Inspection Reports for Cottages of Lacey

The notice was issued to impose conditions on the facility's license following a Statement of Deficiencies dated October 27, 2025, due to continued non-compliance with assisted living facility regulations.

The Department requires the facility to hire a Registered Nurse Consultant to assess and improve the medication ordering system, train staff, and provide weekly progress reports until compliance is demonstrated.

The Department of Social and Health Services conducted a complaint investigation at The Cottages at Lacey assisted living facility due to concerns about medication nonavailability and related resident care issues.

The investigation found that the licensee failed to ensure medications were obtained from the pharmacy after a physician ordered them, resulting in a resident not receiving treatment for an infection, which worsened and required hospitalization. This was a recurring deficiency previously cited.

The complaint investigation confirmed a recurring deficiency related to medication nonavailability, resulting in resident harm and hospitalization.

The Department of Social and Health Services completed a complaint investigation at The Cottages at Lacey assisted living facility on August 22, 2025, due to allegations related to resident rights violations.

The investigation found that staff failed to ensure care that maintained or enhanced a resident's dignity and respect by not allowing the resident free access to their own apartment, causing distress, anxiety, and decreased quality of life. This was a recurring deficiency previously cited in 2022.

Complaint investigation completed on August 22, 2025, substantiated by the finding of a resident rights violation involving restricted access to a resident's apartment causing distress and decreased quality of life.

The Department of Social and Health Services conducted a follow-up visit to The Cottages at Lacey to assess correction of previously cited deficiencies and to impose civil fines based on ongoing violations.

The facility failed to maintain hot water temperature within the required range and failed to ensure two staff were properly trained and verified to administer RN delegated tasks. These deficiencies were uncorrected and recurring from prior citations.

The inspection was conducted by the Office of the State Fire Marshal as a renewal licensing inspection for the Cottages at Lacey residential care facility.

The facility was disapproved due to multiple deficiencies including failure to provide documentation for the automatic sprinkler system, failure to test and provide reports for the kitchen suppression system, failure to provide annual inspection reports for fire alarm and smoke detector sensitivity, and failure to provide annual power tests and generator documentation.

The Department of Social and Health Services conducted a follow-up visit to The Cottages at Lacey to assess correction of previously cited deficiencies and to impose civil fines based on ongoing violations.

The facility was found to have multiple uncorrected and recurring deficiencies including failure to ensure proper handwashing and infection control, inadequate hot water temperature, unsecured hazardous supplies accessible to memory care residents, and lack of required nurse delegation training and documentation. These deficiencies placed residents and staff at risk for communicable diseases, skin burns, ingestion of toxic materials, and unmet medical care needs.

The Department of Social and Health Services conducted a Full and Complaint Investigation at The Cottages at Lacey assisted living facility, resulting in a civil fine due to infection control violations.

The facility failed to ensure staff washed their hands according to standards, lacked infection control supplies in two utility rooms, and did not maintain appropriate infection control in two laundry rooms for soiled linens. These failures placed 53 residents and 37 staff at risk of communicable diseases.

The visit was complaint-related and resulted in a civil fine for infection control violations.

The Department completed a follow-up inspection of the Assisted Living Facility on 07/03/2024 to verify correction of previously cited deficiencies.

The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies related to maintenance, housekeeping, and infection control were corrected.

Complaint investigation conducted for allegations including unclean bathrooms, lack of essential items, presence of feces, unlocked cabinets, lack of staff credentials, inappropriate food seasoning, and residents charged for unprovided supplies. The investigation found multiple failed practices related to cleanliness, infection control, and housekeeping.

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to licensing laws and regulations.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to reporting COVID-19 outbreaks were corrected.

The complaint investigation was triggered by a public report of a COVID-19 outbreak in the community. The facility failed to notify the Department of the outbreak, which placed residents, staff, and visitors at risk of infection. A failed provider practice was identified and citations were written.

The Department of Social and Health Services completed a follow-up visit to impose civil fines based on uncorrected deficiencies previously cited related to maintenance, housekeeping, and infection control.

The facility failed to provide a safe, sanitary, and well-maintained environment in two areas, placing 53 residents at risk. Additionally, necessary hand washing supplies were not available in two memory care laundry rooms, risking the spread of infectious disease to residents and staff.

The inspection was conducted as an unannounced on-site complaint investigation triggered by public reports alleging staff sleeping while on duty, leaving residents unmonitored, and not responding to call lights.

The investigation substantiated the allegations of neglect involving staff sleeping on duty and leaving residents unmonitored. The facility failed to notify the Department after becoming aware of the neglect allegation. Corrective actions were issued, and a recurring deficiency was noted from a previous citation.

The complaint involved a public report of staff sleeping while on duty, leaving residents unmonitored, and not answering call lights. The allegation was substantiated. The facility failed to notify the Department after becoming aware of the neglect allegation, which was a failed practice.

The document addresses the Informal Dispute Resolution (IDR) process initiated by the facility in response to the Statement of Deficiencies (SOD) report dated 2024-02-14.

After review of materials and statements from the facility and records from Residential Care Services staff, a violation cited in the original SOD was changed from WAC 388-78A-2610 (2) (f) to WAC 388-78A-2650 (3).

The Department of Social and Health Services conducted a complaint investigation at The Cottages at Lacey assisted living facility on January 18, 2024.

The licensee failed to provide necessary handwashing supplies in all three memory care buildings, placing all 50 residents, staff, and visitors at risk for the spread of infectious disease. This was a recurring deficiency previously cited in 2023.

The visit was complaint-related and resulted in a civil fine due to infection control violations. The deficiency was substantiated as recurring from previous citations.

The Office of the State Fire Marshal conducted an inspection at the facility on 12/20/2023 to assess compliance with fire safety and life safety code requirements.

The facility was found to have multiple deficiencies including failure to provide required documentation for sprinkler system testing and maintenance, extinguishing system service, smoke detector sensitivity tests, and emergency power system maintenance. The facility was disapproved due to these violations.

This document is the result of an Informal Dispute Resolution (IDR) process regarding disputed deficiencies identified in a Statement of Deficiencies (SOD) report dated August 9, 2023, for an assisted living facility.

After review of all materials, oral statements, and records, the decision was made not to change the original SOD report dated August 9, 2023. 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 in response to complaints alleging that a resident was kept longer than anticipated, staff were not present 24/7 to prevent falls, the resident had not seen a physician since admission, and the resident received very little food resulting in weight loss.

The investigation found that the resident was safe at the facility but the facility failed to assist the resident in coordinating a timely follow-up appointment with an external healthcare provider as required by the negotiated service agreement. The resident did not sustain weight loss and reported no concerns about dietary services. Additional residents reviewed had no concerns.

The complaint investigation addressed allegations of improper admission and discharge timing, inadequate quality of care including lack of 24/7 staff presence to prevent falls and failure to ensure physician visits, and insufficient dietary services leading to weight loss. The complaint was substantiated with a citation issued for failure to coordinate timely follow-up care.

The investigation was conducted due to complaints alleging resident abuse (rough handling) and poor quality of care including unclean railings and lack of toilet paper in bathrooms.

The investigation found insufficient evidence to substantiate resident abuse. However, the facility failed to meet infection control standards and did not provide toilet paper and disposable towels in common-use bathrooms, resulting in a citation for failed provider practice.

Complaint investigation triggered by allegations of resident abuse (rough handling) and poor quality of care including unclean railings and lack of toilet paper in bathrooms. Resident abuse was not substantiated; quality of care deficiencies were substantiated.

The inspection was conducted as an unannounced on-site complaint investigation based on allegations of physical and mental abuse, use of chemical restraints for convenience, and failure to notify the department of abuse allegations at The Cottages at Lacey Assisted Living Facility.

The investigation found that the facility failed to follow policy by not conducting proper investigations or notifying the department regarding allegations of abuse and chemical restraint use. Failed provider practices were identified and citations were written.

The complaint investigation was triggered by public allegations of physical and mental abuse by a staff member, use of medication to chemically restrain residents for convenience, and failure to notify the department of abuse allegations. The investigation included interviews with staff and review of records and policies. The facility was found to have failed in multiple areas related to abuse investigation and reporting.

The inspection was conducted as a complaint investigation based on allegations including concerns about the facility not conducting regular showers for a resident, staffing concerns, missing items protocol, cleanliness of resident rooms, and inquiry about counseling services for a resident.

The investigation found a failed practice where the facility did not conduct twice weekly showers as agreed upon in the Negotiated Service Agreement. No failed practices were found regarding staffing concerns, missing items protocol, cleanliness of resident rooms, or counseling services for the resident.

The complaint investigation was based on concerns about regular showers, staffing, missing items protocol, cleanliness, and counseling services. The facility was found to have failed in providing twice weekly showers as agreed, but no other failed practices were identified.

The inspection was conducted by the Office of the State Fire Marshal to assess compliance with fire safety and life safety code requirements at the Cottages at Lacey residential care facility.

The facility was found to have multiple deficiencies including failure to provide documentation for required fire drills, hood cleaning, annual fire wall inspection, smoke damper inspection, sprinkler system testing, fire extinguisher servicing and inspections, fire alarm system inspection, carbon monoxide detector maintenance, and emergency lighting activation tests. The facility's approval status was disapproved due to these violations.

The inspection was conducted as a complaint investigation regarding restricted visitation rights at The Cottages at Lacey Assisted Living Facility.

The investigation found a failed provider practice related to residents' rights, specifically that visitation was restricted contrary to policy. The facility did not meet Assisted Living Facility licensing requirements at the time of the complaint investigation.

The complaint alleged that visitation was not allowed. The investigation substantiated this allegation, finding that visitation was restricted for residents, including during a COVID-19 outbreak, and that the facility failed to ensure residents' representatives' visitation rights were met for 3 sampled residents.

The letter confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility administrator to dispute a citation related to infection control from a Statement of Deficiencies dated March 4, 2024.

The document does not contain inspection findings but indicates the facility is disputing a citation under WAC 388-78A-2610 Infection Control.

The letter confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility administrator to dispute a Statement of Deficiencies dated August 9, 2023.

The document does not contain inspection findings but addresses the scheduling and participation details for the IDR process related to disputed citations.

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