Inspection Report
Life Safety
Deficiencies: 13
Aug 5, 2025
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The Office of the State Fire Marshal conducted a fire safety inspection at the Fairwinds Redmond residential care facility on 08/05/2025 to assess compliance with fire protection and safety codes.
Findings
Multiple fire safety deficiencies were identified, including blocked egress, missing receptacle covers, open electrical junctions, missing restraining devices on gas appliances, door latch failures, missing or incomplete inspection paperwork, and required maintenance/testing not performed or documented.
Deficiencies (13)
| Description |
|---|
| Blocked egress on west 1st floor stairwell by room 158 |
| Required restraining device not attached to gas-fueled cooking appliances in kitchen |
| Receptacle covers missing on west 2nd floor main electrical room, north 3rd floor electrical room by room 310, north 3rd floor cable room by room 320, and north 3rd across from laundry room |
| Open junction in electrical room next to Book Nook on north 1st floor and electrical panel in kitchen missing inside fuse box |
| Multi plug found north 1st floor in room 121 and west 1st floor in Health Wellness Directors office |
| Missing semi-annual hood cleaning paperwork and heavy grease buildup around and behind appliances |
| Facility needs to provide documentation of locations of Fire-Rated Construction and annual inspection documentation |
| Penetrations found in multiple A/C rooms and elevator machine room with large openings; missing dry wall in north 3rd floor A/C room across from residents laundry |
| Double doors by pool table, rooms 131, 230, 350, stairwell doors by rooms 231, 365, door storage room 241, and electrical door by room 150 will not latch |
| Missing or incomplete testing and maintenance paperwork for sprinkler systems, extinguishing systems, fire alarm and detection systems, smoke detector sensitivity, carbon monoxide detection, power tests, and emergency power systems |
| Grease coming out of nozzles on extinguishing system; commercial pizza ovens without suppression system |
| Facility has not been performing monthly 30-minute full load test for emergency power system |
| Fire/smoke damper inspection paperwork not provided |
Report Facts
Deficiencies cited: 2
Deficiencies cited: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason Van Gorkum | Deputy State Fire Marshal | Signed inspection report dated 2025-08-05 |
| Justin Akstler | Plant Ops Supervisor | Signed as Owner or Authorized Representative on 2025-08-05 inspection |
| Brooke Karsten | General Manager | Signed as Owner or Authorized Representative on 2025-03-25 inspection |
Inspection Report
Complaint Investigation
Census: 143
Deficiencies: 1
Mar 3, 2025
Visit Reason
The inspection was conducted in response to a complaint (#165677) regarding the fire alarm system at Fairwinds Redmond.
Findings
The fire panel was not connecting to the dispatch system to automatically call 911 when alarms sounded. The facility initiated a fire watch and worked with vendors to repair the dial-out issue. No sprinkler issues were found, and staff were trained to call 911 manually if alarms sounded. No IFC violations were observed.
Complaint Details
Complaint #165677 regarding fire alarm system malfunction. Substantiated with ongoing maintenance and fire watch until repair. No injuries reported.
Deficiencies (1)
| Description |
|---|
| Fire panel not connecting to dispatch system to automatically call 911. |
Report Facts
Number of residents impacted: 143
Length of issue: 24
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason Van Gorkum | Deputy State Fire Marshal | Conducted inspection and investigation of complaint |
| Brooke Kasten | General Manager | Provided updates and fire watch documentation |
Inspection Report
Follow-Up
Deficiencies: 1
Aug 22, 2024
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The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to tuberculosis testing requirements for staff.
Findings
The follow-up inspection on 08/22/2024 found no deficiencies, indicating the facility met the Assisted Living Facility licensing requirements and corrected prior deficiencies.
Complaint Details
The complaint investigation found that the facility did not perform a one-step TB test within three days of hire for the Plant Operations Supervisor. The failed practice was substantiated with citations issued.
Deficiencies (1)
| Description |
|---|
| Facility failed to complete the required one-step tuberculosis (TB) test within three days of hire for 1 of 1 sampled staff (Plant Operations Supervisor), placing residents at risk of potential exposure to tuberculosis. |
Report Facts
Deficiencies cited: 1
Sample residents: 0
Staff hire date: Jun 4, 2024
Investigation date: Jul 3, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Thomas Forkgen | ALF Licensor | Department staff who conducted on-site verification and investigation |
| Laurie Anderson | Field Manager | Signed letters related to inspection and compliance |
| Staff N | Plant Operations Supervisor | Staff member who failed to complete required one-step TB test within three days of hire |
| Staff K | Health and Wellness Manager | Interviewed regarding TB testing requirements and facility knowledge |
Inspection Report
Complaint Investigation
Deficiencies: 0
May 16, 2024
Visit Reason
The inspection was conducted in response to a complaint (#130854) regarding a broken sprinkler head at Fairwinds Redmond.
Findings
The maintenance worker accidentally hit a sprinkler head causing it to activate and trigger the fire alarm. The local fire department responded promptly, secured the sprinkler system, and no injuries or fire damage occurred. No IFC violations were observed during the inspection.
Complaint Details
Complaint #130854 involved a broken sprinkler head caused by a maintenance worker painting the ceiling and accidentally hitting the sprinkler. The complaint was investigated with no injuries reported and no violations found.
Report Facts
Complaint number: 130854
Time sprinkler system ran: 30
Fire department response time: 15
Fire watch duration: 6
Fire watch arrival time: 14
Fire watch resolution time: 16.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason Van Gorkum | Deputy State Fire Marshal | Signed as the Deputy State Fire Marshal conducting the inspection |
Inspection Report
Follow-Up
Census: 28
Deficiencies: 0
Jul 19, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 07/19/2023 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. Previously cited deficiencies were corrected.
Report Facts
Residents present during inspection: 28
Staff F shifts worked: 21
Staff F shifts worked: 61
Resident laundry room air exchange vents not functioning: 2
Residents at risk due to infection control deficiency: 25
Residents at risk due to medication error: 4
Residents at risk due to diet manual deficiency: 25
Residents at risk due to water temperature: 11
Pets not certified: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Thomas Forkgen | ALF Licensor | Department staff who did the on-site verification. |
| Laurie Anderson | Field Manager | Signed the follow-up inspection letter. |
| Staff F | Resident Assistant II | Named in tuberculosis testing deficiency and infection control findings. |
| Staff A | Executive Director | Named in personnel records and dementia specialty training deficiency. |
| Staff B | Registered Nurse, Health and Wellness Director | Interviewed regarding bed rail and medication order deficiencies. |
| Staff H | General Manager | Interviewed regarding plan of correction and personnel files. |
| Staff L | Plant Operations Supervisor | Interviewed regarding laundry room ventilation and HVAC issues. |
| Staff J | Business Office Manager | Interviewed regarding tuberculosis testing. |
| Staff K | Receptionist | Identified as responsible for maintaining pet records. |
| Staff Q | Prime Fit Personal Trainer | Observed not wearing eye protection. |
| Staff R | Dining Server | Observed not wearing eye protection. |
| Staff U | Resident Assistant | Interviewed regarding eye protection use. |
| Staff M | Restaurant Manager | Assisted in locating diet manual. |
| Staff O | Cook | Observed preparing food and lacking diet manual knowledge. |
Inspection Report
Routine
Deficiencies: 19
Mar 29, 2023
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The Office of the State Fire Marshal conducted a routine inspection at the Fairwinds Redmond residential care facility to assess compliance with fire safety regulations.
Findings
Multiple violations were observed including issues with fire alarm system functionality, fire door inspections, fire drills, fire extinguishers, and maintenance of fire safety equipment. Several deficiencies were corrected during the inspection, while others remained unresolved due to lack of documentation or ongoing issues.
Deficiencies (19)
| Description |
|---|
| Multi-plug adapter without over current protection in kitchen near meat slicer |
| Power strip plugged into another power strip in Health and Wellness office |
| Extension cords used as permanent wiring in multiple areas |
| Facility unable to provide documentation for semi-annual hood cleaning |
| Unauthorized magnet door hold open devices found throughout facility |
| Missing escutcheon plates from sprinklers in storeroom and kitchen |
| Fire alarm system in trouble status and communication failure |
| Facility unable to provide documentation for annual fire door inspection |
| Facility unable to provide documentation for smoke detector sensitivity testing |
| Facility unable to provide documentation for hydrostatic testing of fire department connection |
| Missing protective caps on commercial cooking system nozzles and blocked nozzles |
| K-Type fire extinguisher missing tamper seal in kitchen |
| Fire drills not conducted on all shifts and missing participation lists |
| Carbon monoxide alarms missing in resident rooms despite presence of fuel burning appliances |
| Internally illuminated exit signs not illuminating when tested |
| Emergency lighting activation test and power test documentation not provided |
| Emergency generator servicing and testing documentation not provided |
| Compressed gas cylinders not secured to prevent falling |
| Carbon dioxide cylinder in kitchen not secured to prevent falling |
Report Facts
Number of dampers failed in fire/smoke damper testing: 12
Number of planned and unannounced fire drills required: 12
Fire drill shifts: 2
Fire department connection hydrostatic test frequency: 5
Emergency lighting activation test duration: 30
Emergency lighting power test duration: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Timothy W. Agan | Plant Operations Supervisor | Named as Owner's Representative and signed inspection documents |
| Brandon G. Brown | Deputy State Fire Marshal | Conducted the inspection and signed the report |
Inspection Report
Enforcement
Census: 28
Deficiencies: 3
Feb 9, 2023
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The Department of Social and Health Services completed an investigation at the assisted living facility Fairwinds Redmond, resulting in the imposition of civil fines due to violations of state regulations.
Findings
The facility was cited for uncorrected deficiencies including failure to ensure tuberculosis testing documentation for one staff member, failure to maintain personnel records for one staff member, and failure to ensure proper functioning of two resident laundry room air exchange vents, placing residents at risk of infectious illness, abuse, neglect, and poor air quality.
Deficiencies (3)
| Description |
|---|
| Failure to ensure that one staff had required documentation for no Tuberculosis testing. |
| Failure to maintain personnel records for one staff on the premises. |
| Failure to ensure two resident laundry room air exchange vents were properly functioning. |
Report Facts
Civil fine amount: 300
Civil fine amount: 300
Civil fine amount: 300
Total residents at risk: 28
Total civil fines: 900
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 22, 2022
Visit Reason
A complaint investigation was conducted due to a complaint about storage near the ceiling at Fairwinds Redmond.
Findings
Interviews with the Maintenance Director and Administrator and inspection of the storage rooms found no violations. There was no fire, no sprinkler activation, no evacuation, no injuries, and no fire department response.
Complaint Details
Complaint #57466 regarding storage near ceiling clearance. The complaint was investigated and no violations were found.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Raul Murcia | Deputy State Fire Marshal | Signed the inspection report. |
Report
File
R_FAIRWINDS_REDMOND_Inspection_05-01-2024-ew.pdf
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