Inspection Reports for Ellensburg Senior Living

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

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to investigation and documentation of incidents, and assessment of resident needs including bed rail use, were corrected.

The visit was complaint-related, investigating allegations including a resident found hanging off the bed with arm stuck in bed rail, injury to a resident's hand from unknown source, and a resident's unexpected death. The facility was found to have failed provider practices with citations written.

Follow-up inspection to verify correction of previously cited deficiencies related to safe storage of supplies and equipment, policies and procedures, and communication system.

The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies related to hazardous supplies, staff training on policies, and communication systems were corrected.

The Department completed a follow-up inspection of the Assisted Living Facility on 08/07/2025 to verify correction of previously cited deficiencies related to signing negotiated service agreements.

The follow-up inspection found no deficiencies and confirmed that previously identified deficiencies regarding signing negotiated service agreements were corrected. The facility now ensures that the negotiated service agreement is agreed to and signed at least annually by the resident or their representative.

The Department of Social and Health Services conducted a follow-up visit to Ellensburg Senior Living to assess 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 unsafe storage of hazardous supplies, failure to implement reporting and investigation policies, and lack of adequate communication systems for residents. These deficiencies placed residents at risk of injury and unmet care needs.

The Department of Social and Health Services completed a follow-up visit to Ellensburg Senior Living to verify correction of previously cited deficiencies.

The facility was cited for failing to ensure that negotiated service agreements were signed and agreed upon annually for two residents, which placed residents at risk for unmet care needs. This deficiency was uncorrected from a prior citation on April 16, 2025, resulting in a civil fine.

The Office of the State Fire Marshal conducted an inspection of the facility to assess compliance with fire protection and safety codes.

Multiple violations were observed related to fire safety, including failure to provide documentation for annual fire alarm system service, deficiencies in damper inspections, and incomplete maintenance records for emergency power systems. Some violations were corrected on site, while others require submission of documentation for review.

The Office of the State Fire Marshal conducted a fire safety inspection at Pacifica Senior Living Ellensburg to assess compliance with fire protection codes and regulations.

Multiple violations were observed including failure to provide documentation for semi-annual hood cleaning, 4-year fire and smoke damper inspections, sprinkler system testing and maintenance, annual fire alarm system service, monthly carbon monoxide testing, emergency lighting activation testing, emergency generator maintenance, and proper marking of compressed gas containers. Some violations were corrected onsite while others remain outstanding.

The Department of Social and Health Services completed a complaint investigation at Pacifica Senior Living Ellensburg on August 5, 2024, due to allegations related to resident safety and policy violations.

The investigation found violations of policies and procedures related to extreme weather and safety of the built environment, resulting in a resident being left outside in 102-degree weather for ninety minutes and suffering second degree burns from a hot metal chair in direct sunlight, leading to hospitalization.

Complaint investigation conducted on August 5, 2024, substantiated by findings of policy violations resulting in resident harm and civil fines.

The inspection was conducted as an unannounced on-site complaint investigation following an allegation that a named resident had a fall with injury to their head.

The investigation found that the resident fell unwitnessed and staff responded appropriately, but deficiencies were identified related to staff credentialing and background checks, including delayed submission of credential applications and incomplete background checks. Additionally, home care aide certification applications were not submitted within required timeframes for two staff members.

The complaint involved a named resident who had a fall with injury to their head. The investigation substantiated failed provider practices related to staff credentialing and background checks.

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

The follow-up inspection on 03/28/2024 found no deficiencies, indicating the facility met the Assisted Living Facility licensing requirements. The prior complaint investigation found the facility failed their second fire and life safety inspection with multiple violations.

The complaint investigation found that the facility failed their second fire and life safety inspection, with failed practice identified and citations written.

The investigation was conducted due to complaints alleging a non-reported fall leading to a resident's death, a resident left undressed and unable to move in their wheelchair, staff hiding medications in drinks, and medications left unattended.

The facility failed to follow alert charting procedures for monitoring a resident after hospital return and failed to document and investigate an unwitnessed fall. Other allegations related to medication administration and resident mobility were not substantiated. The facility was cited for failed provider practice.

Investigation was complaint-driven referencing complaint numbers 124205 and 122468. The complaint was substantiated with failed provider practice identified and citation(s) written.

The Office of the State Fire Marshal conducted a routine fire safety inspection at Pacifica Senior Living Ellensburg to assess compliance with fire protection and safety codes.

The inspection identified multiple deficiencies related to missing documentation for required fire drills, semi-annual hood cleaning, fire-resistance-rated construction inspections, sprinkler system testing, fire alarm maintenance, carbon monoxide detection, emergency lighting tests, power tests, fire door inspections, and other fire safety requirements. Several physical deficiencies were observed including storage in stairwells, blocked electrical panels, extension cords in use, penetrations in fire-resistance-rated construction, malfunctioning fire doors, and missing circuit breaker lock devices.

The inspection was conducted due to a complaint alleging that a named staff member struck a named resident at the assisted living facility.

The investigation confirmed the incident occurred, resulting in the termination of the named staff member. The facility failed to provide documentation that the staff member had received required specialized dementia training, leading to a citation for failed provider practice.

A named staff member struck a named resident. The allegation was substantiated as the incident was confirmed by investigation. The staff member was terminated and the facility was cited for failure to provide required specialized dementia training documentation.

The inspection was conducted as a complaint investigation based on allegations including lack of required staff background checks, improper delegation of medication technicians, staff under the influence of alcohol, and incomplete assessments.

The investigation found no failed practices related to staff background checks, staff under the influence, or assessments. However, a deficiency was identified regarding the failure to ensure one resident received nurse delegated services, with the facility in the process of certification to provide delegated services and updating the resident's care plan. Citations were written for failed provider practice.

Complaint investigation included allegations that a named staff member lacked required references or background check, medication technicians were not delegated to give delegated medications, staff were under the influence of alcohol and rude to residents, and assessments were not done appropriately. The investigation found no failed practice for all except the delegation issue.

The Department completed a follow-up inspection of the Assisted Living Facility on 05/15/2023 to verify correction of previously cited deficiencies.

The facility was found to have no deficiencies during the follow-up inspection and meets the Assisted Living Facility licensing requirements. Previous deficiencies related to licensing laws and regulations were corrected.

The inspection was conducted as an unannounced on-site complaint investigation following an allegation that on 11/05/2022 a resident hit another resident on the arm.

The investigation found that the facility failed to protect the rights of a resident who was discharged without written notice, time to prepare, or arrangement for alternate placement, resulting in a potentially unsafe discharge. The facility was cited for failed provider practice.

The complaint involved an incident on 11/05/2022 where a resident hit another resident. The facility responded immediately by separating the residents and discharging the resident who caused harm without proper written notice or alternate placement arrangements. The complaint was substantiated with failed provider practice identified and citations written.

R_Pacifica_Senior_Living_Ellensburg_Complaint_08-05-2024-ew.pdf