Inspection Reports for Keystone

The Office of the State Fire Marshal conducted a re-inspection at the Keystone residential care facility to verify correction of previous fire safety violations.

All violations noted during previous related inspections have been corrected as of the 06/16/2025 inspection. Prior deficiencies included issues with sprinkler heads loaded with debris, failure to maintain fire alarm systems, and blocked exit paths, which have now been addressed.

The inspection was conducted as an unannounced on-site complaint investigation following the facility's failure of their 3rd fire and life safety inspection on 2025-05-06 and issuance of a 2nd noncompliance letter.

The facility failed to comply with several International Fire Codes during the initial and follow-up fire and life safety inspections, including sprinkler heads loaded with debris, failure to maintain the fire alarm system, and blocked exit paths in the basement hallway. These deficiencies placed residents, staff, and visitors at risk.

The complaint investigation was based on the facility's failure of fire and life safety inspections on 12/16/2024, 02/06/2025, and 05/06/2025. The investigation confirmed noncompliance with fire safety codes and resulted in citations.

The Office of the State Fire Marshal conducted an inspection at the Keystone Residential Care facility to assess compliance with fire safety codes and regulations.

The facility was found to have multiple deficiencies including failure to provide documentation of annual fire-resistance-rated construction inspections, missing documentation for sprinkler system maintenance, debris blocking sprinkler heads, blocked fire sprinkler riser, failure to maintain fire alarm system, and obstructions in exit paths. Some issues were corrected during the inspection.

The inspection was conducted as an unannounced on-site complaint investigation following an altercation between two residents at the Assisted Living Facility.

The facility responded timely to the resident altercation, separated and protected residents, called 911, and Resident 1 was arrested and transported to jail. However, the facility failed to provide a discharge letter to Resident 1, which violated resident rights regulations.

The complaint involved an altercation between Named Resident 1 and Named Resident 2. The investigation found that the facility failed to issue a discharge letter to Resident 1 after the incident, violating WAC 388-78A-2660(1) Resident's Rights. The citation was substantiated with a failed provider practice identified and citation written.

The Department completed a follow-up inspection of the Assisted Living Facility on 06/26/2024 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. The prior deficiency related to tuberculosis testing of staff was corrected.

The Office of the State Fire Marshal conducted a fire safety inspection at the Keystone residential care facility on 11/28/2023.

All violations noted during previous related inspections have been corrected as of the 11/28/2023 inspection. The prior inspection on 10/2/2023 found multiple deficiencies related to extension cords, cleaning, door operation, testing and maintenance, extinguishing system service, portable fire extinguishers, inspection/testing/maintenance of fire alarm and detection systems, carbon monoxide alarms, and power tests, with paperwork not provided for several required inspections and maintenance activities.

The Office of the State Fire Marshal conducted a re-inspection at the Keystone Residential Care facility to verify correction of previous deficiencies and compliance with fire safety regulations.

The facility was found to have multiple outstanding violations including failure to provide documentation for sprinkler system maintenance and testing, fire door inspections, fire-resistance-rated construction inspections, fire/smoke damper inspections, fire alarm system maintenance and certification, emergency lighting and exit sign testing, carbon monoxide alarm maintenance, and fire extinguisher servicing. Several physical deficiencies were noted such as blocked sprinkler riser pipes, missing wrench for sprinkler heads, exposed wiring, blocked exit routes, and missing fire department connection caps.

The Department completed a follow-up inspection of the Assisted Living Facility on 01/19/2023 to verify correction of previous deficiencies.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to emergency lighting, disaster preparedness, heating, maintenance, water supply, and background checks were corrected.

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

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. A prior complaint investigation found deficient practice related to medication administration but no failed provider practice was identified in the follow-up.

Complaint investigation involved allegations that a staff member gave medications to the wrong resident resulting in hospitalization, staff tried to cover up the error, steady drug usage at the facility, threats and assaults by clients, understaffing, and staff yelling at residents. The investigation found deficient practice related to medication administration but no failed provider practice was identified for staff yelling or other allegations.