Inspection Reports for Chehalis West Assisted Living Center
478 NW Quincy Pl, Chehalis, WA 98532, WA
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8
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Inspection Report
Re-Inspection
Deficiencies: 6
Mar 20, 2025
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 failed to provide an annual fire door inspection that included the inspection of fire door gaps and had a fire sprinkler system missing the partial trip test. Additional violations included fire sprinkler trim ring issues, blocked fire extinguisher access, failure to post exit instructions in the memory care unit, and an alcohol-based hand rub dispenser found near an electrical outlet.
Deficiencies (6)
| Description |
|---|
| The facility failed to provide an annual fire door inspection that included the inspection of fire door gaps |
| Fire sprinkler system missing the partial trip test |
| Fire sprinkler trim ring adjar in room 5 |
| Fire extinguisher in laundry room found blocked by cart |
| The facility failed to provide Instructions for exiting that is posted within six feet of the door in the memory care unit |
| ABHR found over electrical outlet |
Report Facts
Next inspection scheduled date: Apr 19, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas D. Wolden | Deputy State Fire Marshal | Signed as Deputy State Fire Marshal on inspection reports |
| James Arndt | Maintenance | Named as Owner or Authorized Representative on last inspection report |
Inspection Report
Re-Inspection
Deficiencies: 2
Mar 20, 2025
Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at Chehalis West Retirement Center Inc to verify correction of previously cited fire safety violations.
Findings
The facility failed to provide an annual fire door inspection that included the inspection of fire door gaps and the fire sprinkler system was missing the partial trip test. These violations were noted again during the re-inspection.
Deficiencies (2)
| Description |
|---|
| The facility failed to provide an annual fire door inspection that included the inspection of fire door gaps. |
| Fire sprinkler system missing the partial trip test. |
Inspection Report
Re-Inspection
Deficiencies: 6
Jan 16, 2025
Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previous violations.
Findings
The inspection identified multiple fire safety violations including failure to provide an annual fire door inspection, missing partial trip test on the fire sprinkler system, blocked fire extinguisher access, lack of exit instructions in the memory care unit, and an alcohol-based hand rub dispenser found near an electrical outlet.
Deficiencies (6)
| Description |
|---|
| Facility failed to provide an annual fire door inspection that included the inspection of fire door gaps. |
| Fire sprinkler system missing the partial trip test. |
| Fire sprinkler trim ring adjacent in room 5. |
| Fire extinguisher in laundry room found blocked by cart. |
| Facility failed to provide instructions for exiting posted within six feet of the door in the memory care unit. |
| Alcohol-based hand rub dispenser found near electrical outlet. |
Report Facts
Next inspection scheduled date: Feb 15, 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 conducting the inspection |
| James Arndt | Maintenance | Signed as Owner or Authorized Representative |
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 1
Jan 16, 2024
Visit Reason
The investigation was conducted due to a complaint alleging a COVID outbreak at the facility.
Findings
The facility failed to maintain up-to-date N95 respirator fit testing for staff, placing residents, staff, and visitors at risk of contracting and spreading communicable diseases. Failed provider practice was identified and citations were written.
Complaint Details
Complaint investigation was based on a report of a COVID outbreak. The complaint number was 109312. The investigation concluded that failed provider practice was identified and citations were issued.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure up-to-date employee N95 respirator fit testing for 3 of 3 employees, placing all 56 residents, staff, and visitors at risk of communicable diseases. |
Report Facts
Total residents: 56
Resident sample size: 3
Employees without up-to-date fit testing: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Salas | ALF Complaint Investigator | Investigator who conducted the complaint investigation |
| Anissa Bearden | Licensor | Department staff who did the on-site verification |
| Staff C | Director of Nursing | Named in deficiency for not having up-to-date N95 fit testing |
| Staff A | Medication Technician | Named in deficiency for not having up-to-date N95 fit testing |
| Staff B | Medication Technician | Named in deficiency for not having up-to-date N95 fit testing |
| Staff D | Executive Director | Interviewed regarding staff fit testing compliance |
Inspection Report
Life Safety
Deficiencies: 0
Jan 3, 2024
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility.
Findings
No violations were observed during this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas D. Wolden | Deputy State Fire Marshal | Conducted the inspection and signed the report. |
Inspection Report
Follow-Up
Deficiencies: 5
Jan 4, 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 and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to nursing delegation, assessments, service agreements, and reporting significant changes were corrected.
Deficiencies (5)
| Description |
|---|
| Failure to ensure registered nurse delegated nursing tasks properly and supervised staff administering insulin injections. |
| Failure to complete 14-day assessments following admission for residents. |
| Failure to complete negotiated service agreements within 30 days following admission. |
| Failure to notify physician of significant changes in residents' conditions. |
| Failure to update negotiated service agreements to reflect current resident needs and risks. |
Report Facts
Residents reviewed: 10
Deficiency correction completion date: 2023
Inspection dates: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anissa Bearden | Licensor | Department staff who conducted inspections and on-site verifications. |
| Celeste Vashey | ALF LTC Licensor | Department staff who conducted inspections and on-site verifications. |
| Cory Cisneros | Field Manager | Field Manager who signed letters and communicated inspection results. |
| Staff B | Director of Nursing Services | Named in findings related to nursing delegation and supervision failures. |
| Staff A | Executive Director | Participated in meetings regarding preliminary findings and documentation. |
Inspection Report
Life Safety
Deficiencies: 7
Dec 8, 2022
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility to assess compliance with fire protection and safety codes, including annual fire-rated construction inspection and fire drills.
Findings
The facility was found to have multiple violations including failure to provide annual fire-rated construction inspection, stairwell window not rated, fire doors with excessive material, staff lounge door not self-closing or properly rated, failure to provide annual forward flow testing, failure to provide sensitivity testing of the fire alarm system, and failure to use audible alarms during fire drills.
Deficiencies (7)
| Description |
|---|
| Facility failed to provide annual fire rated construction inspection |
| Stairwell window failed to be rated construction |
| Multi resident residents fire doors found to have greater than 5% material on door |
| Staff lounge door fails to be self closing and have properly rated glass |
| Facility failed to provide annual forward flow |
| Facility failed to provide sensitivity testing of the fire alarm system |
| Facility failed to use audible alarm during fire drills |
Report Facts
Material on fire doors: 5
Next inspection scheduled: Jan 7, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas Wolden | Deputy State Fire Marshal | Conducted the inspection and signed the report |
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