Inspection Reports for Heritage Court

The Office of the State Fire Marshal conducted a fire protection inspection at the Everett Heritage Court residential care facility on June 10, 2025.

The facility was disapproved due to multiple fire safety violations including improper use of power strips, missing grease filter in kitchen hood, failure to provide documentation of semi-annual hood cleaning, fire extinguisher servicing, emergency lighting tests, generator tests, and fire drills. Several doors failed to latch properly and exit signs were missing or inadequate.

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to full assessment topics and safety considerations.

The follow-up inspection on 05/16/2025 found no deficiencies, confirming that previously cited issues regarding full resident assessments and safety considerations with portable heaters were corrected.

The complaint investigation was triggered by the Assisted Living Facility's boiler not producing heat on the bottom floor, leading to use of portable heaters without proper resident safety assessments. The investigation found failed practice and issued a citation for non-compliance with WAC 388-78A-2090.

The inspection was a follow-up and complaint investigation related to allegations including a resident fall with injury, medication management concerns, rash and swollen limbs from medications, and a scabies outbreak at the Assisted Living Facility.

The investigation found that the facility had an outbreak of scabies which was not reported to the Local Health Jurisdiction as required, resulting in a citation for non-compliance with infection control regulations. The facility also had an unwitnessed resident fall with injury and managed medication and skin issues appropriately. Follow-up inspection found no deficiencies.

The complaint investigation involved allegations of a resident fall with injury, medication management concerns, rash and swollen limbs from medications, and a scabies outbreak. The scabies outbreak was substantiated with failed provider practice and citation issued. The fall and medication management allegations resulted in no failed practice identified.

The inspection was conducted as a complaint investigation based on allegations that a named resident was admitted without a diagnosis, bathroom lights were not working, the toilet was not flushing, and care staff did not respond to an emergency pull cord call.

The investigation found that the facility failed to maintain the emergency call light system and bathroom lighting for one resident, resulting in a citation for non-compliance with housekeeping and maintenance regulations. Staff failed to respond to the resident's call light because the pager was left in the medication cart, but the issue was corrected during the visit.

The complaint investigation was substantiated with findings that the facility did not maintain the emergency call light system and bathroom lighting, and staff failed to respond to the emergency call light. A citation was issued for non-compliance with WAC 388-78A-30390 (1)(c).

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to freedom of movement and exit door access.

The follow-up inspection on 03/14/2025 found no deficiencies, confirming that the previously cited issues regarding freedom of movement and exit door access were corrected. Prior inspections documented failures to provide visitors with a system to exit without staff assistance and lack of posted exit codes, which were uncorrected citations from 11/01/2024 and earlier.

The complaint investigation conducted from 10/25/2024 through 11/01/2024 found that the ALF bottom floor did not have an accessible outdoor area and did not have a visible access code for visitors on secured exit doors. The complaint was substantiated with citations issued for noncompliance with WAC 388-78A-2381 and WAC 388-78A-2080.

The inspection was conducted in response to a complaint regarding heaters at Everett Heritage Court.

The facility has a boiler that needs replacement and uses separate heating systems on different floors. Some residents use portable electric space heaters following safety guidelines. Temperatures are maintained around 65-70 degrees. No violations were observed.

Complaint ref #166187 involved concerns about heaters. The investigation found no violations. The Executive Director was interviewed and informed about proper use of portable electric space heaters.

The Department of Social and Health Services conducted a follow-up visit to Everett Heritage Court to assess compliance and enforce a civil fine related to a previously cited violation.

The facility was fined $400 for failing to ensure a system was in place to allow visitors to exit the assisted living facility without staff assistance, resulting in unnecessary wait times. This violation was previously cited and remained uncorrected since November 1, 2024.

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to resident records and policies.

The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies related to resident records documentation and policies were corrected.

The complaint investigation was triggered by allegations that a Named Resident was roughly handled by staff, not properly cleaned after bowel movements leading to fecal matter in a sacral wound, improper wound dressing management, and worsening of the sacral wound due to poor care. The investigation found failed practices in documentation and monitoring of wounds and food intake, resulting in citations for non-compliance with WAC 388-78A-2410(9) and WAC 388-78A-2600(1)(b).

The inspection was conducted as a follow-up to complaint investigations regarding allegations of resident neglect, abuse, and failure to follow policies related to resident care and incident reporting at Everett Heritage Court Assisted Living Facility.

The facility was found to have failed in investigating and documenting incidents of resident bruising, failed to place residents on alert charting after falls or changes in condition, and failed to report suspected abuse to the state hotline. Deficiencies were corrected by the follow-up inspection on 09/18/2024, with no deficiencies found at that time.

The complaint involved allegations that a named resident had sores and open wounds, had not eaten, was subjected to inappropriate touching, had to clean their living areas, and staff neglect. Investigations found some failed practices related to policy and procedures, but the resident denied abuse and felt safe. Another complaint involved a resident with a black eye and facial injury; the facility failed to investigate and report incidents properly.

The inspection was conducted as a complaint investigation regarding multiple allegations including a resident being missing from the facility, extreme weight loss and neglectful care, failure to feed or provide fluids and medications, and safety concerns related to wandering and exit doors being unsecured.

The investigation found multiple failed provider practices including failure to monitor residents' well-being, failure to identify and intervene in weight loss, failure to provide medications and fluids, failure to notify appropriate parties of significant changes in residents' conditions, and failure to secure exit doors leading to resident elopement. Citations were issued for these deficiencies.

The complaint investigation involved multiple allegations: a named resident was missing from the facility and found outside; a resident had extreme weight loss and neglectful care; a resident was not fed or given fluids or medications for more than 4 days; a resident had pneumonia from sleeping in a room with windows open; and concerns about wandering and unsecured doors. The investigation confirmed failed provider practices and citations were issued.

The inspection was conducted as a complaint investigation due to the Assisted Living Facility's failure to comply with the annual Washington State Patrol Fire Protection Bureau inspection.

The facility was found to have uncorrected violations from the second Fire Marshal visit on 08/01/2023, including failure to comply with fire safety codes and incomplete documentation for fire drills, hood cleaning, emergency generator servicing, and fire door maintenance.

The complaint investigation was based on allegations that the Assisted Living Facility failed to comply with the annual Washington State Patrol Fire Protection Bureau inspection. The investigation found uncorrected violations from fire safety inspections conducted on 06/27/2023 and 08/01/2023, placing residents at risk of harm in the event of a fire.

The Office of the State Fire Marshal conducted a fire safety inspection at the Everett Heritage Court residential care facility on 08/01/2023.

Multiple fire safety violations were identified including lack of documentation for semi-annual hood cleaning, blocked fire rated doors, malfunctioning door closing mechanisms, missing sprinkler escutcheon plate, incorrect emergency exit gate codes, and incomplete fire drill documentation. Several fire protection systems and maintenance activities were found deficient or undocumented.

The Office of the State Fire Marshal conducted a reinspection of Everett Heritage Court to verify correction of violations identified during a prior annual fire and life safety inspection.

During the reinspection, some violations identified in the initial inspection remained uncorrected, indicating the facility failed to gain and maintain compliance with state law, placing residents, staff, and visitors at risk.

The investigation was conducted due to a complaint alleging that a named resident had several falls that were not reported to the family.

The investigation found that the facility failed to properly investigate and document falls and incidents for multiple residents, did not notify responsible parties or medical providers as required, and failed to implement adequate policies and procedures related to incident investigations, reporting abuse and neglect, and falls response. These failures placed multiple residents at risk for abuse, neglect, additional falls, injuries, and diminished quality of life.

The complaint alleged that the named resident had several falls that were not reported to the family. The investigation substantiated failures in incident reporting and investigation related to multiple residents' falls and injuries.

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