Inspection Reports for
Ciel of Wenatchee

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 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.

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

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.

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 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 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 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 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.

The complaint investigation included grievances about missing money, abuse allegations involving physical and verbal abuse by staff, failure to follow up on bed hold notices and Ombudsman notifications, inaccurate PASARR screening, incomplete baseline care plans, improper PICC line care, wound care order noncompliance, vaccine storage monitoring failures, inadequate hospice coordination, failure to offer pneumococcal vaccine, and accident prevention failures including a resident burn and fall risks.

The facility failed to promptly resolve resident grievances, report and investigate abuse allegations timely, conduct thorough fall investigations, complete baseline care plans, follow wound care orders, monitor vaccine storage temperatures correctly, coordinate hospice care effectively, and offer pneumococcal vaccines properly. Additionally, improper handling of a resident's PICC line and a resident burn from hot soup were noted.

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 facility failed to ensure the resident environment was free from accident hazards due to the placement of a 1500-[NAME] oil filled indoor electric space heater in one resident room. Staff did not follow the correct process for heating issues, and the Administrator was not notified prior to placing the heater.

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 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 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.

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 facility had multiple deficiencies including failure to complete appropriate medication self-administration assessments, inadequate resident accommodations, incomplete advanced directives documentation, failure to issue required beneficiary notices, unsafe and non-homelike environment conditions, unresolved resident grievances, incomplete abuse policy implementation, failure to provide bed hold notices, inaccurate PASARR screening, incomplete interdisciplinary care conferences, inadequate assistance with meals, failure to follow physician orders for bowel and pain management, lack of restorative therapy services, improper enteral feeding administration, incomplete dialysis care documentation, failure to provide trauma-informed care, medication administration errors, inadequate snack provision at bedtime, and improper dumpster lid management.

The facility failed to verify licensure for one staff member and did not provide required annual abuse and neglect training for five staff members. This failure placed residents at risk for unrecognized abuse and unmet care needs.

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 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 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.

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 facility was found deficient in maintaining resident dignity during meals, addressing resident council grievances, timely reporting and investigating abuse allegations, ensuring accurate PASARR screening, and preventing pressure ulcers in at-risk residents. Several residents experienced risks due to inadequate care and oversight.

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.