Inspection Reports for Port Townsend Senior Living

The Office of the State Fire Marshal conducted a fire safety inspection at the facility on March 5, 2025.

The inspection found multiple violations including blocked electrical panels, improper use of extension cords, missing fire system inspection reports, fire extinguisher lacking annual inspection, failure to maintain fire doors, and failure to provide annual generator inspection reports.

This letter confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility administrator to dispute citations related to a Statement of Deficiencies and a Civil Fine.

The document does not contain inspection findings but addresses the scheduling and procedural details for the IDR process disputing specific citations.

This document is the result of an Informal Dispute Resolution (IDR) process regarding disputed deficiencies identified in the Statement of Deficiencies (SOD) report dated 2025-01-08 for an Assisted Living Facility.

After review of all materials, oral statements, and records, the decision was made to not change the original SOD report dated 2025-01-08. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 calendar days.

The Department of Social and Health Services completed a follow-up visit to the assisted living facility to verify correction of previously cited deficiencies.

The facility was found to have multiple uncorrected deficiencies related to infection control, background checks, service agreement planning, and medication services, resulting in civil fines totaling $1,500.

The document informs the facility administrator that the Informal Dispute Resolution request for the Statement of Deficiencies dated October 24, 2024, was denied due to the request being postmarked after the required deadline.

The letter states that the IDR request was denied without further process because it was postmarked on December 3, 2024, which is after the November 26, 2024 deadline for submitting such requests.

Follow-up inspection to verify correction of previous deficiencies related to respiratory protection program and fit testing of staff.

The facility was found to have corrected previous deficiencies related to respiratory protection and fit testing of staff. However, prior inspections and complaint investigations revealed failures to ensure all staff were medically cleared and fit tested for N95 respirators, placing residents and staff at risk of infection. Additionally, the facility failed to report a COVID-19 positive case to the local health jurisdiction as required.

Complaint investigation revealed infection control concerns including failure to ensure all staff were fit tested for N95 respirators and failure to report a COVID-19 positive case to the local health jurisdiction. The complaint was substantiated with findings of failed provider practices.

The Department of Social and Health Services completed a follow-up visit to the assisted living facility to verify correction of previously cited deficiencies.

The facility was cited for failing to ensure all staff were medically cleared for fit testing of an N-95 respirator before use for three staff members, placing residents and staff at risk of infection. This deficiency was uncorrected and recurring from previous citations.

The document confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility to dispute a Statement of Deficiencies dated January 11, 2024, and an associated Civil Fine dated January 22, 2024.

The letter does not contain inspection findings but references disputed citations under WAC 388-78A-2160 and the associated civil fine.

This document is the result of an Informal Dispute Resolution (IDR) process regarding disputed deficiencies identified in a Statement of Deficiencies report dated January 11, 2024.

After review of all materials, oral statements, and records, the decision was made not to change the original Statement of Deficiencies report dated January 11, 2024.

A follow-up visit was conducted to assess correction of previously cited deficiencies and resulted in the imposition of a civil fine due to recurring violations.

The facility failed to ensure all staff were medically cleared for fit testing of an N-95 respirator before use for three staff members, placing residents, staff, and visitors at risk of communicable disease transmission. This was an uncorrected and recurring deficiency previously cited on January 5, 2024, and October 6, 2023.

The Department of Social and Health Services completed a Complaint Investigation at Avamere at Port Townsend on January 11, 2024, resulting in civil fines for violations related to abuse and neglect reporting and failure to follow negotiated service agreements.

The facility failed to timely report a substantial injury of unknown cause to the appropriate authorities and failed to follow the negotiated service plan to prevent falls, resulting in harm to a resident. These deficiencies were recurring and resulted in civil fines.

Complaint investigation conducted on January 11, 2024. The deficiencies were substantiated and resulted in civil fines.

The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to assess compliance and imposed a civil fine based on violations found during the inspection.

The facility failed to ensure all staff were fit tested for an N-95 respirator for one staff member, placing residents and staff at risk of communicable disease spread. This was an uncorrected deficiency previously cited on October 6, 2023.

The investigation was conducted due to a complaint alleging that a named resident fell and sustained a lower back fracture. The visit aimed to review the quality of care, fall prevention, and staff reporting practices.

The assisted living facility failed to ensure staff followed the negotiated service plan and did not check the resident every two hours to prevent falls. Staff also failed to report a substantial injury of unknown cause to the State Hotline timely. These failures placed the resident at risk for abuse, neglect, and harm.

The complaint alleged that a named resident fell and sustained a lower back fracture. The investigation substantiated failures in staff reporting and fall prevention practices, resulting in citations.

The document reports the results of an Informal Dispute Resolution (IDR) process held on October 5, 2023, addressing a citation from the Statement of Deficiencies report dated August 21, 2023.

The IDR resulted in the removal of a sentence regarding housekeeping service from the findings and the removal of Resident #2 from the deficient practice statement, updating the Statement of Deficiencies accordingly.

The inspection was conducted in response to complaints regarding the physical environment (urine odor in a resident's room), dietary services (spoiled food stored in refrigerator), and quality of care (resident did not purchase incontinent and colostomy supplies).

The facility failed to maintain residents' quarters in a sanitary condition free of urine odor, specifically in the room of Resident 1 and Resident 2. This failure exposed Resident 1 to an unsanitary environment and risked decreased quality of life. Additional residents reviewed had no concerns.

Complaint investigation involved allegations of urine odor in a resident's room, spoiled food in refrigerator, and lack of purchase of incontinent and colostomy supplies by a resident. The complaint number was 92939. The investigation found a failed provider practice related to sanitation and odor control.

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

The follow-up inspection on 06/05/2023 found no deficiencies and confirmed the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to reporting abuse and neglect were corrected.

The complaint investigation involved allegations of accidents and bruises to a named resident. The investigation found failures in reporting a missing resident and a COVID-19 case to the Complaint Resolution Unit. The resident care plan was followed, but reporting failures were cited.

The Office of the State Fire Marshal conducted a renewal licensing inspection at the facility on 04/05/2023 as part of regulatory oversight for the residential care facility.

The facility was disapproved due to multiple violations including failure to conduct required fire drills, maintain electrical outlets, provide documentation for damper inspections, sprinkler system testing, kitchen suppression system inspections, smoke alarm inspections, fire alarm system maintenance, carbon monoxide detector maintenance and installation, emergency lighting tests, and generator maintenance documentation.

The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to address previously cited deficiencies and to impose a civil fine related to failure to report an injury of unknown origin.

The licensee failed to report an injury of unknown origin to the Department’s Complaint Resolution hotline for one resident, which placed the resident at risk for abuse. This was an uncorrected deficiency previously cited on December 14, 2022, resulting in a $300 civil fine.

The document confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility administrator to dispute a Statement of Deficiencies dated August 21, 2023.

The letter does not contain inspection findings but addresses the dispute process for a cited regulation (WAC 388-78A-3090) and provides details about the IDR meeting date, time, and participants.

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