Inspection Reports for GenCare Lifestyle Lynnwood at Scriber Gardens

WA

Back to Facility Profile

Deficiencies per Year

8 6 4 2 0
2023
2024
2025
Severe High Moderate Low Unclassified

Census Over Time

30 35 40 45 50 55 Apr '23 Mar '24 Apr '24 Oct '24 Jan '25 Apr '25
Inspection Report Complaint Investigation Census: 37 Deficiencies: 1 Apr 18, 2025
Visit Reason
The inspection was conducted due to a complaint that the Named Resident (NR) left the Assisted Living Facility (ALF) and went missing.
Findings
The ALF failed to include in their assessment that the NR was able to leave the facility unsupervised. The NR was returned by police the next day. The ALF updated the care plan and corrected the assessment failure for newly admitted residents. A consultation was issued under WAC 388-78A-2090 (6)(d) Full assessment topics.
Complaint Details
The Named Resident left the Assisted Living Facility and went missing. The NR was brought back by police the next day. The ALF was found to have failed in assessment related to the NR's ability to leave unsupervised.
Deficiencies (1)
Description
Failure to include in the assessment that the Named Resident was able to leave the Assisted Living Facility unsupervised.
Report Facts
Total residents: 37 Resident sample size: 3 Closed records sample size: 0
Employees Mentioned
NameTitleContext
Wesler DumecquiasCommunity Complaint InvestigatorInvestigator who conducted the complaint investigation
Anthony DevitoField Services AdministratorSigned letter regarding the consultation and correction process
Inspection Report Complaint Investigation Census: 38 Deficiencies: 1 Jan 16, 2025
Visit Reason
The inspection was a follow-up complaint investigation triggered by allegations including a resident fall and inappropriate touching by staff, as well as failure to report incidents to the Complaint Resolution Unit Hotline.
Findings
The facility was found to have failed to report multiple unwitnessed falls with injuries to the Complaint Resolution Unit Hotline, resulting in a citation for noncompliance with WAC 388-78A-2630(1)(a). The allegation of inappropriate touching was not substantiated. The follow-up inspection found no deficiencies and the facility met licensing requirements.
Complaint Details
The complaint involved a Named Resident (NR) who had multiple unwitnessed falls with injuries and an allegation that a Named Staff (NS) touched the NR inappropriately. The facility failed to report the falls to the Complaint Resolution Unit Hotline, which was cited as a failed provider practice. The inappropriate touching allegation was investigated and not substantiated.
Deficiencies (1)
Description
Failure to report to the department's Complaint Resolution Unit hotline when a resident had five unwitnessed falls, four with injuries.
Report Facts
Total residents: 38 Resident sample size: 3 Number of unwitnessed falls: 5 Number of falls with injuries: 4
Employees Mentioned
NameTitleContext
Wesler DumecquiasCommunity Complaint InvestigatorInvestigator who conducted the complaint investigation and follow-up inspection
Kimberley RipleyField ManagerSigned the follow-up inspection report
Staff BWellness DirectorInterviewed regarding reporting of falls and acknowledged failure to report prior incidents
Inspection Report Follow-Up Census: 43 Deficiencies: 2 Oct 16, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to infection control and other licensing laws.
Findings
The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies related to infection control and compliance with licensing laws were corrected. The prior complaint investigation found failures in reporting COVID-19 cases and outbreak management, resulting in citations.
Complaint Details
Complaint investigation found multiple residents sick with symptoms compatible with COVID-19; the facility failed to quarantine sick residents, failed to report cases to the Department of Health, and failed to investigate a potential outbreak. Citation issued for noncompliance with WAC 388-78A-2650 (3) Reporting Fires and Incidents and WAC 388-78A-2371 (1) Investigations.
Deficiencies (2)
Description
Failure to determine and report positive COVID-19 cases and outbreaks to the local health department, placing residents at risk of infection.
Failure to obtain a medical testing site waiver (MTSW) license for blood glucose testing, risking inaccurate clinical laboratory services.
Report Facts
Total residents: 43 Resident sample size: 7 Closed records sample size: 2 Investigation date range: 2024-07-19 to 2024-08-15
Employees Mentioned
NameTitleContext
Wesler DumecquiasCommunity Complaint InvestigatorConducted the complaint investigation and follow-up inspection
Kimberley RipleyField ManagerSigned the follow-up inspection letter
Staff AExecutive DirectorProvided statements regarding resident hospitalizations and testing practices
Staff CMemory Care CoordinatorProvided statements about resident testing and hospitalizations
Staff DCaregiverReported quarantine practices and PPE use
Staff EMed TechReported resident symptoms, positive COVID-19 test, and contracting infection
Staff FMed TechReported resident symptoms and PPE use
Staff GCaregiverReported PPE use and resident care observations
Staff HRegional NurseReported on outbreak case reporting and testing practices
Inspection Report Follow-Up Census: 42 Deficiencies: 6 Apr 24, 2024
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 the Assisted Living Facility licensing requirements. The report details prior deficiencies related to food and nutrition services, medication management, investigations, and reporting abuse and neglect, all of which were corrected.
Deficiencies (6)
Description
Failed to serve resident meals reviewed and approved by a dietitian for 8 of 8 weekly menus, resulting in 42 residents not receiving nutritionally balanced meals.
Failed to obtain prescribed medications in a timely manner for 1 of 7 residents, placing residents at risk for medical complications.
Failed to notify physician and follow instructions when a resident refused medication, resulting in risk for untreated health care needs.
Failed to thoroughly investigate an incident where a resident was found injured on the floor, placing the resident at risk.
Failed to make a report to the Complaint Resolution Unit hotline for an unwitnessed incident resulting in a fractured hip, placing the resident at risk for harm.
Failed to administer medications accurately as prescribed, resulting in medication errors and risk for medical complications.
Report Facts
Residents sampled for review: 7 Current residents: 42 Former residents: 0 Medication doses refused: 51 Medication administration errors: 1 Residents at risk due to medication issues: 3 Residents injured on floor: 1 Residents with unreported incidents: 1
Employees Mentioned
NameTitleContext
Christine BantaALF LicensorDepartment staff who did the on-site verification
Kimberley RipleyField ManagerSigned compliance determination letters and correspondence
Betsy FrankieAdministratorSigned Plan/Attestation Statements agreeing to corrective actions
Jodi CondylesALF LicensorDepartment staff who inspected the Assisted Living Facility
Cristina GonzalezALF LicensorDepartment staff who inspected the Assisted Living Facility
Staff AExecutive DirectorProvided information on food services and incident reports
Staff BWellness DirectorProvided information on medication orders and pharmacy communication
Staff EResident Care CoordinatorDescribed medication administration procedures and refusals
Staff HCookProvided information on food service menus and dietitian review
Inspection Report Complaint Investigation Census: 43 Deficiencies: 1 Mar 4, 2024
Visit Reason
The inspection was conducted as a complaint investigation based on allegations of long call wait times resulting in resident falls and delays in care, as well as concerns about short staffing with only one caregiver overnight.
Findings
The investigation found that the facility's call pendant system was unreliable, with 3 of 3 sampled residents experiencing nonfunctioning or missing pendants, leading to delayed staff response and increased risk of injury. The facility was also short staffed and continuously hiring, contributing to long wait times for assistance. Citations were issued for noncompliance with communication system regulations.
Complaint Details
The complaint investigation was substantiated with findings that residents experienced long call wait times due to malfunctioning or missing call pendants, resulting in falls and delayed care. The facility was also short staffed with only one caregiver overnight.
Deficiencies (1)
Description
Failure to ensure 3 of 3 residents received reliable, working call pendants, placing residents at risk of unmet care needs and potential injury.
Report Facts
Total residents: 43 Resident sample size: 3 Closed records sample size: 0 Wait time: 45 Number of falls: 2
Employees Mentioned
NameTitleContext
Wesler DumecquiasCommunity Complaint InvestigatorConducted the on-site complaint investigation
Jayne HillField ManagerSigned follow-up inspection letter
Staff CMed techInterviewed regarding call pendant issues and resident care
Staff AExecutive DirectorInterviewed regarding lack of policy for pendant call system
Inspection Report Life Safety Deficiencies: 7 Jun 26, 2023
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the facility to assess compliance with fire protection and safety codes.
Findings
The inspection identified multiple violations related to fire detection and alarm systems, sprinkler system maintenance, commercial cooking system signage, fire alarm testing, fire department connection testing, carbon monoxide detector testing, and emergency lighting activation. The facility was disapproved due to these deficiencies.
Deficiencies (7)
Description
The sprinkler heads in the kitchen cooler and freezer appear to be more than 5 years old and lack required replacement documentation.
Facility is unable to provide documentation for the 5 year internal piping inspection and the 3 year dry system full flow trip test of the sprinkler system.
Signage is missing on the exhaust hood or system cabinet indicating the type and arrangement of cooking appliances protected by the automatic fire-extinguishing system.
Defunct single station smoke detectors in rooms need to be maintained or removed.
Facility unable to provide documentation that the Fire Department Connection has been hydrostatically tested every 5 years as required.
Facility unable to provide documentation for monthly carbon monoxide detector testing.
Facility unable to provide documentation for the monthly 30 second activation test for emergency lights; emergency light by room 215 failed to illuminate on push button test.
Report Facts
Age of sprinkler heads: 5 Hydrostatic test pressure: 150 Emergency lighting test duration: 30
Employees Mentioned
NameTitleContext
Betsy FrankeExecutive DirectorNamed as Owner or Owner's Representative on inspection report
Arthur Jesse WardDeputy State Fire MarshalConducted the inspection
Emir KaricMaintenanceNamed as Owner or Authorized Representative on final page
Inspection Report Complaint Investigation Census: 46 Deficiencies: 1 Apr 19, 2023
Visit Reason
The inspection was conducted as a complaint investigation triggered by allegations including medication errors, inadequate staffing, locked resident rooms, and lack of executive director.
Findings
The investigation found a medication error where a resident was given wrong medications due to staff distraction, and medications were given crushed without physician orders, constituting a failed practice. Other allegations such as locked rooms, wandering resident, and staffing were found to be adequately addressed. The facility hired a new Executive Director during the investigation period.
Complaint Details
The complaint involved seven allegations including wrong medications given to a resident, lack of resident identifiers, resident found on floor in another resident's room, inadequate staffing, locked resident rooms, inconsistent blood pressure monitoring, and absence of an Executive Director. The complaint was substantiated with a failed practice identified related to medication alteration.
Deficiencies (1)
Description
Medications were given in an altered or crushed form without physicians' orders, placing residents at risk for medication malabsorption and adverse effects.
Report Facts
Total residents: 46 Resident sample size: 5 Closed records sample size: 2 Wrong medications given: 5 Oral medications taken by Resident 1: 7 Oral medications taken by Resident 2: 13
Employees Mentioned
NameTitleContext
Wesler DumecquiasCommunity Complaint InvestigatorInvestigator who conducted the complaint investigation
Christine BantaCommunity Complaint InvestigatorDepartment staff who did the on-site verification during follow-up inspection
Kimberley RipleyField ManagerSigned the follow-up inspection report
Betsy FrankieAdministrator (or Representative)Signed the Plan/Attestation Statement for correction
Staff GMemory Care Director (MCD)Interviewed regarding medication administration
Staff FMed TechInterviewed regarding medication administration
Staff AExecutive DirectorInterviewed and provided information about medication orders

Loading inspection reports...