Inspection Reports for Fieldstone of Silverdale
11353 Clear Creek Rd NW, Silverdale, WA 98383, WA, 11353
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Inspection Report
Enforcement
Census: 48
Deficiencies: 1
Sep 16, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Fieldstone Memory Care of Silverdale to address previously cited deficiencies and enforce compliance through the imposition of a civil fine.
Findings
The licensee failed to secure hazardous supplies for four residents, placing all 48 residents at risk of potential poisoning or other adverse effects. This deficiency was previously cited and remains uncorrected, resulting in a $500 civil fine.
Deficiencies (1)
| Description |
|---|
| Failure to secure hazardous supplies for four residents, risking potential poisoning or adverse effects. |
Report Facts
Civil fine amount: 500
Residents at risk: 48
Residents affected by deficiency: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter |
| Laurie Anderson | Field Manager | Contact person for the facility and recipient of plan of correction |
Inspection Report
Follow-Up
Capacity: 46
Deficiencies: 3
Sep 12, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 09/12/2025 to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies related to tuberculosis testing, training and home care aide certification, and food sanitation were corrected.
Deficiencies (3)
| Description |
|---|
| The assisted living facility failed to develop and implement a system to ensure staff were screened for tuberculosis within three days of employment. |
| The assisted living facility failed to ensure staff completed required five hours of safety and orientation training within required time frames. |
| The assisted living facility failed to serve food at safe temperatures in the Memory Care Unit, placing residents at risk of food-borne illnesses. |
Report Facts
Residents at risk: 46
Sample size: 7
Days late for TB testing: 7
Days late for TB testing: 857
Days late for safety training: 31
Days late for safety training: 857
Temperature reading: 117.3
Temperature reading: 78
Temperature reading: 66
Temperature reading: 63
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephani Perry | Administrator | Signed Plan of Correction and attestation statements |
| Staff E | Medication Aide | Failed to have TB testing within 3 days of hire |
| Staff F | Caregiver | Failed to have TB testing within 3 days of hire and delayed safety training |
| Staff D | HCA Trainee | Completed safety training 31 days late |
| Staff H | Dishwasher | Observed serving food at unsafe temperatures |
| Staff A | Executive Director | Interviewed regarding staff training and TB testing |
Inspection Report
Life Safety
Deficiencies: 9
Jul 11, 2024
Visit Reason
The Office of the State Fire Marshal conducted an inspection at Fieldstone Memory Care of Silverdale to evaluate compliance with fire safety and life safety code requirements.
Findings
The facility was disapproved due to multiple violations including failure to provide annual inspection reports for fire-resistant construction, fire/smoke dampers, backflow testing, monthly inspection of portable fire extinguishers, emergency lighting tests, and fire door inspection documentation. Additional issues included failure to maintain exit signs and door hardware properly.
Deficiencies (9)
| Description |
|---|
| Facility failed to provide annual inspection report of all fire-resistance-rated construction (fire wall inspection). |
| Facility failed to provide 4-year inspection report for fire/smoke dampers. |
| Facility failed to provide annual forward flow test inspection report for the back flow. |
| Facility failed to maintain monthly inspection of all portable fire extinguishers. |
| Facility failed to maintain exit sign in kitchen, failed to illuminate when tested. |
| Facility failed to provide monthly 30-second activation test for exits and emergency lights. |
| Facility failed to provide documentation of yearly 1.5 hour test for exit signs and emergency lights. |
| Facility failed to provide annual fire door inspection documentation. |
| Facility failed to maintain door wedges being used on self-closing doors of Cascade side and Olympic side med rooms. |
Report Facts
Next inspection scheduled date: Aug 15, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Raul Murcia | Deputy State Fire Marshal | Conducted the inspection and signed the report |
| Erik Pase | Maintenance Director | Owner's representative who signed the report |
Inspection Report
Complaint Investigation
Census: 140
Deficiencies: 1
Sep 11, 2023
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation following an allegation that methadone was left unsecured in a resident's room for another resident.
Findings
The investigation found that the facility failed to secure the scheduled II medication, methadone, which was delivered to the wrong resident and left in the wrong resident's room. This was a failed facility practice cited under WAC 388-78A-2260.
Complaint Details
The complaint alleged that on 07-28-2023, methadone was left in a resident room for another resident. The investigation substantiated this allegation based on interviews and record reviews.
Deficiencies (1)
| Description |
|---|
| Failure to secure scheduled II medication, methadone, which was delivered to the wrong resident and left unsecured in a resident's room. |
Report Facts
Total residents: 140
Resident sample size: 3
Closed records sample size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cathleen Davis | ALF Licensor | Investigator who conducted the complaint investigation and on-site verification |
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