Inspection Reports for Park View Villas
1430 Park View Lane, Port Angeles, WA, 98363
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
32% better than Washington average
Washington average: 6.3 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
30 residents
Based on a July 2023 inspection.
Census over time
Inspection Report
Follow-Up
Deficiencies: 2
Date: Jun 18, 2025
Visit Reason
The Department of Social and Health Services completed a follow-up visit at the assisted living facility Park View Villas to assess correction of previously cited deficiencies.
Findings
The facility was found to have uncorrected deficiencies related to medication storage and securing for four residents, and failure to ensure three residents received a full assessment within 14 days of move-in, placing residents at risk.
Deficiencies (2)
Failure to ensure medications for four residents who were unable to safely secure their own medications were securely stored.
Failure to ensure three residents received a full assessment within 14 days of their move-in date.
Report Facts
Civil fine amount: 600
Residents affected: 4
Residents affected: 3
Days for correction attestation: 10
Days for appeal request: 10
Days for administrative hearing request: 28
Days for payment: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Clinton Fridley | RN, Field Manager | Contact person for submission of Statement of Deficiencies and inquiries. |
| Matt Hauser | Compliance Specialist | Signed the imposition of civil fines letter. |
Inspection Report
Life Safety
Deficiencies: 0
Date: Feb 19, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at Park View Villas on 2025-02-19 to assess compliance with fire safety codes and verify correction of previous violations.
Findings
All violations noted during previous related inspections have been corrected. The report confirms compliance with fire safety requirements including emergency evacuation drills, fire extinguishers, fire door inspections, and securing compressed gas containers.
Report Facts
Next inspection scheduled: Jan 21, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Raul Murcia | Deputy State Fire Marshal | Conducted the inspection and signed the report |
| Shane Muir | Maintenance Director | Owner or Authorized Representative who signed the report |
Inspection Report
Complaint Investigation
Census: 30
Deficiencies: 1
Date: Jul 18, 2023
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation related to allegations of resident rights violations and quality of care concerning a resident with an injury to her arm.
Complaint Details
The complaint involved allegations that a staff member pulled a resident and that the resident was found with an injury to her arm. The complaint was substantiated with a citation for failure to report injury of unknown source.
Findings
The investigation found insufficient evidence to support violation of resident rights, but identified a failure by the facility to ensure staff reported an injury of unknown origin to the Department, placing the resident at risk. Additional residents reviewed had no concerns.
Deficiencies (1)
The assisted living facility failed to ensure staff members reported an injury of unknown origin directly to the Department's Complaint Resolution Unit hotline for 1 of 4 residents reviewed.
Report Facts
Total residents: 30
Resident sample size: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Phan Pham | Nurse Surveyor | Department staff who conducted the on-site investigation |
| Staff A | Resident Care Director | Interviewed regarding injury reporting and observations of resident's injury |
| Staff B | Caregiver | Interviewed regarding assisting resident and reporting injury to Registered Nurse |
| Staff C | Medication Tech | Interviewed regarding assisting resident, noticing bruise, and reporting injury |
Inspection Report
Complaint Investigation
Census: 29
Deficiencies: 1
Date: Mar 20, 2023
Visit Reason
The investigation was conducted due to a complaint alleging that staff members did not contact a resident's representative to pick up the resident's medications and instead destroyed them.
Complaint Details
Complaint related to quality of care where staff allegedly did not contact the resident's representative to pick up medications but destroyed them. The complaint was substantiated with a failed provider practice identified and citation(s) written.
Findings
The facility failed to ensure the discharged resident’s representative was notified to pick up the resident’s medications prior to destruction, placing the resident at risk. Additional residents reviewed for care, services, and safety had no concerns.
Deficiencies (1)
Failed to ensure a discharged resident’s medications were stored and accounted for and failed to ensure the resident’s representative was notified to pick up the medications prior to destruction.
Report Facts
Total residents: 29
Resident sample size: 3
Closed records sample size: 1
Resident medications refill cycle: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Phan Pham | Nurse Surveyor | Department staff who conducted the on-site verification and investigation |
| Cory Cisneros | Field Manager | Signed the letter addressing compliance determinations |
| Pauline Smith | Administrator or Representative | Signed the Plan of Correction |
Inspection Report
Life Safety
Deficiencies: 9
Date: Dec 12, 2022
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at Park View Villas to assess compliance with fire protection codes and maintenance requirements.
Findings
The inspection found multiple deficiencies including failure to maintain electrical outlets, lack of documentation for sprinkler system inspections, improperly maintained sprinkler heads, fire extinguishers placed on the floor, missing documentation for smoke alarm inspections, carbon monoxide detector maintenance failures, missing documentation for emergency lighting tests, failure to provide annual fire door inspection documentation, and fire doors not closing properly at several locations.
Deficiencies (9)
Facility failed to maintain electrical outlets at multiple locations including room 304 and room 205.
Facility failed to provide documentation for the automatic sprinkler system including annual inspection report, three-year dry system full flow trip, backflow report, and quarterly inspections.
Sprinkler head in PPE closet by wellness center hanging below ceiling level.
Facility failed to maintain fire extinguishers properly; extinguishers were found on the floor in elevator rooms in Elwah and Klahanne buildings.
Facility failed to provide documentation showing monthly inspections of smoke alarms.
Facility failed to provide documentation showing carbon monoxide detectors are being tested and maintained; carbon monoxide detector in commercial laundry room missing battery.
Facility failed to provide documentation showing 30-second monthly activation test for exit signs and emergency lights.
Facility failed to provide documentation of annual fire door inspection.
Facility failed to maintain fire doors at multiple locations; elevator door by room 302 not closing, room 304 door not closing and handle not working, rooms 306 and 307 doors not closing, and garbage shoot door on second floor not closing.
Report Facts
Number of fire doors with maintenance issues: 5
Number of electrical outlet issues: 3
Number of missing sprinkler system documentation items: 4
Number of fire extinguisher location issues: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Raul Murcia | Deputy State Fire Marshal | Conducted the inspection and signed the report |
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