Inspection Reports for
Pioneer Place Alzheimer Residence of Tacoma

11519 24th Ave E, Tacoma, WA, 98445

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 3.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

44% better than Washington average
Washington average: 6.3 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023
2024

Inspection Report

Follow-Up
Census: 34 Deficiencies: 0 Date: Nov 4, 2024

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 11/04/2024 to verify correction of previously cited deficiencies.

Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. The prior deficiencies related to licensing laws and regulations were corrected.

Report Facts
Residents at risk due to untrained staff: 34 Residents at risk due to unmet care needs: 4 Residents at risk due to unmet care needs: 3 Residents and staff at risk for Tuberculosis exposure: 34 Sampled residents: 7 Current residents: 34

Employees mentioned
NameTitleContext
Melisa MoranAssisted Living Facility Nursing Consultant InstitutionalDepartment staff who did the on-site verification.
Emily BonifaceCommunity Program Nurse LicensorDepartment staff that inspected the Assisted Living Facility.
Staff AAdministratorNamed in findings related to lack of continuing education, incomplete assessments, and failure to ensure tuberculosis testing.
Staff CRN Nurse Delegator-ContractorNamed in findings related to lack of continuing education.
Staff DHealth Care Coordinator (HCC) AssistantNamed in findings related to incomplete tuberculosis testing.
Staff FResident Care Coordinator AssistantNamed in findings related to assessments and tuberculosis testing.
Staff EResident Care Coordinator (RCC)Named in findings related to assessments and tuberculosis testing.

Inspection Report

Life Safety
Deficiencies: 7 Date: Apr 24, 2023

Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Pioneer Place Alzheimer Residence of Tacoma facility on 04/24/2023.

Findings
The inspection found multiple violations related to fire hydrant clearance, working space clearance, owner's responsibility for fire-resistance-rated construction inventory, duct and air transfer openings maintenance, smoke detector sensitivity testing, fire door inspection and testing, and fire drills documentation. The facility was unable to provide required documentation for several items and was disapproved.

Deficiencies (7)
Three feet of clearance required around fire hydrant located between both buildings.
Working space clearance must be maintained in the fire alarm panel closet.
Facility shall provide an inventory of all fire-resistance-rated construction in the building.
Unable to provide documentation showing that fire/smoke damper inspection and testing has been performed in the past 5 years.
Unable to provide documentation showing that smoke detectors sensitivity testing has been performed in the last 5 years.
Facility was unable to provide documentation showing that an annual fire door inspection has been completed in the past 12 months.
Facility cannot provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months; multiple quarters missing for various shifts.
Report Facts
Inspection date: Apr 24, 2023 Next inspection scheduled on or after: May 25, 2023 Fire drills required: 12

Employees mentioned
NameTitleContext
Lysandra DavisDeputy State Fire MarshalSigned the inspection report
Bebie RantallaAdministratorNamed as Owner or Authorized Representative

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