Inspection Reports for Josephine Caring Community

The inspection was conducted due to a complaint alleging that the Assisted Living Facility terminated the Nurse Delegator without replacement and forced a Named Staff to take over as Nurse Delegator.

The investigation found that the facility had no Nurse Delegator oversight from July 11 to July 22, 2025, during which medications were administered without proper supervision, constituting failed practice and resulting in a citation. The Named Staff refused to take over the Nurse Delegator role for safety reasons, and the facility subsequently hired a Nurse Delegator.

The complaint was substantiated with failed provider practice identified and citation(s) written related to lack of Nurse Delegator oversight and medication administration without supervision.

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

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to maintenance, resident rights, training, reporting, investigations, medication assessments, and resident safety were corrected.

The Office of the State Fire Marshal conducted an inspection at the Josephine Caring Community facility to evaluate compliance with fire protection and safety regulations.

Multiple violations were observed including a resident room door being blocked open, improper installation of a smoke detector head, lack of documentation for smoke detector sensitivity testing, failure to provide documentation for emergency generator servicing, and missing fire drill participation lists and documentation for planned fire drills.

The Department completed a complaint investigation of the Assisted Living Facility on 05/24/2023 due to an allegation that a staff member gave medication without a physician's order to a resident.

The investigation found that the facility failed to coordinate with prescribers and pharmacy to ensure physician's orders were clearly defined, resulting in conflicting medication orders on the EMAR. A citation was issued for non-compliance with medication services regulations.

It was alleged that a Named Staff gave a medication without a physician's order to the Named Resident. The investigation concluded that an additional one-time dose of anti-anxiety medication was not provided, but multiple conflicting physician orders were found on the EMAR.

The inspection was conducted as a complaint investigation regarding concerns that the Named Resident's funds might not be being used appropriately.

The investigation found that the facility failed to report possible financial exploitation of a resident to the Complaint Resolution Unit, constituting a failed provider practice and noncompliance with WAC 388-78A-2630 Reporting abuse and neglect.

The complaint alleged that the Named Resident's funds might not be being used appropriately. The investigation concluded that the facility staff did not report suspected financial exploitation, placing the resident at risk.