Inspection Report
Complaint Investigation
Census: 94
Deficiencies: 1
Aug 18, 2025
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation due to a failed Fire Marshall inspection.
Findings
The facility failed to ensure that all 94 residents resided in a building approved by the Washington state fire marshal, resulting in a citation for failure to meet required fire safety regulations.
Complaint Details
The complaint was related to a failed Fire Marshall inspection. The investigation confirmed the failure and a citation was issued on 08/25/2025 (Compliance Determination #64272).
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure 94 of 94 residents resided in a safe environment approved by the State Fire Marshal, placing all residents at risk of harm, injury, and potential fire hazards related to unsafe environmental conditions. |
Report Facts
Total residents: 94
Fire Marshal inspections failed: 3
Citation issue date: Aug 25, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karri Hernandez | Community Complaint Investigator | Investigator who conducted the on-site verification and investigation |
| Staff A | Director of Operations | Interviewed staff who stated unawareness of non-compliance and plans to create a corrective plan |
Inspection Report
Life Safety
Deficiencies: 13
Aug 7, 2025
Visit Reason
An unannounced Fire and Life Safety Code re-inspection was conducted at Prestige Senior Living Auburn Meadows by a representative of the Washington State Patrol, State Fire Marshal's Office to determine compliance with all applicable codes.
Findings
The facility was cited for deficiencies including failure to provide fire alarm correction reports and documentation for fire/smoke damper testing. The fire alarm system was in trouble status and the facility was unable to provide required documentation for several fire safety inspections and maintenance activities.
Deficiencies (13)
| Description |
|---|
| Dampers protecting ducts and air transfer openings were not properly maintained or documented. |
| The facility was unable to provide fire alarm correction report; fire alarm is in trouble status. |
| The facility was unable to provide documentation for their last fire/smoke damper testing. |
| The facility was unable to provide record of their annual inspection for their fire alarm system. |
| The facility was unable to provide documentation for 5 year internal pipe inspection, Forward Flow test, and 2nd and 4th quarter sprinkler inspection. |
| The facility was unable to provide service reports showing that the kitchen suppression system has been serviced semi-annually in the past 12 months. |
| The facility has a fire extinguisher in memory care that has not been completed in accordance with NFPA 10. |
| The fire extinguisher in the Mechanical room is not mounted. |
| Exit sign in the dining room is not illuminated. |
| Exit pathway outside of memory care is completely covered by large amounts of leaves. |
| The facility was unable to provide documentation for the required weekly visual inspections of the generator as required by NFPA 110 for the last 12 months. |
| The facility was unable to provide documentation for the monthly 30 min load test of the generator as required by NFPA 110 for January, March, June, and November. |
| The facility was unable to provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months. |
Report Facts
Next inspection scheduled date: Sep 6, 2025
Next inspection scheduled date: Jan 23, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James Heupel | Maintenance Director | Named as Owner or Authorized Representative signing inspection documents |
| Alan Harlan | Deputy State Fire Marshal | Signed inspection document dated 08/07/2025 |
| Cozetta Christian | Deputy State Fire Marshal | Signed inspection document dated 06/03/2025 and 12/24/2024 |
Inspection Report
Re-Inspection
Deficiencies: 2
Aug 7, 2025
Visit Reason
An unannounced Fire and Life Safety Code re-inspection was conducted at Prestige Senior Living Auburn Meadows by the Washington State Patrol, State Fire Marshal's Office to determine compliance with all applicable codes.
Findings
The facility was found to be unable to provide fire alarm correction reports and documentation for their last fire/smoke damper testing. The fire alarm system was in trouble status and deficiencies from previous inspections remain uncorrected.
Deficiencies (2)
| Description |
|---|
| The facility was unable to provide fire alarm correction report. The fire alarm is currently in trouble status. |
| The facility was unable to provide documentation for their repairs on their last fire/smoke damper testing. |
Report Facts
Next inspection scheduled date: Next inspection scheduled on or after 2025-09-06
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James W Heupel | Maintenance Director | Named as Owner or Authorized Representative signing inspection documents |
| Alan Harlan | Deputy State Fire Marshal | Conducted the inspection and signed the report |
Inspection Report
Life Safety
Deficiencies: 22
Jun 3, 2025
Visit Reason
An unannounced Fire and Life Safety Code re-inspection was conducted at Prestige Senior Living Auburn Meadows by a representative of the Washington State Patrol, State Fire Marshal's Office to determine compliance with all applicable codes.
Findings
The inspection found multiple deficiencies related to fire safety equipment, fire safety plans, maintenance, and testing. Most deficiencies were corrected or noted as corrected, but some violations were observed at the time of inspection, including missing documentation for fire/smoke damper testing, combustible materials improperly stored, missing fire extinguisher servicing, and issues with exit signage and fire drills.
Deficiencies (22)
| Description |
|---|
| 30 day extension to install forward flow equipment - approved 3/3/2025 |
| Facility was unable to provide documentation for their repairs on their last fire/smoke damper testing |
| Plastic liner in ashtrays outside contains cigarette butts |
| Facility does not have evacuation routes posted |
| Facility has newly installed battery operated emergency lighting in kitchen which needs monthly and annual testing |
| Extension cords in use in resident rooms 203, 233, 120 |
| Dining room has a penetration in the wall by exit doors in the corner |
| Laundry door 32 - 2nd floor and resident room 250 doors did not close/latch properly |
| Facility unable to provide documentation for 5 year internal pipe inspection, forward flow test, and 2nd and 4th quarter sprinkler inspection |
| Facility unable to provide service reports showing kitchen suppression system serviced semi-annually in past 12 months |
| Fire extinguisher in Mechanical room not mounted and not serviced - room 250 |
| Combustible wall paper covering entire wall in resident room 309 memory care |
| Missing escutcheon rings in lobby by window, resident rooms 258 and 214, and loaded sprinkler heads by TV/Library room |
| Fire extinguisher in memory care not completed per NFPA 10 - room 301 |
| Fire extinguisher hangers and brackets not properly installed |
| Facility unable to provide record of annual fire alarm system inspection |
| Facility unable to provide documentation showing monthly testing of CO detectors in past 12 months |
| Exit sign in dining room not illuminated |
| Exit pathway outside memory care completely covered by large amounts of leaves |
| Facility unable to provide documentation for required weekly visual inspections of generator for last 12 months |
| Facility unable to provide documentation for monthly 30 min load test of generator for January, March, June, and November |
| Facility unable to provide documentation for completion of twelve planned and unannounced fire drills in previous 12 months |
Report Facts
Extension locations: 3
Missing escutcheon rings locations: 3
Missing escutcheon rings locations: 1
Fire drills required: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James Heupel | Maintenance Director | Signed as Owner or Authorized Representative |
| Cozetta Christian | Deputy State Fire Marshal | Signed as Deputy State Fire Marshal conducting the inspection |
Inspection Report
Re-Inspection
Census: 82
Capacity: 82
Deficiencies: 9
Apr 7, 2025
Visit Reason
Follow-up inspection to verify correction of previously cited deficiencies from the full inspection conducted on 01/28/2025 and 01/31/2025.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. The prior deficiencies related to tuberculosis testing, background checks, resident assessments, food sanitation, coordination of health care services, nursing services, laundry ventilation, mental health training, and menu posting were corrected or addressed.
Deficiencies (9)
| Description |
|---|
| Failure to ensure 3 of 6 staff were screened for tuberculosis within three days of employment. |
| Failure to submit a request for a national fingerprint background check for 2 of 6 staff prior to unsupervised contact with residents. |
| Failure to complete full assessments for 3 of 9 sampled residents including documentation of medications, diagnoses, and care instructions. |
| Failure to maintain kitchen and dining room in compliance with food sanitation regulations related to proper use and testing of sanitization solution. |
| Failure to implement or obtain clarification for health care provider orders for 3 of 5 residents, risking medical complications. |
| Failure to ensure updated documentation and oversight for nurse delegation services for one resident. |
| Failure to ensure laundry room ventilation system worked to vent to the outside. |
| Failure to ensure one staff completed specialized mental health training. |
| Failure to post weekly menus in secured memory care unit as required. |
Report Facts
Residents present: 82
Total licensed capacity: 82
Sampled residents for assessment review: 9
Deficiencies cited: 9
Correction timeframe: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Med Tech | Named in tuberculosis testing and fingerprint background check deficiencies |
| Staff C | Patient Care Assistant | Named in tuberculosis testing deficiency |
| Staff D | Patient Care Assistant | Named in tuberculosis testing and fingerprint background check deficiencies |
| Staff A | Executive Director | Interviewed regarding tuberculosis testing, fingerprint background checks, and resident assessments |
| Staff G | Health Services Director | Interviewed regarding coordination of health care services and medication administration |
| Staff K | Dining Services Manager | Interviewed regarding food sanitation and sanitizing solution testing |
| Staff L | Cook | Interviewed regarding food sanitation and sanitizing solution testing |
Inspection Report
Follow-Up
Census: 89
Deficiencies: 0
Oct 3, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 10/03/2023 to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected as listed in the report.
Report Facts
Residents sampled for review: 9
Staff sampled for TB skin test review: 6
Care staff sampled for specialty training review: 5
Residents reviewed for negotiated service agreement documentation: 4
Residents reviewed for ongoing assessments: 7
Residents reviewed for safety of medical devices: 7
Residents reviewed for bed cane safety: 13
Residents reviewed for TB skin testing compliance: 6
Residents reviewed for infection control testing: Facility staff last tested in March 2022 for respiratory protection program
Residents reviewed for Medicaid disclosure form: 9
Residents reviewed for medication services: 2
Residents reviewed for physical environment: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Megallbauer | Administrator or Representative | Signed Plan/Attestation Statements for correction of deficiencies |
| Thomas Forkgen | ALF Licensor | Department staff who did the on-site verification |
| Jane Hermano | NCI | Department staff who did the on-site verification |
| Michelle Yip | ALF Licensor | Department staff who did the on-site verification |
Inspection Report
Life Safety
Deficiencies: 11
Nov 7, 2022
Visit Reason
An unannounced Fire and Life Safety Code inspection was conducted at Prestige Senior Living Auburn Meadows by a representative of the Washington State Patrol, State Fire Marshal's Office to determine compliance with all applicable codes.
Findings
Multiple fire and life safety code violations were observed, including inadequate working space in front of electrical panels, power strip cord hazards, missing covers on electrical outlets, inability to provide fire wall inspection records, large holes in walls, missing escutcheon rings, lack of service reports for kitchen suppression system, presence of a Class K extinguisher on the floor, missing documentation for CO detector testing, burnt out exit light, and failure to provide documentation for emergency generator servicing.
Deficiencies (11)
| Description |
|---|
| Working space not maintained in front of electrical panels in mechanical room by room 250 and janitor's closet in Memory Care. |
| Power strip dangling behind an appliance in the kitchen. |
| Missing cover plate and fire damper cover/vent in Staff Lounge / Dry Storage room by the kitchen. |
| Facility unable to provide record of annual fire wall inspection and repairs. |
| Large hole in the wall in the 2nd floor Storage room by the Laundry. |
| Resident room 258 is missing an escutcheon ring. |
| Facility unable to provide service reports for the kitchen suppression system. |
| Class K extinguisher found on the floor in the kitchen. |
| Facility unable to provide documentation showing testing of CO detectors in past 12 months. |
| Exit light burnt out by room 118 on the 1st floor. |
| Facility failed to provide documentation showing annual servicing of emergency generator in last 12 months. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James Heupel | Maintenance Director | Named as Owner or Owner's Representative signing the inspection report. |
| Cozetta Christian | Deputy State Fire Marshal | Conducted the inspection and signed the report. |
Inspection Report
Life Safety
Deficiencies: 12
Nov 7, 2022
Visit Reason
An unannounced Fire and Life Safety Code inspection was conducted at Prestige Senior Living Auburn Meadows by the Washington State Patrol, State Fire Marshal's Office to determine compliance with applicable fire and life safety codes.
Findings
Multiple violations were observed including inadequate working space in front of electrical panels, dangling power strip behind an appliance, missing cover plates and fire damper covers, inability to provide records of annual fire wall inspections and repairs, holes in walls, missing escutcheon ring in a resident room, lack of service reports for kitchen suppression system, improperly placed Class K extinguisher, missing documentation for CO detector testing, burnt out exit light, and missing documentation for emergency generator servicing.
Deficiencies (12)
| Description |
|---|
| Locations did not maintain required space in front of electrical panels (Mechanical room by room 250 and Janitor's closet in Memory Care). |
| Kitchen has a power strip dangling behind an appliance. |
| Staff Lounge / Dry Storage room by the kitchen has a missing cover plate on the wall. |
| Staff Lounge / Dry Storage room by the kitchen is missing the fire damper cover/vent. |
| Facility unable to provide record of annual fire wall inspection and/or repairs for all fire-resistant-rated construction. |
| 2nd floor Storage room by the Laundry has a large hole in the wall. |
| Resident room 258 is missing an escutcheon ring in the second room. |
| Facility unable to provide service reports for the kitchen suppression system. |
| Facility has a Class K extinguisher on the floor in the kitchen. |
| Facility unable to provide documentation showing testing of CO detectors in the past 12 months. |
| 1st floor by room 118 - exit light burnt out. |
| Facility failed to provide documentation showing annual servicing of the emergency generator in the last 12 months. |
Report Facts
Provider Number: 2239
Inspection date: Nov 7, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James Heupel | Maintenance Director | Named as Owner or Authorized Representative signing the report |
| Cozetta Christian | Deputy State Fire Marshal | Conducted the inspection and signed the report |
Loading inspection reports...
