Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Inspection Report
Life Safety
Deficiencies: 4
Sep 2, 2025
Visit Reason
The Office of the State Fire Marshal conducted inspections at Cascade Park Gardens on multiple dates in 2025 to assess compliance with fire protection and safety codes.
Findings
The inspections identified issues such as broken latches on fire doors and missing documentation for sprinkler system testing. Most deficiencies were corrected, but the facility was disapproved due to unresolved violations.
Deficiencies (4)
| Description |
|---|
| Corridor Fire Door 4 - broken latch |
| Corridor Fire Door 2 - failed to self close and latch during test |
| Room 306 A/B - failed to self close and latch during test |
| No documentation provided for the most recent annual forward flow test of sprinkler system |
Report Facts
Inspection dates: 5
Next inspection scheduled: Aug 28, 2025
Next inspection scheduled: Jun 12, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Micah Lakin | EVS Director | Named as Owner or Authorized Representative signing inspection documents |
| Damon Roberson | Deputy State Fire Marshal | Conducted inspections and signed inspection documents |
| Christopher Pace | Observed on-site initiating a forward flow test during inspection |
Inspection Report
Re-Inspection
Deficiencies: 1
Jul 29, 2025
Visit Reason
The Office of the State Fire Marshal conducted a reinspection of Cascade Park Gardens to verify correction of previous fire safety deficiencies.
Findings
The reinspection found that the sprinkler systems were tested and maintained as required, but a broken latch was noted on Corridor Fire Door 4.
Deficiencies (1)
| Description |
|---|
| Corridor Fire Door 4 - broken latch |
Report Facts
Next inspection scheduled on or after: Aug 28, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Micah Lakin | EVS Director | Named as the authorized facility representative signing the reinspection report |
| Damon Roberson | Deputy State Fire Marshal | Conducted the inspection and signed the report |
Inspection Report
Follow-Up
Census: 57
Deficiencies: 1
Jul 9, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to licensing laws and regulations.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to signing negotiated service agreements were corrected.
Complaint Details
Complaint investigation regarding quality of care/treatment where resident representatives were not informed or present during care conferences. The investigation found failed provider practice with citations written.
Deficiencies (1)
| Description |
|---|
| Failure to ensure that 2 of 4 sampled residents had negotiated service agreements signed by the resident or resident’s representative, placing residents at risk for unmet care needs and lack of autonomy. |
Report Facts
Total residents: 57
Resident sample size: 3
Closed records sample size: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nikolas Jennings | Community Nurse Complaint Investigator | Conducted the complaint investigation and follow-up inspection |
| Staff A | Resident Care Coordinator | Interviewed regarding difficulties obtaining signatures on negotiated service agreements |
| Staff B | Executive Director | Interviewed regarding lack of signatures on resident documents |
| Staff C | Director of Resident Services | Interviewed regarding signatures on care conference documents |
Inspection Report
Annual Inspection
Deficiencies: 0
Jan 27, 2025
Visit Reason
The Department completed a full inspection of the Assisted Living Facility on 01/27/2025 as part of a compliance determination.
Findings
The inspection found no deficiencies in the facility.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Susan Carmichael | Nursing Consultant Institutional | Department staff who did the inspection |
| Kathy Heinz | Long Term Care Surveyor | Department staff who did the inspection |
| Shirley Grew | LTC Surveyor | Department staff who did the inspection |
Inspection Report
Complaint Investigation
Census: 54
Deficiencies: 1
Jun 14, 2024
Visit Reason
The inspection was conducted as a complaint investigation regarding the facility's failure to accept a resident back after being transferred to the hospital.
Findings
The facility failed to attempt care planned interventions prior to transferring the resident to the hospital twice and did not follow policies and procedures regarding Resident Rights and Discharging a resident. The allegation was substantiated and a failed facility practice was identified.
Complaint Details
Allegation substantiated. The facility failed to accept resident back after hospital transfer and failed to follow Resident Rights and Discharge policies.
Deficiencies (1)
| Description |
|---|
| Failed to allow 1 of 4 sampled residents to return to the facility after hospitalization without proper discharge notification, causing emotional distress and diminished quality of life. |
Report Facts
Total residents: 54
Resident sample size: 4
Closed records sample size: 4
Days resident remained in hospital: 43
Medication refusal opportunities: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Regenia Coleman | Investigator | Conducted the complaint investigation |
| Kathy Heinz | Long Term Care Surveyor | Performed on-site verification during follow-up inspection |
| Manfay Chan | Allied Health Field Manager | Signed follow-up inspection letter |
Inspection Report
Complaint Investigation
Deficiencies: 1
Oct 25, 2023
Visit Reason
The investigation was conducted due to complaints alleging bruises on a resident, irregular food provision, a broken room window, lack of resident monitoring, and a resident being in their room with the door closed.
Findings
The investigation found one failed practice related to the lack of monitoring and assistance with a resident's food intake, potentially causing weight loss and hunger. Other allegations, including bruises, broken window, resident monitoring, and room door closure, were not substantiated.
Complaint Details
The complaint investigation was substantiated for failure to monitor and assist a resident's food intake, potentially causing weight loss and hunger. Other allegations were not substantiated.
Deficiencies (1)
| Description |
|---|
| Resident's food intake was not being monitored or assisted, violating WAC-388-78A-2160 Implementation of negotiated service agreement. |
Report Facts
Resident sample size: 5
Closed records sample size: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Mason | NCI ALF Licensor | Investigator who conducted the complaint investigation |
Inspection Report
Follow-Up
Deficiencies: 0
May 22, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously identified 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.
Report Facts
Compliance Determination Completion Dates: Compliance Determination(s) 18686 (Completion Date 05/22/2023) and 13685 (Completion Date 10/18/2022)
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cory Myers | ALF Complaint Investigator | Department staff who did the on-site verification |
| Manfay Chan | Field Manager | Signed letter regarding follow-up inspection |
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