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
| Name | Title | Context |
|---|---|---|
| Kyle Gehlen | ALF Licensor - LTC | Department staff who did the inspection and provided consultation |
| Jason Rose | Department staff who did the inspection and provided consultation | |
| Jennifer Siharath | ALF Licensor | Department staff who did the inspection and provided consultation |
| Clinton Fridley | Adult Family Home Nurse Field Manager | Signed 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
| Name | Title | Context |
|---|---|---|
| Nicholas Wolden | Deputy State Fire Marshal | Signed as Deputy State Fire Marshal on inspection report |
| Chelsea Stearns | Executive Director | Signed 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
| Name | Title | Context |
|---|---|---|
| Nicholas Wolden | Deputy State Fire Marshal | Signed 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
| Name | Title | Context |
|---|---|---|
| Michael Burdick | AFH Nurse Field Manager / Investigator | Conducted the complaint investigation and signed the report |
| Jason Rose | Department 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
| Name | Title | Context |
|---|---|---|
| Jason Rose | Investigator | Department staff who conducted the on-site verification and complaint investigation |
| Michael Burdick | Field Manager | Signed follow-up inspection letter |
| Staff 1 | Executive Director | Interviewed 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
| Name | Title | Context |
|---|---|---|
| Kyle Gehlen | ALF Licensor - LTC | Department staff who did the on-site verification |
| Jennifer Siharath | ALF Licensor | Department staff who did the on-site verification |
| Jason Rose | Department staff that inspected the Assisted Living Facility | |
| Michael Burdick | Field Manager | Signed 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
| Name | Title | Context |
|---|---|---|
| Michael Burdick | Field Manager | Contact person for submitting the Statement of Deficiencies and inquiries. |
| Matt Hauser | Compliance Specialist | Signed 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
| Name | Title | Context |
|---|---|---|
| Jason Rose | Investigator | Conducted the complaint investigation and provided consultation |
| Jody Just | Field Manager | Signed the compliance determination letter |
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