Inspection Reports for Cogir at the Quarry
415 SE 177th Ave, Vancouver, WA 98683, United States, WA, 98683
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Inspection Report
Life Safety
Deficiencies: 9
May 1, 2025
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the facility to assess compliance with fire safety codes and regulations.
Findings
The facility was found to have multiple fire safety violations including failure to provide annual inspections of fire resistance rated construction and fire doors, deficiencies in fire sprinkler system documentation and maintenance, improper securing of compressed gas cylinders, failure to provide monthly carbon monoxide detector testing, and issues with portable fire extinguishers and emergency lighting. Several fire doors were out of compliance and combustible items were found in excess of allowed limits.
Deficiencies (9)
| Description |
|---|
| Portable electric space heaters not plugged directly into approved receptacles |
| Failure to provide annual inspection of fire resistance rated construction |
| Failure to provide annual fire rated door inspection report meeting NFPA 80 standards; fire doors out of compliance |
| Failure to provide required fire sprinkler system inspection reports and documentation |
| Failure to provide monthly carbon monoxide detector testing |
| Compressed gas cylinders in kitchen not properly secured |
| Fire extinguisher in kitchen office not properly hung |
| Exit signs not properly illuminated or maintained |
| Emergency lighting testing not completed as required |
Report Facts
Date of fire sprinkler inspection report with deficiencies: Mar 15, 2024
Percentage of combustible items allowed on fire doors: 5
Duration for emergency lighting test: 90
Frequency of fire drills: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Howard Dunkley | Owner or Authorized Representative | Signed the inspection report |
| Nicholas D. Wolden | Deputy State Fire Marshal | Conducted the inspection and signed the report |
Inspection Report
Complaint Investigation
Census: 166
Deficiencies: 2
Apr 26, 2024
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding allegations that the facility failed to provide resident records to a surviving family member within two working days and changed a resident's service plan without the resident's involvement or consent.
Findings
The facility failed to release the records of one resident to the surviving family within two working days, taking 15 days instead, causing emotional trauma. Additionally, the facility changed a resident's service plan without the resident's involvement or consent. Both were identified as failed provider practices with citations written.
Complaint Details
The complaint investigation was substantiated with findings that the facility failed to provide resident records timely and changed a resident's service plan without consent. Both were deemed failed provider practices with citations issued.
Deficiencies (2)
| Description |
|---|
| Facility failed to provide resident records to surviving family within two working days, taking 15 days to fully release records. |
| Facility changed a service plan for a resident without the resident’s involvement or consent. |
Report Facts
Total residents: 166
Resident sample size: 3
Closed records sample size: 1
Days to release records: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason Rose | Investigator | Department staff who conducted the investigation and off-site verification |
| Michael Burdick | Field Manager | Field Manager who signed the letters and correspondence related to the investigation |
Inspection Report
Follow-Up
Census: 174
Deficiencies: 12
Mar 8, 2024
Visit Reason
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 medication storage, resident records confidentiality, water temperature, background checks, training, assessments, and service agreements were corrected.
Deficiencies (12)
| Description |
|---|
| Failed to ensure medications for 31 of 31 residents in medication cart seven were locked and accessible only to designated responsible staff. |
| Failed to maintain resident records and preserve confidentiality for 1 of 1 resident (Resident 20). |
| Failed to ensure hot water temperature for sink used by residents in memory care unit was between 105°F and 120°F. |
| Failed to ensure Washington State name and date of birth background check was completed prior to employment or was current for 4 of 5 sampled staff. |
| Failed to complete a national fingerprint background check for 1 of 5 sampled staff (Staff A). |
| Failed to complete tuberculosis two-step skin testing for 1 of 3 sampled staff (Staff A). |
| Failed to ensure required long-term care worker training for 3 of 5 sampled staff (Staff A, B, and C). |
| Failed to maintain complete negotiated service agreements for 4 of 19 residents, missing specific resident identified care and service needs. |
| Failed to complete preadmission assessments for 3 of 9 sampled residents prior to admission. |
| Failed to complete full assessments within 14 days of move-in date for 5 of 9 sampled residents. |
| Failed to complete 14-day assessments within 14 days of admission for 6 of 9 sampled residents. |
| Failed to complete initial resident service plan and negotiated service agreement within required timeframes for multiple residents. |
Report Facts
Residents sampled: 19
Residents in facility: 174
Residents with medication cart deficiency: 31
Staff sampled for background checks and training: 5
Residents with incomplete negotiated service agreements: 5
Residents with incomplete preadmission assessments: 3
Residents with incomplete full assessments: 5
Residents with incomplete 14-day assessments: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Siharath | ALF Licensor | Department staff who did the on-site verification. |
| Michael Burdick | Field Manager | Signed the follow-up inspection letter. |
| Staff A | Executive Director | Named in findings related to medication cart, background checks, fingerprint check, TB testing, training, assessments, and service agreements. |
| Staff B | Director of Nursing Services | Named in findings related to medication cart, background checks, training, and reporting incidents. |
| Staff C | Resident Care Associate | Named in findings related to resident records confidentiality and training. |
| Staff D | Medication Care Tech | Named in findings related to background checks. |
| Staff E | Medication Care Tech | Named in findings related to background checks. |
| Staff F | Resident Care Associate | Reported broken medication cart. |
| Staff G | Resident Care Associate | Reported incident of open computer with protected health information. |
Inspection Report
Complaint Investigation
Census: 175
Deficiencies: 1
Oct 2, 2023
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility due to complaint number 97443, related to an unexpected resident death and ventilation issues.
Findings
The investigation found that the facility did not meet Assisted Living Facility requirements due to a missing window screen which contributed to a resident falling out of a window. The death was accidental and unexpected. No failed provider practice or citation was identified.
Complaint Details
Complaint involved an unexpected resident death. The death was accidental and unexpected but not likely anticipated. The investigation included review of resident care, staff interactions, and records related to the incident.
Deficiencies (1)
| Description |
|---|
| Ventilation requirement not met: missing intact sixteen mesh screen on operable bedroom window. |
Report Facts
Total residents: 175
Resident sample size: 4
Closed records sample size: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason Rose | Investigator | Department staff who conducted the inspection and provided consultation |
| Michael Burdick | Field Manager | Signed letter regarding the complaint investigation |
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