Inspection Reports for Centralia Point Assisted Living and Memory Care
WA, 98531
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20
15
10
5
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Census Over Time
Census
Capacity
Inspection Report
Follow-Up
Census: 51
Deficiencies: 1
Jul 29, 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 the Assisted Living Facility licensing requirements. Previous deficiencies related to staffing and safety were corrected.
Complaint Details
Complaint investigation found failure to ensure sufficient and qualified staff for memory care and assisted living units. Unable to substantiate allegations of staff not using personal protective equipment. Failed provider practice identified related to staffing.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure sufficient and qualified staff to meet resident needs for memory care and assisted living units, resulting in memory care unit being left unattended during incidents and placing residents at risk. |
Report Facts
Residents present during inspection: 51
Resident sample size: 3
Resident sample size: 7
Total residents: 50
Residents in memory care unit: 15
Residents in assisted living unit: 35
Residents requiring maximum assistance: 4
Residents requiring moderate assistance: 4
Residents with dementia/Alzheimer's/cognitive impairment: 11
Residents with exit seeking/wandering behaviors: 5
Residents requiring maximum assistance: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Horlick | NCI RN Complaint Investigator | Department staff who conducted inspections and complaint investigations |
| Clinton Fridley | Adult Family Home Nurse Field Manager | Signed follow-up inspection report |
| Staff A | Operations Specialist | Interviewed regarding staffing and schedules |
| Staff B | Corporate Wellness Director | Interviewed regarding staffing and plan of correction |
| Staff C | Medication Technician | Interviewed regarding staffing and incidents |
| Staff E | Medication Technician | Interviewed regarding staffing and resident care |
| Staff G | Former Administrator | Signed plan/attestation statement for correction of deficiencies |
Inspection Report
Enforcement
Census: 51
Deficiencies: 1
May 22, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to assess compliance and enforce corrective actions related to previously cited deficiencies.
Findings
The facility failed to ensure sufficient and qualified staff to meet resident needs for two units, resulting in the memory care unit being left unattended during an incident, placing all 51 residents at risk for unmet care needs and safety issues. This deficiency was previously cited and remains uncorrected.
Deficiencies (1)
| Description |
|---|
| Failure to ensure sufficient and qualified staff to meet resident needs for two units, resulting in the memory care unit being left unattended during an incident. |
Report Facts
Civil fine amount: 600
Resident census: 51
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rathana Duong | Compliance Specialist | Signed the enforcement letter |
| Cory Cisneros | Field Manager | Contact person for the enforcement action and plan of correction |
Inspection Report
Follow-Up
Census: 35
Capacity: 50
Deficiencies: 18
Mar 14, 2025
Visit Reason
Follow-up inspection to verify correction of previous deficiencies related to medication storage and safety.
Findings
The Department completed a follow-up inspection and found no deficiencies. Previous medication storage deficiencies were corrected.
Complaint Details
Complaint investigation related to non-compliance with state fire marshal regulations.
Deficiencies (18)
| Description |
|---|
| Medications were not stored and locked in a secure manner in residents' rooms, placing residents at risk of ingestion, tampering, or misuse. |
| Facility failed to address and resolve a resident grievance, resulting in unresolved concerns and risk for decreased quality of life. |
| Facility failed to ensure fit testing for respirators was completed per state regulations for staff, placing residents and staff at risk during infectious disease outbreaks. |
| Facility failed to maintain a safe, sanitary, and well-maintained environment in multiple areas including courtyard, kitchen, balconies, bathrooms, and resident rooms. |
| Facility failed to ensure confidentiality of resident records, with medication labels and personal information accessible on medication carts. |
| Facility failed to administer medications as ordered, including giving medication outside prescribed parameters. |
| Facility failed to notify physicians when residents refused medications or when medications were unavailable, placing residents at risk for medical complications. |
| Facility failed to monitor residents' well-being adequately after admission and when new medications were prescribed, risking unmet care needs. |
| Facility failed to implement negotiated service agreements accurately and timely, resulting in unmet care needs and uneducated staff. |
| Facility failed to complete pre-admission assessment prior to resident admission, risking unidentified healthcare needs. |
| Facility failed to ensure menus were written at least one week in advance, document substitutions, and accommodate resident preferences, risking unmet nutritional needs. |
| Facility failed to provide adequate staff orientation and training, including mandated reporter training, risking unawareness of abuse and neglect reporting requirements. |
| Facility failed to maintain fire safety per state fire marshal regulations and failed to ensure respirator fit testing for staff, placing residents and staff at risk. |
| Facility failed to secure potentially hazardous supplies and equipment, placing residents at risk of exposure to toxic materials. |
| Facility failed to ensure residents had means to summon staff assistance in their living areas, risking delays in care and assistance. |
| Facility failed to ensure confidentiality of resident records, with medication labels accessible on medication carts. |
| Facility failed to ensure residents received a written acknowledgment of receipt of required disclosure information and Medicaid policy, risking uninformed decisions. |
| Facility failed to ensure staff background checks were completed properly, including character, competence, and suitability determinations, risking employment of disqualified staff. |
Report Facts
Residents present during inspection: 35
Total licensed capacity: 50
Resident sample size: 7
Deficiency citations: 17
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anissa Bearden | Licensor | Department staff who did on-site verification |
| Celeste Vashey | ALF LTC Licensor | Department staff who inspected the Assisted Living Facility |
| Cory Cisneros | Field Manager | Signed follow-up inspection letter and complaint investigation letter |
| Staff A | Executive Director | Named in multiple findings including medication storage, grievance handling, fire safety, and staff training |
| Staff B | Licensed Practical Nurse/Operations Support Specialist | Named in medication refusal and staff training findings |
| Staff C | Caregiver | Named in background check and staff training findings |
| Staff D | Medication Technician | Named in background check and medication administration findings |
| Staff E | Cook | Named in background check and staff training findings |
| Staff F | Human Resources/Payroll | Named in background check and staff training findings |
| Staff G | Dietary Aide | Named in background check and staff training findings |
| Staff I | Housekeeping | Named in staff training findings |
| Staff N | Resident Care Manager | Named in medication storage and confidentiality findings |
| Staff O | Caregiver | Named in infection control and staff training findings |
| Staff Q | Maintenance Director | Named in fire safety and smoking area findings |
| Staff R | Former Maintenance Director | Named in background check findings |
Inspection Report
Follow-Up
Deficiencies: 0
Dec 9, 2024
Visit Reason
The Department completed a follow-up inspection of Centralia Point Assisted Living and Memory Care to verify correction of previously cited deficiencies related to policies and procedures for supervising and monitoring residents.
Findings
The follow-up inspection found no deficiencies and confirmed that the previously cited deficiencies related to policies and procedures for supervising and monitoring residents were corrected.
Complaint Details
Complaint investigation conducted from 2024-08-19 through 2024-08-27 regarding failure to notify the delegating nurse about newly discovered wounds on a resident and concerns about shower schedules. The investigation found failed provider practice with citation written due to failure to implement alert charting policies and procedures for one resident, placing the resident at risk for harm and delayed medical treatment.
Report Facts
Total residents: 51
Resident sample size: 3
Closed records sample size: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Horlick | NCI RN Complaint Investigator | Investigator who conducted the complaint investigation |
| Anissa Bearden | Licensor | Department staff who conducted the follow-up inspection |
| Celeste Vashey | ALF LTC Licensor | Department staff who conducted the follow-up inspection |
| Staff D | Registered Nurse | Named in complaint investigation for failure to be notified of resident wounds and failure to initiate alert charting |
| Staff E | Licensed Practical Nurse | Named in complaint investigation for failure to notify RN and initiate alert charting |
| Staff C | Medication Technician | Interviewed regarding alert charting documentation |
| Staff B | Resident Care Manager | Interviewed regarding alert status of resident |
| Staff A | Executive Director | Interviewed regarding alert status of resident |
Inspection Report
Enforcement
Census: 35
Deficiencies: 1
Dec 9, 2024
Visit Reason
A follow-up visit was conducted to assess correction of previously cited deficiencies related to medication storage and security at Centralia Point Assisted Living and Memory Care.
Findings
The facility failed to ensure medications were stored and locked securely in one resident's room, placing all 35 residents at risk. This deficiency was uncorrected and recurring, previously cited on September 25, 2024, and June 26, 2024.
Deficiencies (1)
| Description |
|---|
| Failure to ensure medications were stored and locked in a secure manner in one resident’s room. |
Report Facts
Civil fine amount: 600
Resident census: 35
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter |
| Cory Cisneros | Field Manager | Contact person for plan of correction and inquiries |
Notice
Deficiencies: 0
Nov 13, 2024
Visit Reason
The letter confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility administrator to dispute a Statement of Deficiencies dated September 25, 2024, and a Civil Fine dated October 8, 2024.
Findings
The document does not contain inspection findings but relates to the dispute process for cited deficiencies and fines.
Report Facts
License number: 2609
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bryce Bower | Administrator | Facility representative participating in the IDR process |
| Sam Bowers | Operations Support Specialist | Facility representative participating in the IDR process |
| Laci Traulsen | IDR Program, Residential Care Services | Author of the scheduling letter |
| Matt Hauser | Compliance Specialist | Mentioned in cc list |
Inspection Report
Enforcement
Deficiencies: 0
Sep 25, 2024
Visit Reason
This document is the result of an Informal Dispute Resolution (IDR) process regarding a previously issued Statement of Deficiencies (SOD) report dated September 25, 2024, related to Centralia Point Assisted Living and Memory Care.
Findings
After review of all materials, oral statements, and records, the decision was made to uphold the original Statement of Deficiencies and enforcement actions without changes.
Report Facts
Correction timeframe: 45
Statement of Deficiencies report date: Report dated September 25, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staci Dilg | IDR Program Manager | Author of the IDR results letter |
| Cory Cisneros | Field Manager | Contact for mailing Plan/Attestation Statement |
Inspection Report
Enforcement
Deficiencies: 7
Sep 25, 2024
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Centralia Point Assisted Living and Memory Care to assess compliance and impose civil fines based on unresolved deficiencies.
Findings
The facility was cited for multiple uncorrected deficiencies including failure to address a resident grievance, incomplete respirator mask fit testing for staff, breaches in confidentiality of resident records, improper medication storage, failure to notify physicians of medication refusal, medication nonavailability, and outdated negotiated service agreements. These deficiencies placed residents at risk for decreased quality of life, medical complications, and safety hazards.
Deficiencies (7)
| Description |
|---|
| Failure to address and resolve one resident grievance resulting in unresolved concerns and risk for decreased quality of life. |
| Failure to ensure respirator mask fit testing was completed for one staff member, placing residents, staff, and visitors at risk during an infectious disease outbreak. |
| Failure to ensure confidentiality of resident records for one unit, placing 33 residents at risk for exposure of confidential information. |
| Failure to store and lock medications securely in one resident’s room, placing 33 residents at risk of ingestion or misuse. |
| Failure to notify physician when one resident refused medication, risking medical complications. |
| Failure to ensure medications were available for three residents per physician orders, risking medical complications and decreased quality of life. |
| Failure to update the resident service plan agreement with accurate information for one resident, risking unmet care needs. |
Report Facts
Civil fine amount: 400
Civil fine amount: 600
Civil fine amount: 300
Civil fine amount: 300
Civil fine amount: 300
Civil fine amount: 500
Civil fine amount: 300
Total civil fines: 2700
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cory Cisneros | Field Manager | Contact person for submission of plan of correction and inquiries |
| Matt Hauser | Compliance Specialist | Signed the enforcement letter |
Inspection Report
Follow-Up
Census: 50
Deficiencies: 5
Sep 4, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to food sanitation and safety.
Findings
The follow-up inspection on 09/04/2024 found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previous deficiencies related to food sanitation were corrected.
Deficiencies (5)
| Description |
|---|
| Failed to implement safe food handling, labeling, storing practices, proper logs, and proper hand hygiene in 1 of 1 kitchen reviewed, placing 50 residents at risk for food-borne illnesses. |
| Failed to properly store and label food for 1 of 1 kitchen reviewed, placing 40 residents at risk for food-borne illnesses. |
| Failed to properly store and label food, including expired and unlabeled items found in kitchen and pantry. |
| Failed to maintain dishwasher temperature logs and refrigerator/freezer temperature logs consistently. |
| Failed to ensure staff performed proper hand hygiene when handling food and delivering meals. |
Report Facts
Residents at risk: 50
Residents at risk: 40
Resident census: 50
Resident census: 40
Resident sample size: 7
Resident sample size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anissa Bearden | Licensor | Department staff who did the on-site verification for follow-up inspection. |
| Emily Boniface | Community Program Nurse Licensor | Department staff who did the on-site verification for follow-up inspection. |
| Celeste Vashey | ALF LTC Licensor | Department staff that inspected the Assisted Living Facility during off-site verification. |
| Maria Salas | ALF Complaint Investigator | Department staff that investigated the complaint. |
| Bryce Bower | Administrator | Named in plan of correction and attestation statements regarding food service deficiencies. |
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 1
Sep 4, 2024
Visit Reason
The inspection was conducted as a complaint investigation following a report of a resident being found outside of the community for an undetermined amount of time.
Findings
The facility failed to complete an ongoing assessment to identify a change in condition when a resident exhibited cognitive changes, resulting in a failed practice citation.
Complaint Details
Report of resident being found outside of the community for an undetermined amount of time. The complaint was substantiated with a failed provider practice identified and citation written.
Deficiencies (1)
| Description |
|---|
| Facility failed to complete ongoing assessments focused on residents' identified problems and changes in condition, specifically for one resident exhibiting cognitive changes. |
Report Facts
Total residents: 46
Resident sample size: 2
Closed records sample size: 1
Compliance Determination Completion Date: 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Horlick | NCI RN Complaint Investigator | Investigator who conducted the complaint investigation |
| Anissa Bearden | Licensor | Department staff who did the on-site verification and investigation |
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 1
Aug 2, 2024
Visit Reason
The investigation was conducted due to a complaint regarding infection control, specifically a facility report of a COVID-19 outbreak in the community.
Findings
The facility failed to notify the local health jurisdiction about the COVID-19 outbreak, which placed residents and staff at risk. A failed provider practice was identified and citations were written.
Complaint Details
Infection Control: Facility report of a COVID-19 outbreak in the community. Failed provider practice identified with citation(s) written.
Deficiencies (1)
| Description |
|---|
| Facility failed to report an infectious disease outbreak to the Local Health Jurisdiction (LHJ), placing 50 residents and all staff at risk during a COVID-19 outbreak. |
Report Facts
Total residents: 50
Resident sample size: 3
Positive COVID-19 residents: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Horlick | NCI RN Complaint Investigator | Investigator who conducted the complaint investigation |
| Anissa Bearden | Licensor | Department staff who did the On Site verification |
| Celeste Vashey | ALF LTC Licensor | Department staff who did the On Site verification |
Inspection Report
Enforcement
Census: 50
Deficiencies: 1
Jun 26, 2024
Visit Reason
The Department of Social and Health Services conducted a Full and Complaint Investigation at Centralia Point Assisted Living and Memory Care on June 26, 2024, resulting in a civil fine due to violations.
Findings
The facility failed to maintain fire safety per state fire marshal regulations and did not ensure fit testing was completed as required by Washington state regulations. These failures placed 50 residents, staff, and visitors at risk of fire and infectious disease spread. This was a recurring citation from April 28, 2023.
Complaint Details
The visit was complaint-related and resulted in substantiated violations leading to a civil fine.
Deficiencies (1)
| Description |
|---|
| Failure to maintain fire safety per state fire marshal regulations and failure to ensure fit testing was completed per Washington state regulations. |
Report Facts
Civil fine amount: 400
Resident count: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter. |
| Cory Cisneros | Field Manager | Contact person for plan of correction and appeals. |
Inspection Report
Follow-Up
Census: 50
Deficiencies: 1
Jun 26, 2024
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Centralia Point Assisted Living and Memory Care to verify correction of previously cited deficiencies.
Findings
The facility failed to implement safe food handling, labeling, storing practices, proper logs, and proper hand hygiene in one kitchen, placing all 50 residents at risk for food-borne illnesses. This deficiency was uncorrected from a prior citation on May 8, 2024, resulting in a civil fine.
Deficiencies (1)
| Description |
|---|
| Failure to implement safe food handling, labeling, storing practices, proper logs, and proper hand hygiene in one kitchen. |
Report Facts
Civil fine amount: 400
Resident census: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cory Cisneros | Field Manager | Contact person for plan of correction and appeals |
| Matt Hauser | Compliance Specialist | Signed the imposition of civil fine letter |
Inspection Report
Re-Inspection
Deficiencies: 16
Apr 23, 2024
Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previously identified fire safety violations.
Findings
The facility failed to provide required reports including annual fire door inspection, annual forward flow, quarterly fire sprinkler inspection, monthly carbon monoxide testing, and emergency light testing records. Multiple fire safety deficiencies remain uncorrected, including missing fire sprinkler trim rings, missing FDC signage, doors failing to close properly, and missing fire damper inspection reports.
Deficiencies (16)
| Description |
|---|
| Facility failed to provide annual fire door inspection report |
| Facility failed to provide annual forward flow report |
| Fire alarm is tagged yellow and has deficiencies to correct |
| Hood suppression system for kitchen missing heat survey |
| Facility failed to provide monthly carbon monoxide testing |
| Facility failed to provide emergency light testing records |
| Magnetic hold open device missing cover on cross corridor door by room 205 |
| Room 106 door fails to close properly |
| Maintenance shop door fails to close properly |
| Exit door by room 215 fails to close properly |
| Facility failed to provide 4 year fire damper inspection report |
| Fire sprinkler trim rings missing in room 102 and in hallway by room 2 |
| FDC signage is missing |
| Room 15 painted sprinkler head |
| Kitchen fridge sprinkler head dirty |
| Laundry room by room 223 |
Report Facts
Next inspection scheduled date: May 23, 2024
Next inspection scheduled date: Mar 9, 2024
Next inspection scheduled date: Feb 2, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas Wolden | Deputy State Fire Marshal | Named as Deputy State Fire Marshal conducting the inspection and signing the report |
Inspection Report
Complaint Investigation
Census: 21
Deficiencies: 4
Apr 21, 2023
Visit Reason
The inspection was conducted as a complaint investigation due to the facility being out of compliance with state fire marshal violations for 3 months.
Findings
The facility was found out of compliance with Washington state fire marshal regulations from 12/12/2022 to 03/16/2023, with numerous violations including failure to provide required fire safety documents and repairs. Staff turnover and owner failure to follow up contributed to the delay in compliance.
Complaint Details
The complaint alleged the facility was out of compliance with state fire marshal violations for 3 months. The investigation confirmed multiple violations and cited failed provider practice with citations written.
Deficiencies (4)
| Description |
|---|
| Facility failed to stay in compliance with Washington State Patrol Fire Protection Bureau requirements, placing 21 residents and 22 staff at risk in the event of a fire. |
| Numerous fire safety violations including failure of hood system venting, fire rated construction repairs, self-closing doors, and missing fire safety documents and tests. |
| Failure to provide annual fire sprinkler report, internal pipe testing, dry system testing, forward flow testing, backflow testing, quarterly fire sprinkler inspections, semi-annual hood system inspection, sensitivity testing, hydro test, emergency light testing, and fire drills. |
| Door locks to rooms 8 and 6 were missing or broken. |
Report Facts
Total residents: 21
Staff at risk: 22
Duration of non-compliance: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anissa Bearden | Licensor | Investigator who conducted the on-site verification and complaint investigation |
| Cory Cisneros | Field Manager | Signed the follow-up inspection letter and statement of deficiencies |
| Staff A | Administrator | Interviewed regarding fire marshal violations and facility compliance |
| Staff B | Former Maintenance Director | Mentioned in interview regarding employment ending and facility maintenance issues |
| Collateral Contact 1 | Owner of the facility | Interviewed regarding ownership and awareness of fire marshal inspection requirements |
Inspection Report
Re-Inspection
Deficiencies: 12
Mar 16, 2023
Visit Reason
The Office of the State Fire Marshal conducted inspections and re-inspections at the facility to verify compliance with fire safety codes and correction of previous violations.
Findings
The facility had multiple violations related to fire safety including failure to provide required inspection and maintenance documentation, missing or broken door locks, failure to maintain fire-rated construction, and deficiencies in smoke detector sensitivity, fire department connections, emergency lighting, and fire drills. Some violations were corrected by the time of the latest inspection, but others remained outstanding.
Deficiencies (12)
| Description |
|---|
| Facility failed to provide 5 year FDC hydro test documentation |
| Door locks are missing or broken on resident rooms 8 and 6 |
| Smoke detector sensitivity testing device failed and needs correction |
| Fire rated construction had multiple holes in corridor needing repair |
| Certain doors failed to self-close and latch (Floor 2 laundry room door, Care office by room 4) |
| Facility failed to provide annual fire sprinkler report and related testing documentation |
| Facility failed to provide semi-annual hood system inspection test by ICC certified inspector |
| Hood system failed to vent properly in kitchen; fuel burning kitchen appliance shall not be used until repaired |
| Facility failed to provide monthly carbon monoxide detector testing documentation |
| Facility failed to provide monthly emergency lighting testing |
| Facility failed to provide annual emergency lighting testing |
| Facility failed to provide any fire drills documentation |
Report Facts
Next inspection scheduled: Feb 28, 2024
Next inspection scheduled: Mar 31, 2023
Next inspection scheduled: Mar 1, 2023
CRS Number: 61237217
Fire drills required: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas Wolden | Deputy State Fire Marshal | Conducted inspections and signed inspection reports |
| Bryce Bower | Executive Director | Facility representative signing inspection documents |
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