a signed Medicaid policy in the resident's records.
Report Facts
Residents sampled: 9 Deficiencies found: 1
Employees Mentioned
NameTitleContext
Kyle GehlenALF Licensor - LTCDepartment staff who did the inspection and provided consultation
Jason RoseDepartment staff who did the inspection and provided consultation
Jennifer SiharathALF LicensorDepartment staff who did the inspection and provided consultation
Clinton FridleyAdult Family Home Nurse Field ManagerSigned letter and contact for questions
Inspection Report Re-Inspection Deficiencies: 13 Jan 28, 2025
Visit Reason
The Office of the State Fire Marshal conducted an inspection and re-inspection at Cascade Retirement Inn to identify fire safety violations and ensure compliance with fire safety codes.
Findings
Multiple fire safety violations were found including dumpsters without sprinkler protection, combustible items near ignition sources, missing electrical covers, failure to maintain fire resistance rated construction, blocked fire sprinklers, unsecured compressed gas cylinders, and inadequate exit sign illumination. The facility was disapproved and required to correct these deficiencies.
Deficiencies (13)
Description
Multiple dumpsters found within 5 feet of building eave outside laundry area without sprinkler protection
Combustible items found placed against heater in room 152
Electrical cover in kitchen found missing
Strain protection failed to be maintained in kitchen for wheeled appliances
Items on fire doors shall be removed in excess of 5% coverage
Facility failed to provide annual fire resistance rated construction inspection
Live wreath found on fire door room 426
Main drain on wet fire sprinkler riser in kitchen found leaking; facility failed to provide quarterly fire sprinkler inspection report
Fire sprinkler in kitchen found blocked by cart
Facility shall provide semi annual fire alarm inspection report
Exit sign in club room failed to be illuminated
Unsecured oxygen in room 152
Corridors failed to be rated fire resistance rated construction as required
Report Facts
Next inspection scheduled date: Feb 27, 2025 Next inspection scheduled date: Apr 19, 2025
Employees Mentioned
NameTitleContext
Nicholas WoldenDeputy State Fire MarshalSigned as Deputy State Fire Marshal on inspection report
Chelsea StearnsExecutive DirectorSigned as Owner or Authorized Representative on inspection report
Inspection Report Re-Inspection Deficiencies: 12 Feb 21, 2024
Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previously cited violations.
Findings
The facility was found to have multiple fire safety and maintenance deficiencies including failure to provide required inspection reports, damaged fire-resistance-rated construction, malfunctioning fire doors, and failure to conduct required fire drills. Several exit signs were not illuminated and fire alarm panel was found in trouble at the time of inspection.
Deficiencies (12)
Description
Deficiencies shall be correct from sprinkler system report
Facility failed to repair/replace exit signs that are not illuminated during inspection
Fire dampers shall have access provided and testing shall be completed as required; documentation shall be provided for fire 33 fire dampers that were replaced
Facility failed to provide fire-resistance-rated construction inspection and inventory of building that is free of damage; holes found in multiple ceilings including room 138, executive director ceiling, activities director ceiling, room 421, and laundry room
Facility failed to provide semi annual hood system inspection report; semi annual hood system report shows change in fusible link, heat survey requested
The following doors fail to close and latch: laundry room door across from 209, cross corridor fire doors by room 225, storage room by 223, stairwell door floor 2, nurse chart room, room 174, storage room 108, room 117, sprinkler riser room door
Facility failed to provide annual fire door inspection report
Fire alarm panel found in trouble at time of inspection
Facility shall provide sensitivity testing of all smoke detectors in building
Exit door by room 177 fails to open with 30 lbs of pressure
Facility failed to provide report of annual exit sign testing that is deficiency free
Facility failed to provide fire drills once per shift per quarter
Report Facts
Fire dampers replaced: 33 Fire drills required: 12 Next inspection scheduled on or after: 2024-03-22 and 2024-05-24 mentioned as next inspection dates
Employees Mentioned
NameTitleContext
Nicholas WoldenDeputy State Fire MarshalSigned as Deputy State Fire Marshal on inspection report
Inspection Report Complaint Investigation Census: 101 Deficiencies: 1 Dec 15, 2023
Visit Reason
The inspection was conducted as a complaint investigation triggered by allegations related to dietary services sanitation and infection control due to a salmonella outbreak at the assisted living facility.
Findings
The investigation found that the salmonella outbreak was a multistate outbreak not caused by the facility's kitchen practices. However, the facility was cited for serving undercooked eggs, and consultation was provided regarding the use of pasteurized eggs for serving soft cooked eggs.
Complaint Details
Complaint investigation included allegations of failure to prevent a salmonella outbreak and infection control issues related to the outbreak. The salmonella outbreak was not linked to facility practices, but a deficiency was cited regarding food sanitation.
Deficiencies (1)
Description
Facility has a practice of serving undercooked eggs to residents upon request, which is forbidden unless using pasteurized eggs.
Report Facts
Total residents: 101 Resident sample size: 1 Closed records sample size: 0
Employees Mentioned
NameTitleContext
Michael BurdickAFH Nurse Field Manager / InvestigatorConducted the complaint investigation and signed the report
Jason RoseDepartment staff who did the inspection and provided consultation
Inspection Report Follow-Up Census: 96 Deficiencies: 2 Jun 29, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to fire safety and licensing compliance.
Findings
The follow-up inspection on 06/29/2023 found no deficiencies, indicating the facility met the Assisted Living Facility licensing requirements. Prior deficiencies related to fire safety and smoke detector failures were corrected or in the process of correction.
Complaint Details
Complaint investigation conducted from 01/19/2023 through 02/03/2023 regarding life safety code violations due to failed fire marshal inspections. The investigation found failed provider practice and citations were written.
Deficiencies (2)
Description
Failure to remain in compliance with the Washington State Patrol Fire Protection Bureau for three consecutive inspections, including smoke detectors found to have a failure of nearly 50% per International Fire Code (IFC) 907.8.3.
Facility failed two Fire Marshal inspections, placing residents, visitors, and staff at risk in the event of a fire.
Report Facts
Residents present during inspection: 96 Resident sample size: 2 Closed records sample size: 1 Estimated cost: 500000
Employees Mentioned
NameTitleContext
Jason RoseInvestigatorDepartment staff who conducted the on-site verification and complaint investigation
Michael BurdickField ManagerSigned follow-up inspection letter
Staff 1Executive DirectorInterviewed during complaint investigation and follow-up visit regarding fire alarm system issues and corrective actions
Inspection Report Follow-Up Census: 102 Deficiencies: 0 May 30, 2023
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, indicating the facility meets the Assisted Living Facility licensing requirements.
Report Facts
Residents present during inspection: 102 Sample residents reviewed: 11 Sinks with improper water temperature: 4 Sinks sampled for water temperature: 6 Deficiencies cited: 5 Staff background check failures: 1 Residents without current assessments for medical devices: 2
Employees Mentioned
NameTitleContext
Kyle GehlenALF Licensor - LTCDepartment staff who did the on-site verification
Jennifer SiharathALF LicensorDepartment staff who did the on-site verification
Jason RoseDepartment staff that inspected the Assisted Living Facility
Michael BurdickField ManagerSigned letters related to inspection and enforcement
Inspection Report Enforcement Deficiencies: 1 Apr 28, 2023
Visit Reason
The Department of Social and Health Services completed a follow-up visit to Cascade Retirement Inn to assess compliance with prior deficiencies, resulting in the imposition of a civil fine due to failure to comply with fire safety regulations.
Findings
The facility failed to remain in compliance with the Washington State Patrol Fire Protection Bureau for three consecutive inspections, placing residents, visitors, and staff at risk in the event of a fire. This deficiency was previously cited and remains uncorrected.
Deficiencies (1)
Description
Failure to remain in compliance with the Washington State Patrol Fire Protection Bureau for three consecutive inspections.
Report Facts
Civil fine amount: 2000 Number of consecutive inspections failed: 3 Days to return Statement of Deficiencies: 10 Days to request formal administrative hearing: 28 Interest rate: 1
Employees Mentioned
NameTitleContext
Michael BurdickField ManagerContact person for submitting the Statement of Deficiencies and inquiries.
Matt HauserCompliance SpecialistSigned the enforcement letter.
Inspection Report Complaint Investigation Census: 92 Deficiencies: 1 Jan 13, 2023
Visit Reason
The inspection was conducted as a complaint investigation involving multiple allegations including misappropriation of property, resident abuse, fraud/false billing, quality of care issues, neglect, and life safety concerns at the assisted living facility.
Findings
The investigation found no substantiated failed provider practices or citations. Several allegations such as medication management, call light response times, resident neglect, and safety concerns were reviewed but insufficient evidence was found to support failed practices. The facility took corrective actions where applicable.
Complaint Details
The complaint investigation included allegations of misappropriation of property, mental abuse, fraud/false billing, self-neglect, medication management discomfort, missed medications, failure to provide timely call bell responses, unexpected resident death, facility doors not locked allowing wandering, call lights not answered promptly, and life safety issues related to power outage.
Deficiencies (1)
Description
Facility LPN had eight medication cups filled with resident medications left unattended with only resident initials, not names, on them.
Report Facts
Total residents: 92 Resident sample size: 6 Closed records sample size: 0 Medication cups observed: 8
Employees Mentioned
NameTitleContext
Jason RoseInvestigatorConducted the complaint investigation and provided consultation
Jody JustField ManagerSigned the compliance determination letter

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