Inspection Reports for HomePlace Special Care at Burlington

The Office of the State Fire Marshal conducted a fire safety inspection at the Homeplace Special Care Center at Burlington on June 4, 2025.

The inspection identified several violations including blocked electrical panel access, lack of documentation for semi-annual hood cleaning, gas appliances on casters without restraining devices, and missing documentation for semi-annual kitchen suppression system servicing. All previous violations noted during related inspections have been corrected.

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

The follow-up inspection found no deficiencies, and the facility meets the Assisted Living Facility licensing requirements. Previous deficiencies related to staff training, certification, food sanitation, tuberculosis testing, and background checks were corrected.

The inspection was triggered by complaint investigations referenced by complaint numbers 166002 and 168285.

The inspection was conducted as a follow-up and complaint investigation related to multiple allegations including failure to notify a resident's family of a significant change in condition, medication errors, falsification of ostomy log, and failure to ensure staff presence around the resident.

The follow-up inspection on 04/21/2025 found no deficiencies. The complaint investigation identified multiple failed provider practices including failure to notify a resident's representative of a significant change in condition, medication errors leading to hospitalization, and administration of medication despite allergy warnings. Citations were issued for noncompliance with WAC 388-78A-2640 and WAC 388-78A-2210 Medication Services.

The complaint investigation involved allegations that the Assisted Living Facility staff did not notify the Named Resident’s family of a change in condition, no medication technician was present during a pain episode, ostomy log book was falsified, and failure to ensure staff presence around the resident. The Named Resident was hospitalized due to medication errors and allergy reactions. Multiple citations were issued for noncompliance.

The inspection was an unannounced on-site full inspection and complaint investigation conducted on 02/20/2025, 02/21/2025, and 02/24/2025, triggered by complaint numbers 166002 and 168285.

The Assisted Living Facility was found not in compliance with multiple licensing laws and regulations, including failure to ensure staff completed required training within mandated timeframes, lack of current food worker and CPR/First Aid certifications, incomplete tuberculosis testing, and incomplete or outdated background checks. These deficiencies placed all 37 residents at risk.

The inspection was conducted as a complaint investigation referencing complaint numbers 166002 and 168285.

The inspection was a follow-up and complaint investigation of Homeplace Special Care Center at Burlington to assess compliance with assisted living facility licensing laws and investigate allegations of abuse, neglect, and communication system failures.

The facility was found to have multiple deficiencies including failure to conduct thorough investigations of abuse allegations, failure to provide requested documents to the department, failure to provide an effective communication system for residents to summon staff assistance, and failure to provide appropriate colostomy care as agreed in the negotiated service agreement. Some deficiencies were corrected by the follow-up inspection on 12/03/2024.

The complaint investigation included allegations that residents were found in unsanitary conditions, lacked call buttons, experienced physical abuse by staff, and had inadequate care for colostomy bags. Investigations revealed failures in staff training, abuse investigations, and communication systems. The facility failed to conduct internal investigations and did not provide documentation of investigations to the department.

The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to assess compliance and enforce corrective actions related to previously cited deficiencies.

The facility failed to maintain a working communication system in one unit, resulting in eight residents lacking functioning pendants to alert staff. This deficiency was uncorrected from a prior citation on August 6, 2024, leading to the imposition of a $400 civil fine.

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to reporting significant changes in a resident's condition.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. The prior complaint investigation found that the facility failed to notify a resident's representative and medical provider of a significant change in condition, resulting in delayed treatment and hospital admission.

Complaint investigation found that the Assisted Living Facility staff failed to escalate care prior to sending the resident to the emergency room and failed to notify the resident's family and medical provider of a significant change in condition. The allegation that staff lied about vital signs was not substantiated. The complaint investigation concluded with a failed provider practice identified and citation written.

The inspection was conducted to investigate a complaint regarding a fire caused by a failed water heater at Homeplace Special Care Center at Burlington.

The fire department responded promptly to a small fire caused by a failed water heater in the maintenance room. The sprinkler system functioned properly, extinguishing the fire. The water heater was replaced and operational, no injuries were reported, and no violations were observed.

Complaint ref #108165 involved a fire from a failed water heater. The fire department was dispatched, the sprinkler system extinguished the fire, and the water heater was replaced. No injuries or violations were reported.

The Office of the State Fire Marshal conducted an inspection at the Homeplace Special Care Center at Burlington to assess compliance with fire protection and safety codes.

The inspection identified multiple violations including missing breaker protective coverings, use of power strips and multi-plug adapters without over current protection, use of extension cords as permanent wiring, lack of documentation for annual fire-resistance rated construction inspection, lack of documentation for semi-annual kitchen suppression system servicing, and improperly installed smoke detectors near air supply diffusers preventing proper operation.

The inspection was conducted as an unannounced on-site complaint investigation regarding allegations that a named resident had pressure ulcers and repeated falls.

The Assisted Living Facility failed to take appropriate action in response to a named resident's changing needs, resulting in pressure injuries and repeated falls. Citations were written for failure to complete focused assessments and to address residents' changing needs.

The complaint investigation was based on allegations that a named resident had pressure ulcers and repeated falls. The investigation found failed provider practices with citations written.