Deficiencies (last 2 years)
Deficiencies (over 2 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
21% better than Washington average
Washington average: 6.3 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Follow-Up
Census: 30
Deficiencies: 4
Jun 4, 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 on 06/04/2024 found no deficiencies, indicating the facility now meets Assisted Living Facility licensing requirements. Previous deficiencies related to food sanitation, tuberculosis testing, background checks, and CPR/first-aid training were corrected.
Deficiencies (4)
| Description |
|---|
| Failure to ensure food service was managed in accordance with food safety standards, including issues with dishwashing sanitization and kitchen cleanliness. |
| Failure to ensure 2 of 6 sampled staff had tuberculosis skin testing within 3 days of employment. |
| Failure to ensure 2 of 2 sampled caregivers had required Washington State background checks and fingerprint checks. |
| Failure to ensure 2 of 6 sampled staff had valid CPR and first-aid cards within 30 days of hire. |
Report Facts
Residents reviewed: 8
Current residents: 30
Deficiencies cited: 4
Sampled staff for tuberculosis testing: 6
Sampled caregivers for background checks: 2
Sampled staff for CPR/first-aid training: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kathy Heinz | Long Term Care Surveyor | Department staff who did the on-site verification |
| Susan Carmichael | Nursing Consultant Institutional | Department staff who did the on-site verification |
| Jody Just | Field Manager | Signed the follow-up inspection letter |
| Dana Iwode | Administrator | Signed Plan/Attestation Statements related to deficiencies and corrective actions |
Inspection Report
Life Safety
Deficiencies: 6
Mar 21, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at Hearthside Manor to evaluate compliance with fire protection, emergency lighting, and exit signage requirements.
Findings
The facility was disapproved due to multiple violations including unapproved multiplug use, failure to provide documentation of annual fire sprinkler system testing, fire alarm system issues, emergency egress lighting failures, and lack of documentation for annual battery testing of emergency lighting and exit signs.
Deficiencies (6)
| Description |
|---|
| Unapproved multiplug found in use under administrator's office window. |
| Facility failed to produce documentation showing that the fire sprinkler system has been annually confidence tested in the last 12 months. |
| Fire alarm system was found in trouble mode at time of inspection; smoke detector in 'D House' was due for replacement. |
| Emergency egress lighting failed to illuminate on battery backup at multiple locations. |
| Bug-eye exit signs failed to be internally illuminated or operate on battery backup when tested at multiple locations. |
| Unable to provide documentation showing that 90-minute annual battery testing of emergency lighting and exit signs has been performed in the past 12 months. |
Report Facts
Next inspection scheduled: Apr 24, 2023
Number of cited violations: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sean Caudle | Maintenance Supervisor | Named as facility representative signing the inspection report |
| Lysandra Davis | Deputy State Fire Marshal | Conducted the inspection and signed the report |
Loading inspection reports...
