Inspection Reports for Providence Mount St. Vincent
4831 35th Ave SW, WA, 98126
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
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Unclassified
Census Over Time
Inspection Report
Follow-Up
Deficiencies: 1
Sep 23, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Providence Mount St. Vincent to verify correction of previously cited deficiencies.
Findings
The licensee failed to ensure one resident received medication as prescribed, resulting in risk for worsening PTSD symptoms. This deficiency was uncorrected from a prior citation dated July 23, 2025, leading to the imposition of a civil fine.
Deficiencies (1)
| Description |
|---|
| Failure to ensure one resident received medication as prescribed, placing them at risk for worsening PTSD and nightmares. |
Report Facts
Civil fine amount: 500
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the imposition of civil fine letter |
| Jamie Singer | Field Manager | Contact person for plan of correction and inquiries |
Inspection Report
Complaint Investigation
Census: 76
Deficiencies: 6
Apr 22, 2024
Visit Reason
The Department completed a full inspection of the Assisted Living Facility on 04/22/2024 and 04/24/2024 following complaint number 124535, to determine compliance with licensing laws and regulations.
Findings
The facility was found not in compliance with multiple licensing laws and regulations, including failure to complete required background checks, tuberculosis testing, notification of administrator changes, weight monitoring policies, and safe storage of hazardous supplies. Several residents were placed at risk due to these deficiencies.
Complaint Details
Complaint number 124535 triggered the full inspection. The facility was found not in compliance with multiple regulations as detailed in the deficiencies.
Deficiencies (6)
| Description |
|---|
| Failure to ensure required Washington State name and date of birth background check and national fingerprint background check for staff member. |
| Failure to ensure tuberculosis skin test (TST) within three days of employment for newly hired staff member. |
| Failure to ensure chest X-ray within seven days after positive tuberculosis skin test for staff member. |
| Failure to notify the Department in writing within ten calendar days of change in assisted living facility administrator. |
| Failure to implement policy to monitor weights monthly for sampled residents, placing them at risk for compromised health issues. |
| Failure to secure toxic chemicals in an area accessible to residents, placing residents at risk for inadvertent ingestion of toxic substances. |
Report Facts
Residents present during inspection: 76
Sample size for review: 10
Number of deficiencies cited: 6
Days late for tuberculosis skin test: 15
Weight monitoring failures: 8
Residents at risk for compromised health due to weight monitoring failure: 10
Residents exposed to unsecured toxic chemicals: 31
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff H | Administrator | Failed to complete required background checks within required timeframe. |
| Staff A | Nurse Supervisor/Registered Nurse | Failed to receive tuberculosis skin test within three days of employment and had delayed chest X-ray after positive test. |
| Staff L | Former Administrator | Listed as previous administrator in Department's tracking system. |
| Staff K | Director of Operations | Observed unsecured hazardous chemicals and unlocked housekeeping cart. |
| Staff G | Director of Assisted Living | Confirmed failures in background checks, tuberculosis testing, and notification of administrator change. |
| Staff I | Environment Coordinator/Housekeeper | Observed unlocked housekeeping cart and unsecured chemicals. |
Inspection Report
Life Safety
Deficiencies: 7
Nov 8, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at Providence Mount St Vincent Ret Apartments on 11/8/2023.
Findings
The inspection identified multiple fire safety deficiencies including blocked electrical panels, daisy chained power supply, doors not latching properly, a load sprinkler head, missing fire extinguishers, and missing annual inspection reports for extinguishing systems and fire alarm maintenance.
Deficiencies (7)
| Description |
|---|
| Blocked electrical panel found in kitchen |
| Daisy chain found in volunteer office |
| Double doors found not latching travel into formal dining room |
| Load sprinkler head found in bakery |
| Annual report for extinguishing system shows deficiency |
| Two fire extinguishers missing annual inspection in kitchen |
| Annual report for fire alarm inspection shows deficiency |
Report Facts
Number of fire extinguishers missing annual inspection: 2
Next inspection scheduled on or after: Dec 11, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason Van Gorkum | Deputy State Fire Marshal | Conducted the inspection and signed the report |
| Alberto N. Angatico | Director of Operations | Owner or Authorized Representative who signed the report |
| Charlene Boyd | Former Adm Pmsv | Owner or Owner's Representative who signed the report |
Inspection Report
Complaint Investigation
Census: 77
Deficiencies: 1
Mar 2, 2023
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility based on complaint number 69318 regarding discharge practices and property removal of a resident.
Findings
The investigation found that the facility failed to include required information in a transfer and discharge letter, placing the resident at risk. However, the facility followed their discharge policy regarding the resident's behavior and medical needs, and no violation was found related to the handling of the resident's property.
Complaint Details
Complaint investigation included allegations that the facility issued an immediate discharge notice to a resident while hospitalized and attempted to remove the resident's property from the apartment. The complaint was substantiated with a citation for failure to meet discharge letter requirements.
Deficiencies (1)
| Description |
|---|
| The assisted living facility failed to include information that met discharge requirements in a transfer and discharge letter, lacking details on resident safety and mental health advocacy. |
Report Facts
Total residents: 77
Resident sample size: 2
Closed records sample size: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Hauk | Complaint Investigator | Department staff who conducted the inspection and provided consultation |
Inspection Report
Complaint Investigation
Census: 80
Deficiencies: 1
Nov 14, 2022
Visit Reason
The inspection was conducted as a complaint investigation following an allegation that a staff member became angry and yelled at a resident.
Findings
The investigation found that the facility responded appropriately by protecting the resident, suspending the staff member, making staffing adjustments, and counseling the staff member. However, a deficiency was identified due to the staff member not having a current required background check.
Complaint Details
The complaint involved a staff member who became angry and yelled at a resident. The allegation was substantiated with a failed provider practice identified and citation written.
Deficiencies (1)
| Description |
|---|
| Failure to ensure a current Washington State name and date of birth background inquiry for one sampled staff member, placing residents at risk. |
Report Facts
Total residents: 80
Resident sample size: 2
Deficiency expiration date: Jul 24, 2022
Previous deficiency citation date: Jul 1, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Hauk | Complaint Investigator | Conducted the on-site complaint investigation |
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