Deficiencies (last 3 years)
Deficiencies (over 3 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
21% better than Washington average
Washington average: 6.3 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
50 residents
Based on a October 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 1
Date: Oct 9, 2024
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation related to infection control concerns at Channel Point Village Assisted Living Facility.
Complaint Details
The complaint involved infection control where residents were diagnosed with a contagious condition. The investigation substantiated a failure in infection control practices related to PPE removal.
Findings
The facility failed to ensure staff members removed Personal Protection Equipment (PPE) prior to exiting residents' rooms, which placed residents and staff at risk for spreading infection. Additional residents reviewed showed no other care, service, or safety concerns.
Deficiencies (1)
Failure to ensure staff members removed Personal Protection Equipment (PPE) prior to exiting residents' rooms to prevent infection spread.
Report Facts
Total residents: 50
Resident sample size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Phan Pham | Nurse Surveyor | Department staff who conducted the on-site investigation. |
| Staff B | Medication Tech | Interviewed staff who wore full PPE and described infection control training. |
| Staff C | Caregiver | Observed removing PPE improperly and interviewed regarding resident COVID-19 status. |
| Staff A | Director of Wellness | Interviewed regarding staff training on infection control and PPE procedures. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jun 13, 2024
Visit Reason
This document communicates the results of an Informal Dispute Resolution (IDR) process regarding disputed deficiencies identified in a Statement of Deficiencies (SOD) report dated 2024-02-08 for an Assisted Living Facility.
Findings
After review of all materials, oral statements, and records, the decision was made not to change the original SOD report dated 2024-02-08. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 calendar days.
Report Facts
Days to complete corrections: 45
Date of original SOD report: Feb 8, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Scotti Bower | IDR Program Manager | Signed the IDR results letter. |
| Cory Cisneros | Field Manager | Contact person for mailing the Plan/Attestation Statement. |
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 1
Date: Jan 17, 2024
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation triggered by allegations of staff yelling at residents, threatening increased cost of care, and missing narcotics records.
Complaint Details
Complaint allegations included staff yelling and threatening residents and missing narcotics records. The claim of staff yelling and threatening was unsubstantiated. The missing narcotics pages were investigated and accounted for, with no failed practice identified. One staff member lacked required reference checks, constituting a failed practice.
Findings
The investigation was unable to substantiate claims of staff yelling or threatening residents. However, one staff member failed to have three positive reference checks completed, which was identified as a failed practice. The missing narcotics pages were not found, but no failed practice was identified regarding narcotics handling.
Deficiencies (1)
Failed to complete reference checks for one staff member, placing all 46 residents at risk of receiving care from potentially unqualified staff.
Report Facts
Total residents: 46
Resident sample size: 4
Closed records sample size: 0
Staff involved in narcotics count: 6
Staff missing reference checks: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Horlick | NCI RN Complaint Investigator | Conducted the on-site verification and investigation |
| Staff B | Licensed Practical Nurse | Staff member who failed to have three positive reference checks completed |
| Staff A | Executive Director | Interviewed regarding reference checks and hiring practices |
Inspection Report
Follow-Up
Census: 26
Deficiencies: 1
Date: May 5, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to compliance determinations 23560 and 20237.
Complaint Details
Complaint investigation conducted on 2023-02-15 regarding quality of care where a named resident was given wrong medications. The investigation found a failed provider practice and citation was written.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. The prior medication administration deficiency was corrected.
Deficiencies (1)
Failed to ensure a staff member followed the facility's medication administration policy, resulting in a medication error for one resident.
Report Facts
Total residents: 26
Resident sample size: 3
Medication dosages: 80
Medication dosages: 10
Medication dosages: 40
Medication dosages: 2
Medication dosages: 20
Medication dosages: 1000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Phan Pham | Nurse Surveyor | Conducted the follow-up inspection and complaint investigation |
| Cory Cisneros | Field Manager | Signed enforcement and follow-up letters |
| Staff B | Medication Technician involved in medication error | |
| Staff A | Resident Care Coordinator | Provided information on medication technician training and procedures |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 22, 2023
Visit Reason
A complaint investigation was conducted regarding a fire in a microwave at Channel Point Village.
Complaint Details
Complaint #74612 involved a fire in a microwave. The investigation found no sprinkler activation, no evacuation, no injuries, and fire department response confirmed.
Findings
Interviews with two nurses and an inspection of the room were conducted. The microwave was removed, the resident involved is currently at the hospital for assessment, the fire alarm was in normal status, sprinklers were not activated, there was no evacuation, no injuries, and the fire department responded.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Raul Murcia | Deputy State Fire Marshal | Signed the complaint investigation report. |
Inspection Report
Follow-Up
Census: 58
Deficiencies: 2
Date: Mar 6, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 03/06/2023 to verify correction of previous deficiencies.
Complaint Details
The complaint investigation was related to resident rights, financial exploitation, transfer and discharges, and quality of care. The facility failed to include resident representatives in assessments and failed to ensure staff availability to open doors, placing residents at risk. Citations were written for these deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to resident participation in assessments and safety were corrected.
Deficiencies (2)
Facility failed to ensure staff members include the resident and/or the residents’ representative in an ongoing assessment.
Facility failed to ensure staff were available to open the door and a resident was not being locked out of the assisted living facility.
Report Facts
Total residents: 58
Resident sample size: 5
Closed records sample size: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Phan Pham | Nurse Surveyor | Department staff who did the on-site verification and investigation |
| Staff B | Director of Nursing | Completed resident assessments and interviewed regarding resident participation |
| Staff A | Executive Director | Interviewed regarding resident assessments and staff availability |
Notice
Deficiencies: 0
Date: Dec 6, 2022
Visit Reason
The letter confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility administrator to dispute citations from a Statement of Deficiencies dated December 6, 2022.
Findings
The document does not contain inspection findings but serves to schedule the IDR meeting and identify the citations being disputed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jen Pretty | Vice President of Operations | Named as participant representing the facility in the IDR process. |
| Brandon Mullins | Executive Director | Named as participant representing the facility in the IDR process. |
Inspection Report
Life Safety
Deficiencies: 10
Date: Oct 31, 2022
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the facility to evaluate compliance with fire safety codes and regulations.
Findings
The facility was found to have multiple deficiencies related to fire safety documentation and maintenance, including failure to provide annual fire wall inspection reports, sprinkler system documentation, certification for fire-extinguishing equipment personnel, and testing and maintenance records for fire alarm and emergency lighting systems.
Deficiencies (10)
Facility failed to provide documentation showing annual fire wall inspection.
Facility failed to provide documentation for the automatic sprinkler system including annual inspection report, 3-year dry system full flow trip, and quarterly inspection reports.
Facility failed to maintain wrench for sprinkler heads in fire riser room.
Facility failed to provide documentation showing technician for kitchen suppression system holds ICC/NAFED certification.
Facility failed to provide documentation showing first and second semi-annual servicing for the kitchen suppression system.
Facility failed to provide documentation showing technician for fire alarm system holds NICET II or ESA/NTS certification.
Facility failed to provide documentation for the automatic fire alarm system including annual inspection report and monthly testing of single and/or multiple station smoke alarms.
Facility failed to provide documentation showing nuisance log for smoke alarms.
Facility failed to provide documentation showing annual 90 minute power test for exits and emergency lighting.
Facility failed to provide documentation showing fire door annual inspection.
Report Facts
Provider Number: 2621
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Mullins | Executive Director | Named as Owner or Authorized Representative signing the inspection report |
| Raul Murcia | Deputy State Fire Marshal | Conducted the inspection and signed the report |
Notice
Deficiencies: 0
Date: Channel Point Village 2621 35265 02 08 24 Sched Ltr 0324
Visit Reason
This letter confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility to dispute a Statement of Deficiencies dated March 8, 2024.
Findings
The document does not contain inspection findings but focuses on scheduling the IDR meeting and identifying the citation being disputed.
Report Facts
Citation code: WAC 388-78A 2450 cited in the dispute
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jen Pretty | VP of Operations | Participant representing the facility in the IDR process |
| Brandon Mullins | Executive Director | Participant representing the facility in the IDR process |
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