Inspection Reports for Fairwinds – Spokane
520 E Holland Ave, Spokane, WA 99218, United States, WA
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Inspection Report
Life Safety
Deficiencies: 12
Sep 23, 2025
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the Fairwinds Spokane residential care facility to assess compliance with fire protection and safety codes.
Findings
The inspection identified several violations related to inspection, testing, maintenance, electrical hazards, sprinkler systems, ceiling clearance, combustible materials, and emergency lighting. Some violations were corrected during the inspection, while others required follow-up or further testing.
Deficiencies (12)
| Description |
|---|
| Inspection, testing, or maintenance (ITM) citation requiring testing completion and correction before clearance; extension requested until 09/29/25. |
| Abatement of electrical hazards; unsafe conditions removed. |
| Joints and voids in fire-resistance-rated walls and assemblies; corrected. |
| Acceptance criteria for fire performance of combustible materials; removed. |
| Sprinkler system issues including particulate buildup in kitchen sprinklers and possible need for replacement of refrigerator/freezer sprinklers; follow-up scheduled. |
| Storage too close to fire sprinklers in multiple locations; corrected at inspection. |
| Power strip plugged into another power strip in room 118 and electrical hazard in room 114. |
| Ceiling penetration in maintenance office. |
| Combustible material attached to resident room door 131. |
| Facility unable to provide documentation of monthly 30-second emergency lighting tests and annual 90-minute battery backup power tests. |
| Inconsistent weekly generator inspections; missed November and December 2024. |
| Escutcheon missing in room 228. |
Report Facts
Inspection date: Sep 23, 2025
Extension date: Sep 29, 2025
Next inspection scheduled: Sep 30, 2026
Next inspection scheduled: Sep 30, 2026
Next inspection scheduled: Sep 1, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle DeLeon Ferreira | GM | Signed as Owner or Authorized Representative |
| Barbara McMullen | Deputy State Fire Marshal | Signed as Deputy State Fire Marshal |
Document
Deficiencies: 0
Mar 19, 2025
Visit Reason
Inspection conducted due to a complaint (#167852) regarding a broken dry pipe sprinkler system on the 3rd floor East Side of the facility.
Findings
The fire sprinkler pipe was found broken due to elevated air pressure. The sprinkler system was repaired and is back online. No fire alarm or wet system disruption occurred, and no violations were cited.
Complaint Details
Complaint #167852 about a broken dry pipe sprinkler system. No violations were cited and all policies and procedures were followed.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara McMullen | Deputy State Fire Marshal | Signed the inspection report. |
| Jeff Schuler | Plant Operations Supervisor | Signed as Owner or Authorized Representative. |
Inspection Report
Life Safety
Deficiencies: 8
Aug 16, 2024
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the Fairwinds Spokane residential care facility to assess compliance with fire protection and safety codes.
Findings
Multiple violations were observed including unapproved power taps and extension cords, missing spare parts for fire sprinklers, lack of annual maintenance reports for fire extinguishers, and missing documentation for monthly alarm testing, emergency lighting power tests, and backup generator inspections.
Deficiencies (8)
| Description |
|---|
| Unapproved multitap plug in room 314 and unapproved three plug outlet adapter in room 279. |
| Unapproved extension cord in use on 2nd floor bookkeepers office. |
| No supply of spares for all types of sprinklers in fire sprinkler cabinet. |
| Facility unable to provide documentation for quarterly sprinkler system inspections. |
| Required annual maintenance report for fire extinguishers not available at inspection. |
| Facility unable to provide documentation for monthly single and multiple station alarm testing. |
| Facility unable to provide documentation for annual 90 minute power test for emergency lights. |
| Facility unable to provide automatic backup generator inspection/service report required every 12 months. |
Report Facts
Next inspection date: Sep 30, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara McMullen | Deputy State Fire Marshal | Signed the inspection report |
| Jeff Schuver | Ops Supervisor | Signed as Owner or Authorized Representative |
Inspection Report
Follow-Up
Census: 9
Deficiencies: 1
Aug 16, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies and ensure compliance with licensing requirements.
Findings
The follow-up inspection found no deficiencies, indicating the facility meets the Assisted Living Facility licensing requirements. The prior deficiencies related to failure to notify residents of reduced nursing hours were corrected.
Complaint Details
The inspection was triggered by a complaint investigation referencing complaint number 138246. The complaint investigation found the facility was not in compliance with licensing requirements due to failure to notify residents of reduced nursing hours.
Deficiencies (1)
| Description |
|---|
| Failure to send written notification to residents and their representatives regarding a reduction in weekly nursing hours, preventing residents from having knowledge of reduced nursing services. |
Report Facts
Residents reviewed during unannounced visit: 9
Former residents reviewed: 0
Weekly nursing hours RN: 6
Weekly nursing hours LPN: 40
Weekly nursing hours RN and LPN after reduction: 16
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brian Zbylski | ALF Licensor | Department staff who did the off-site verification and inspected the facility |
| Stephanie Jenks | Field Manager | Signed letters related to inspection and compliance |
| Joy Pippgras | LTC Surveyor | Department staff who inspected the Assisted Living Facility |
| Carla Rose | NCI Community Licensor | Department staff who inspected the Assisted Living Facility |
| Staff F | General Manager | Interviewed regarding nursing hours and notification to residents |
Inspection Report
Follow-Up
Census: 78
Deficiencies: 3
Jun 9, 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 found no deficiencies, indicating the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to medication services, background checks, and tuberculosis testing were corrected.
Deficiencies (3)
| Description |
|---|
| Failure to ensure blood pressure medication was given as prescribed to one resident, risking wrong dosage. |
| Failure to complete fingerprint background checks for one of five staff, risking unsupervised care by potentially disqualified caregivers. |
| Failure to complete required two-step tuberculosis skin testing for multiple staff, risking resident exposure to TB infection. |
Report Facts
Residents present during inspection: 78
Sample residents reviewed: 9
Staff reviewed for TB testing: 19
Times lisinopril given: 87
Staff with incomplete fingerprint checks: 1
Staff with incomplete TB testing: 5
New employees hired during TB waiver: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Veronica Jackson | Assisted Living Facility Licensor | Department staff who did the on-site verification |
| Janet Quirk | Long Term Care Surveyor | Department staff who did the on-site verification and inspection |
| Joy Pipgras | LTC Surveyor | Department staff who did the on-site verification and inspection |
| Stephanie Jenks | Field Manager | Signed the follow-up inspection letter |
| Staff F | Health and Wellness Director | Confirmed documentation issues related to medication administration |
| Staff G | General Manager | Interviewed regarding fingerprint and TB testing compliance |
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