Deficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Inspection Report
Life Safety
Deficiencies: 12
Jul 25, 2025
Visit Reason
The Office of the State Fire Marshal conducted an inspection at Fields Senior Living at Spokane Valley to assess compliance with fire safety codes and regulations.
Findings
The inspection found several completed maintenance and testing tasks, but also noted deficiencies including combustible material storage, unsecured oxygen cylinders, missing fire drill documentation, and lack of documentation for fire alarm system testing and emergency lighting activation tests.
Deficiencies (12)
| Description |
|---|
| 2nd floor storage room, back electrical room door 253 has combustible storage. |
| Facility is unable to provide documentation that the annual fire wall inspection has been completed. |
| Fire extinguishers in kitchen and 3rd floor by room 333 were obstructed by storage. |
| Fire alarm pull stations blocked in kitchen and 3rd floor by room 333. |
| Facility unable to provide documentation for annual fire alarm system testing and maintenance; last completed 5/13/2024. |
| Missing several months of carbon monoxide alarm inspection documents. |
| Oxygen cylinders in memory room 10 (times 3) are not secured. |
| Facility unable to provide documentation for monthly 30 second activation test of emergency lights for Nov 2024 through Mar 2025. |
| Facility unable to provide documentation for weekly inspections and monthly 30 minute full load testing of emergency and standby power systems from Nov 2024 to Mar 2025; failed to provide automatic backup generator inspection/service report last serviced 5/20/24. |
| All fire roll down doors have not had any maintenance/testing since 2023. |
| Code is not posted for any of the exit doors in memory care. |
| Facility cannot provide documentation for completion of twelve planned and unannounced fire drills in previous 12 months; drills missing for Oct-Dec 2024 swing shift and Jan-Mar 2025 NOC shift. |
Report Facts
Number of fire and smoke dampers tested: 69
Number of oxygen cylinders unsecured: 3
Last service date of automatic backup generator: 2024.05
Last completed annual fire alarm system testing: 2024.05
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara McMullen | Deputy State Fire Marshal | Signed the inspection report. |
| Mike Chapman | Maintenance Director | Printed name on signature line as Owner or Authorized Representative. |
Inspection Report
Follow-Up
Census: 66
Deficiencies: 11
Jun 11, 2025
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 and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to multiple licensing laws and regulations were corrected.
Deficiencies (11)
| Description |
|---|
| Failed to provide treatment for skin concerns for 1 of 9 residents (Resident 2), placing the resident at risk of further skin breakdown and medical complications. |
| Failed to complete a character, competence and suitability review after a background check showed a non-disqualifying crime for 1 of 5 staff (Staff C), risking care from potentially unsuitable staff. |
| Failed to provide care in a manner promoting dignity and resident rights when staff entered residents' rooms without knocking for 2 of 9 residents (Residents 8 and 9), causing stress and violating privacy. |
| Failed to complete a safety assessment for a bed cane for 1 of 1 resident (Resident 1), placing the resident at risk of entrapment and harm. |
| Failed to ensure staff had nurse delegation qualifications when administering delegated medications for 1 of 5 staff (Staff G) and failed to obtain written consents for nurse delegation for 2 of 4 residents (Residents 2 and 3). |
| Failed to update a decrease in nursing services hours on the Disclosure of Services document, resulting in residents and representatives not being informed of decreased service hours. |
| Failed to obtain a family assistance with medications plan for 1 of 1 resident (Resident 7), risking the resident not receiving medications or supplies if family assistance was unavailable. |
| Failed to ensure pets had current vaccinations for 4 of 9 resident pets (Pets 1, 2, 3, and 4), placing residents at risk of contact with unvaccinated animals. |
| Failed to ensure facility orientation training was completed by 1 of 5 staff (Staff C) and failed to ensure CPR and first aid certification training was obtained by 1 of 5 staff (Staff B), risking care from untrained staff. |
| Failed to ensure staff received tuberculosis two-step skin testing for 3 of 5 sampled staff (Staff B, C, and D), placing residents at risk of exposure to communicable disease. |
| Failed to perform annual N95 respirator fit testing for 5 of 5 staff (Staff A, B, C, D, and E) when a resident tested positive for Covid-19, placing residents and staff at risk of infection spread. |
Report Facts
Residents sampled: 10
Staff with missing training or certifications: 5
Pets without vaccination records: 4
Days medications administered by unqualified staff: 22
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joy Pipgras | LTC Surveyor | Department staff who conducted inspections |
| Veronica Jackson | Assisted Living Facility Licensor | Department staff who conducted inspections |
| Stephanie Jenks | Community Field Manager | Document preparer |
| Staff A | Administrator | Named in findings related to missing CCS review, nurse delegation, disclosure of services, family assistance plan, TB testing, fit testing, and training |
| Staff B | Medication Technician | Named in findings related to missing CPR/first aid training, TB testing, and fit testing |
| Staff C | Nurse Assistant Certified | Named in findings related to missing CCS review, facility orientation, TB testing, and fit testing |
| Staff D | Medication Technician | Named in findings related to missing TB testing and fit testing |
| Staff E | Medication Technician | Named in findings related to missing fit testing |
| Staff F | Director of Resident Services/LPN | Named in findings related to wound care and TB testing |
| Staff G | Medication Technician | Named in findings related to nurse delegation qualifications and medication administration |
| Staff I | Resident Care Coordinator | Named in findings related to nurse delegation consent |
| Staff K | Medication Technician | Named in interview regarding Covid-19 PPE use |
Inspection Report
Complaint Investigation
Deficiencies: 0
May 15, 2025
Visit Reason
The inspection was conducted in response to two complaints regarding the fire alarm system at Fields Senior Living at Spokane Valley.
Findings
The inspection found that fire watch documents were reviewed, facility staff have been trained on updated procedures, and the fire alarm system is now back to normal condition with all devices tested and accepted for functionality.
Complaint Details
Two complaints (#173146 and #173495) were received concerning the fire alarm. Both complaints indicated no activation of sprinklers, no evacuation, no injuries, and no fire department response.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara McMullen | Deputy State Fire Marshal | Signed the inspection report. |
| Juan Mendoza | Alderbrook Director | Printed name and title on the report as Owner or Authorized Representative. |
Inspection Report
Complaint Investigation
Census: 78
Deficiencies: 1
Mar 20, 2025
Visit Reason
The department conducted an unannounced on-site complaint investigation at Fields Senior Living at Spokane Valley due to allegations including a nurse with invalid licensure and incomplete background checks.
Findings
The investigation found that one staff member (Staff B), a Licensed Practical Nurse and Director of Resident Services, did not have a current Washington state license until 03/25/2025, resulting in residents receiving care from an unlicensed individual. Background checks were found to be valid and current for sampled staff.
Complaint Details
Investigation was complaint-driven based on allegations of a nurse with invalid licensure and incomplete background checks. The nurse's license was found invalid until 03/25/2025. Background checks were valid. Citation was issued for failed provider practice.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure that a staff license was current for 1 of 4 staff (Staff B), resulting in residents receiving care from an individual without current licensure. |
Report Facts
Total residents: 78
Resident sample size: 5
Staff with invalid license: 1
Staff sample size: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Fast | Community Complaint Investigator | Investigator who conducted the complaint investigation and on-site verification |
| Staff B | Licensed Practical Nurse and Director of Resident Services | Staff member found to have invalid Washington state license until 03/25/2025 |
| Staff A | Interim Executive Director | Interviewed regarding Staff B's hire date and licensure status |
| Stephanie Jenks | Community Field Manager | Signed follow-up inspection letter |
| Juan Mendoza | Alder Brook Director | Signed Plan of Correction statement |
Inspection Report
Complaint Investigation
Census: 69
Deficiencies: 1
Mar 4, 2025
Visit Reason
The inspection was a complaint investigation triggered by allegations of no nurse delegation and falsifying resident documents at Fields Senior Living at Spokane Valley.
Findings
The investigation found that the facility failed to ensure nurse delegated tasks were performed by qualified and trained staff, impacting 6 of 8 sampled residents, placing them at risk for medication errors. Staff had been administering medications requiring nurse delegation oversight without proper training or competency checks. No evidence of falsifying resident documents was found.
Complaint Details
Complaint investigation based on allegations of no nurse delegation and falsifying resident documents. The allegation of no nurse delegation was substantiated with citation; the allegation of falsifying resident documents was not substantiated.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure nurse delegated tasks were performed by qualified and trained staff for 3 of 3 staff, impacting 6 of 8 sampled residents, placing residents at risk for medication errors due to receiving care from untrained staff. |
Report Facts
Total residents: 69
Resident sample size: 8
Staff impacted: 3
Residents impacted: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anne Sinclair | NCI Community Complaint Investigator | Investigator who conducted the complaint investigation |
| Abigail Vanderkolk | Community Complaint Investigator | Investigator who conducted the complaint investigation |
| Stephanie Jenks | Community Field Manager | Administrative contact signing the follow-up letter |
| Staff A | Executive Director | Reported no nurse delegation oversight and continuing medication administration without nurse delegation |
| Staff B | Resident Care Coordinator | Discovered lack of current nurse delegator and alerted Staff A |
| Staff C | Medication Tech | Had not received training or competency check with nurse delegator |
| Staff D | Medication Tech | Had not received training or competency check with nurse delegator |
| Staff E | Medication Tech | Had not received training or competency check with nurse delegator |
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