Inspection Reports for Ciel of Wenatchee

The document confirms the facility's request for a Document Review Informal Dispute Resolution (IDR) to review the Statement of Deficiencies dated August 7, 2025, and the Civil Fine letter dated August 20, 2025, with no meeting scheduled.

Not applicable as this is a scheduling letter for a document review related to disputed citations and civil fines.

The inspection was a follow-up to a complaint investigation regarding coordination of care with hospice services and related deficiencies at Ciel Senior Living of Wenatchee.

The investigation found that the facility failed to coordinate care with hospice services for three residents, resulting in a risk of unmet care and a pressure injury for one resident. The follow-up inspection found that these deficiencies were corrected.

The complaint alleged that a resident admitted on hospice did not receive expected services, that facility staff and hospice failed to communicate with the resident's family about the resident's decline, and that the resident only received three showers in a month. The investigation substantiated failure to coordinate care with hospice and lack of hospice documentation in facility records, but found no failed practice regarding the number of showers or communication with family about decline.

The Department of Social and Health Services completed a Complaint Investigation at the assisted living facility due to allegations of resident rights violations.

The licensee failed to prevent involuntary confinement and mental abuse of one resident, resulting in the resident being confined to their bed for 13 days and experiencing mental anguish. This violation led to the imposition of a civil fine.

Complaint investigation completed on August 7, 2025, substantiated by the finding of involuntary confinement and mental abuse of one resident.

The document is a result of an Informal Dispute Resolution (IDR) process requested by the facility for a desk review of the Statement of Deficiencies (SOD) dated August 7, 2025.

After review, the decision was made not to change the Statement of Deficiencies or the related enforcement letter dated August 20, 2025. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 calendar days.

The inspection was conducted as an unannounced on-site complaint investigation based on allegations that one resident received another resident's medication and that a named resident did not receive pain medication for 8 hours.

The investigation found that the facility staff failed to pass medications safely as prescribed, resulting in medication errors, specifically a double dosage given to one resident. However, no failed practice was identified regarding pain medication administration. A citation was written for the medication administration deficiency.

The complaint alleged that one resident received another resident's medication and that a named resident did not receive pain medication for 8 hours. The investigation substantiated the medication error but found no failed practice related to pain medication administration.

The Department completed a follow-up inspection of the Assisted Living Facility on 07/11/2025 to verify correction of previous deficiencies.

The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies were corrected, including signing negotiated service agreements, nonavailability of medications, investigations, training and home care aide certification, tuberculosis testing, and maintenance and housekeeping.

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to compliance determinations 59371 and 52818.

The follow-up inspection found no deficiencies, indicating that the previously cited deficiencies related to policies and procedures for identifying, reporting, and investigating abuse were corrected.

The complaint investigation was triggered by an allegation that a named resident had an injury of unknown source. The investigation found that staff failed to follow the facility's policy for identifying, reporting, and investigating resident-to-resident incidents and suspicious injuries, resulting in delayed reporting and investigation. The complaint was substantiated with a failed provider practice identified and citation written.

The Department of Social and Health Services completed a follow-up visit to the assisted living facility to verify correction of previously cited deficiencies and to impose civil fines based on uncorrected violations.

The facility was found to have multiple uncorrected deficiencies related to signed negotiated service agreements, medication availability, incident investigations, staff training and certification, tuberculosis testing, and maintenance of exterior grounds. These deficiencies placed residents at risk and resulted in civil fines totaling $2,300.

This document is the result of an Informal Dispute Resolution (IDR) process regarding disputed deficiencies identified in a Statement of Deficiencies (SOD) report dated 2025-03-12 for an Assisted Living Facility.

After review and consideration of all materials, oral statements, and records, the decision was made to not change the original SOD report dated 2025-03-12. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 calendar days.

The Office of the State Fire Marshal conducted a fire safety inspection at the Columbia Landing of Wenatchee facility on 1/4/2025.

Violations were observed related to clearance from ignition sources, abatement of electrical hazards, owner's responsibility for fire-resistant construction, and smoke detector sensitivity documentation. All violations noted were corrected except for the failure to provide documentation of smoke detector sensitivity testing within the last five years.

The complaint investigation was conducted due to allegations including resident to resident altercations, delay in treatment, and failure to complete thorough investigations and assessments following incidents.

The facility failed to conduct thorough investigations of incidents, did not update care plans or assessments after changes in resident conditions, delayed treatment for infections, and failed to implement interventions to prevent further incidents. Multiple failed provider practices were identified and citations were written.

The complaint investigation involved multiple allegations: resident to resident altercations including physical abuse resulting in hospitalization, delay in treatment for a resident's infected wound, and failure to conduct thorough investigations and assessments. The investigation found failed provider practices and citations were issued.

The inspection was conducted as a complaint investigation regarding resident to resident altercations at the assisted living facility.

Observations showed that staff were available and responsive to residents' needs and behaviors. Staff responded immediately to resident interactions and intervened. Resident care plans were reviewed and updated as needed. Some investigations identified failed provider practices with citations written, while others did not identify failures.

The complaint investigation was triggered by allegations of resident to resident altercations. The investigations included multiple complaint numbers (130446, 131704, 132318) and involved interviews, observations, and record reviews. Some investigations found failed provider practices with citations written, while others did not identify failures.

The inspection was conducted as a result of an off-site fire and life safety complaint investigation at Ciel Senior Living of Wenatchee on February 5, 2024.

The facility is actively working with a contractor on repairs and will remain in fire watch until the system is fully functional. There were no citations issued during this inspection.

Complaint Case #115134 regarding fire and life safety. The cause of the fire was not applicable, sprinklers were frozen, no evacuation occurred, no injuries, and no fire department response was required. The complaint was investigated and no citations were issued.

The investigation was conducted due to complaints about unreported Resident to Resident incidents and a resident being forced to move out due to their conversion to a certain payment method.

The investigation found that residents were clean and well-groomed with appropriate interactions. However, the facility failed to provide the policy on accepting a specific payment method to residents, resulting in citations for non-compliance with WAC 388-78A-2665 (2, 3, 4, 5, 6).

The complaint alleged unreported Resident to Resident incidents and that a resident was forced to move out due to their conversion to Medicaid. The complaint was substantiated with citations issued for failure to provide Medicaid payment acceptance policy to residents.

The inspection was conducted in response to complaints alleging resident neglect and that management was not taking COVID-19 seriously.

Observations showed residents were clean, well groomed, and their needs were met with appropriate staff interactions. However, the facility failed to notify the local health jurisdiction and the department about COVID-19 outbreaks involving one resident and one staff member, constituting a failed provider practice.

The complaint alleged residents had been neglected and that management was not taking COVID seriously. The investigation found no neglect but identified failure to report communicable disease outbreaks as a deficiency.

The inspection was conducted following a complaint regarding a fire alarm activation at Columbia Landing of Wenatchee.

A water flow alarm activated the fire alarm system due to a dry fire sprinkler supply line rupture in the courtyard patio canopy. Fire watch was initiated immediately and repairs were completed by January 11, 2023. The fire sprinkler system was confirmed fully functional on January 12, 2023.

Complaint #63344 involved a fire alarm activation caused by a ruptured dry fire sprinkler supply line. The fire department responded, and the facility maintained fire watch until repairs were completed and the system was fully functional.

The Office of the State Fire Marshal conducted an inspection at the facility to assess compliance with fire safety and life safety code requirements.

Multiple violations were observed related to storage of combustible materials, emergency drill documentation, equipment access, working space clearance, extension cord use, fire door operation, fire extinguisher access, fire alarm system functionality, and emergency lighting testing and documentation. Some violations were corrected during the inspection.

The letter confirms the facility's request for a Documentation Review Informal Dispute Resolution (IDR) regarding a Statement of Deficiencies dated March 12, 2025, specifically disputing citation WAC 388-78A-2600.

No inspection findings are reported in this letter; it only addresses the scheduling of a documentation review related to a disputed citation.