Inspection Report
Annual Inspection
Deficiencies: 1
Jul 10, 2025
Visit Reason
The Department completed a full inspection of the Assisted Living Facility on 07/10/2025 to determine compliance with Assisted Living Facility requirements.
Findings
The facility was found not to meet the Assisted Living Facility requirements, specifically related to safety assessments for residents' medical devices. The facility conducted safety assessments during the inspection after being unable to obtain documentation from the physical therapy team. The facility also updated its process to ensure assessment timeline requirements were met.
Deficiencies (1)
| Description |
|---|
| Failure to obtain copies of safety assessments for residents' medical devices from the physical therapy team. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Veronica Jackson | Assisted Living Facility Licensor | Department staff who did the inspection and provided consultation. |
| Brian Zbylski | ALF Licensor | Department staff who did the inspection and provided consultation. |
| Tethra Wales | Assisted Living Facility Licensor | Department staff who did the inspection and provided consultation. |
| Stephanie Jenks | Community Field Manager | Signed the letter and provided contact information for questions. |
Inspection Report
Life Safety
Deficiencies: 2
Apr 2, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at Fairview Assisted Living Inc on 04/02/2025 to assess compliance with sprinkler system testing and maintenance requirements.
Findings
The facility was found unable to provide documentation for quarterly sprinkler system inspections, and forward flow testing of backflow preventers was required but not yet completed. The inspection cited violations related to testing and maintenance of fire protection systems.
Deficiencies (2)
| Description |
|---|
| Facility is unable to provide documentation for the quarterly sprinkler system inspections. |
| Forward flow testing of the backflow preventers shall be required and scheduled for 3/31/25. |
Report Facts
Next inspection scheduled on or after: May 31, 2026
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen Simmons | Director of Nursing | Signed as Owner or Authorized Representative on inspection report dated 04/02/2025 |
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 27, 2025
Visit Reason
A complaint inspection was conducted due to a complaint about a fire alarm at Fairview Assisted Living Inc.
Findings
The inspection found that an annual fire sprinkler testing/maintenance inspection revealed a valve was not completely closed, causing an alarm. The fire department responded and cleared the system with no violations cited.
Complaint Details
Complaint #172662 involved a fire alarm complaint. The cause was a valve not completely closed during annual sprinkler maintenance. No violations were cited and the complaint was addressed.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen Simmons | Director of Nursing | Signed as authorized representative related to the complaint inspection |
Inspection Report
Follow-Up
Census: 51
Deficiencies: 4
Mar 29, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection on 03/29/2023 found no deficiencies, indicating the facility meets Assisted Living Facility licensing requirements. The prior full inspection on 01/24/2023 and 01/27/2023 found multiple deficiencies related to food sanitation, service agreement implementation, staff training, and tuberculosis testing.
Deficiencies (4)
| Description |
|---|
| Facility failed to manage and maintain on-site food service in compliance with Washington State Retail Food Code, placing 51 of 51 residents at risk of food borne illness. |
| Facility failed to provide adaptive eating equipment for 1 of 7 residents as agreed upon in the negotiated service agreement, placing the resident at risk of weight loss and lack of support. |
| Facility failed to ensure 2 of 5 staff received required cardiopulmonary resuscitation (CPR) and first aid training, placing 51 of 51 residents at risk of harm. |
| Facility failed to ensure 1 of 5 staff were screened for Tuberculosis (TB) testing within three days of hire, placing 51 of 51 residents at risk of exposure to TB infection. |
Report Facts
Residents at risk of food borne illness: 51
Residents at risk due to lack of CPR and first aid training: 51
Residents at risk due to lack of TB screening: 51
Residents sampled for review: 7
Current residents census: 51
Staff not trained in CPR and first aid: 2
Staff not screened for TB testing within three days of hire: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janet Quirk | Long Term Care Surveyor | Department staff who conducted on-site verification |
| Joy Pipgras | LTC Surveyor | Department staff who inspected the Assisted Living Facility |
| Jessica Salquist | Field Manager | Signed follow-up inspection letter |
| Tara Peacock | Field Manager | Signed full inspection letter and correspondence |
| Heidi Bogett | Administrator | Signed Plan/Attestation Statements for deficiencies |
| Staff A | Caregiver | Failed CPR and first aid training requirements |
| Staff D | Caregiver | Failed CPR and first aid training and TB testing requirements |
| Staff B | Kitchen Manager | Interviewed regarding food service practices |
| Staff F | Administrator | Interviewed regarding adaptive eating device and training requirements |
| Staff H | Nursing Aide | Interviewed regarding food service clothing practices |
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