Inspection Reports for Ida Culver House Broadview
12505 Greenwood Ave N, Seattle, WA 98133, United States, WA, 98133
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Inspection Report
Annual Inspection
Deficiencies: 0
Mar 1, 2024
Visit Reason
The Department completed a full inspection of the Assisted Living Facility on 03/01/2024.
Findings
The inspection found no deficiencies in the facility.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sunny Kent | Licensor | Department staff who did the inspection |
| Scottie Sindora | ALF Licensor | Department staff who did the inspection |
Inspection Report
Life Safety
Deficiencies: 13
May 3, 2023
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the Ida Culver House Broadview facility to assess compliance with fire protection and safety codes, including inspection, testing, and maintenance of fire detection, alarm, and sprinkler systems.
Findings
The inspection found multiple violations including lack of documentation for backflow internal inspection, sprinkler system gauges exceeding replacement age, damaged sprinkler head escutcheons, corroded and damaged sprinkler heads, recessed sprinkler heads, and paint on sprinkler heads. Several fire safety system components required repair or replacement, with some items still awaiting contractor completion.
Deficiencies (13)
| Description |
|---|
| Facility is unable to provide documentation for the backflow internal inspection in accordance with NFPA 25. |
| Sprinkler system risers and sections had gauges that are over the 5 years replacement age. |
| A Wing north first floor stairwell sprinkler head escutcheon is damaged and hanging down onto the sprinkler head. |
| B building kitchen sprinkler heads need assessment; some are loaded, corroded, or damaged. |
| Dining room bus station sprinkler head is recessed too far into the ceiling. |
| Paint on sprinkler head in the community relations office. |
| Fire Department Connection has not been hydrostatically tested in accordance with NFPA 25. |
| Electrical hazards including open electrical boxes in B building kitchen and flammable storage in electrical panel room. |
| Swinging fire doors did not close and latch automatically in C building first floor elevator lobby. |
| B building kitchen appliance lineup does not match the suppression system. |
| Facility needs a water fire extinguisher for the pool chemical room; fire extinguishers in building C have not been inspected since October 2022. |
| A building fire alarm panel building batteries are older than five years. |
| Means of egress illumination issues including non-functioning emergency lights and exit lights in various locations. |
Report Facts
Inspection completion date: May 9, 2023
Dates items waiting on contractor: Feb 21, 2023
Dates items waiting on contractor: Mar 28, 2023
Hydrostatic test pressure: 150
Hydrostatic test duration: 2
Hydrostatic test frequency: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jesse Ward | Deputy State Fire Marshal | Signed inspection report and conducted inspection |
| Alexis Kort | Associate Executive Director | Owner or Owner's Representative signing the report |
| Dennis R Conn | Owner or Authorized Representative signing the report on 01/18/2023 inspection |
Inspection Report
Follow-Up
Census: 86
Deficiencies: 0
Jan 9, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 01/09/2023 to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and the facility met the Assisted Living Facility licensing requirements.
Report Facts
Resident census during inspection: 86
Resident sample size: 6
Former residents sample size: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Keiko Kitano | Licensor | Department staff who did the on-site verification and inspection |
| Jamie Singer | Field Manager | Signed multiple letters and correspondence related to the inspection and follow-up |
| Kim Mulvaney | Administrator or Representative | Signed Plan/Attestation Statements for correction of deficiencies |
Inspection Report
Complaint Investigation
Census: 93
Deficiencies: 1
Dec 30, 2022
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility due to allegations of inappropriate staff behavior and failure to meet Assisted Living Facility requirements.
Findings
The investigation found that a staff member touched a resident inappropriately and that the facility delayed notifying law enforcement by six days after the allegation of sexual abuse, placing residents at risk.
Complaint Details
Complaint investigation included allegations that a staff member touched a resident inappropriately. The facility delayed law enforcement notification by six days. The complaint was substantiated with a failed provider practice identified and citation(s) written.
Deficiencies (1)
| Description |
|---|
| Failure to notify law enforcement immediately following an allegation of sexual abuse. |
Report Facts
Total residents: 93
Complaint numbers: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hayley Pinkham | ALF Licensor | Investigator who conducted the complaint investigation |
| Jamie Singer | Field Manager | Signed letter related to the complaint investigation |
Inspection Report
Complaint Investigation
Census: 42
Deficiencies: 1
Nov 29, 2022
Visit Reason
The inspection was conducted due to a complaint concerning hot liquid access with coffee machines in memory care dining rooms.
Findings
The facility failed to ensure safety hazards were not present in the memory care resident dining rooms on two floors, placing 34 ambulatory residents at risk for injury or burns due to hot beverage machine access.
Complaint Details
Complaint investigation regarding hot liquid access with coffee machines in memory care dining rooms. The complaint was substantiated with failed provider practice identified and citations written.
Deficiencies (1)
| Description |
|---|
| The assisted living facility failed to maintain two memory care unit dining rooms free of safety hazards, placing 34 vulnerable ambulatory residents at risk for burns from hot liquids. |
Report Facts
Total residents: 42
Resident sample size: 36
Ambulatory residents at risk: 34
Hot water output temperature: 140.5
Coffee output temperature: 138
Decaf coffee output temperature: 139
Hot water output temperature: 143
Coffee output temperature: 136
Decaf coffee output temperature: 137.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Prentice | Complaint Investigator | Department staff who conducted the on-site verification and investigation. |
| Jamie Singer | Field Manager | Signed documents related to the investigation and compliance determination. |
| Staff A | Dining Services Director | Provided information and temperature measurements of hot beverage machines during observation and interview. |
| Staff B | Memory Care Unit Manager | Interviewed regarding facility awareness of concerns and safety measures related to hot beverage machines. |
| Associate Executive Director | AED | Interviewed regarding awareness of concerns about hot beverage machines and resident risk of injury. |
Inspection Report
Enforcement
Deficiencies: 2
Nov 17, 2022
Visit Reason
The Department of Social and Health Services conducted an investigation at the assisted living facility Ida Culver House Broadview, resulting in the imposition of civil fines due to violations of service agreement planning and family assistance with medications and treatments.
Findings
The licensee failed to update the Negotiated Service Agreement to reflect current resident needs and failed to ensure a written plan for family assistance with medications, placing residents at risk. These deficiencies were uncorrected from a previous citation dated September 9, 2022.
Deficiencies (2)
| Description |
|---|
| Failure to ensure the Negotiated Service Agreement was updated to reflect current health status and care needs for one resident. |
| Failure to ensure a written plan, including a backup plan, was in place for family assistance with medications for one resident. |
Report Facts
Civil fine amount: 600
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Hauser | Compliance Specialist | Signed the enforcement letter regarding civil fines. |
| Jamie Singer | Field Manager | Contact person for the enforcement action and plan of correction submission. |
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