Inspection Reports for Redmond Heights Senior Living

WA, 98052

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Inspection Report Complaint Investigation Census: 65 Deficiencies: 1 Apr 3, 2025
Visit Reason
The visit was an unannounced on-site complaint investigation triggered by an allegation related to medication services at Redmond Heights Senior Living.
Findings
The investigation found that the facility failed to follow up with the pharmacy for receipt of medications, resulting in a medication discrepancy where a resident went without prescribed medications for two weeks. A citation was issued for medication services under WAC 388-78A-2210.
Complaint Details
The complaint involved alleged medication errors in the memory care unit. The investigation substantiated that the facility failed to provide medications as ordered, leading to a resident missing medications for two weeks. The facility was cited and a statement of deficiency was issued.
Deficiencies (1)
Description
Facility failed to implement and provide safe medication service for one sampled resident, resulting in medication errors and harm risk.
Report Facts
Total residents: 65 Resident sample size: 2 Medication management assistance: 50
Employees Mentioned
NameTitleContext
Harrison UdoyeCommunity Complaint InvestigatorInvestigator who conducted the complaint investigation
Laurie AndersonCommunity Field ManagerSigned follow-up inspection letter and statement of deficiencies
Staff ADirector of NursingInterviewed regarding medication orders and facility follow-up
Inspection Report Enforcement Census: 68 Deficiencies: 3 Mar 24, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Redmond Heights Senior Living to assess compliance with previously cited deficiencies and imposed civil fines based on violations of specialty training and continuing education requirements.
Findings
The licensee failed to ensure required specialized training for mental health and dementia, as well as continuing education for staff, placing all 68 residents at risk. These deficiencies were uncorrected from a prior citation on January 16, 2025, resulting in civil fines totaling $700.
Deficiencies (3)
Description
Failure to ensure two staff completed specialized training for mental health as required.
Failure to ensure one staff received Specialty Training for Dementia within 120 days of hire.
Failure to ensure two staff completed all required trainings including continuing education.
Report Facts
Civil fine amount: 200 Civil fine amount: 200 Civil fine amount: 300 Total civil fines: 700 Resident census: 68
Employees Mentioned
NameTitleContext
Laurie AndersonField ManagerContact person for submission of Plan of Correction and inquiries.
Matt HauserCompliance SpecialistSigned the enforcement letter.
Inspection Report Follow-Up Census: 57 Deficiencies: 1 Mar 18, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to emergency and disaster preparedness and to investigate complaints regarding a resident smoking inside their apartment.
Findings
The follow-up inspection on 03/18/2025 found no deficiencies and confirmed correction of prior issues related to emergency and disaster preparedness. However, the complaint investigation conducted from 12/23/2024 through 01/16/2025 substantiated that a resident smoked inside their apartment, violating facility policy and placing all residents at risk. The facility failed to monitor the resident's smoking and implement their service plan. Multiple observations and interviews confirmed cigarette smoking inside the apartment despite policy prohibiting it.
Complaint Details
Multiple complaints of a resident smoking inside their apartment were substantiated. The facility failed to monitor the resident's smoking and failed to implement the resident's service plan. Interviews with residents and staff, observations of cigarette debris and smoking behavior, and review of service plans confirmed the violation.
Deficiencies (1)
Description
Resident 8 smoked inside their apartment contrary to facility policy, placing all 57 residents at risk of fire, smoke inhalation, and compromised health.
Report Facts
Total residents: 57 Resident sample size: 7 Closed records sample size: 0
Employees Mentioned
NameTitleContext
Thomas ForkgenALF LicensorInvestigator who conducted the complaint investigation and follow-up inspection
Staff BBMaintenance SupervisorObserved cigarette ashes and smoking paraphernalia in Resident 8's apartment and reported findings
Staff AExecutive DirectorInterviewed regarding Resident 8's smoking behavior and facility policies
Inspection Report Complaint Investigation Census: 68 Deficiencies: 1 Mar 17, 2025
Visit Reason
The inspection was conducted as a complaint investigation due to the facility's failure to submit a change in administrator attestation form within 10 days of the change.
Findings
The facility failed to notify the Department of a change in the assisted living facility administrator within 10 days of hire for 2 of 2 sampled staff, placing all 68 residents at risk of being uninformed of the correct administrator. The change of administrator attestation was submitted 46 days late.
Complaint Details
The complaint was substantiated. The facility was cited for failure to submit a change in administrator attestation within 10 days of the change. The investigation took place during the follow-up inspection for the full inspection completed in December 2024.
Deficiencies (1)
Description
Failure to submit a change in administrator attestation form within 10 days of the change.
Report Facts
Total residents: 68 Days late for attestation submission: 46 Sample size: 0
Employees Mentioned
NameTitleContext
Thomas ForkgenALF LicensorInvestigator who conducted the complaint investigation
Staff QFormer Business Office ManagerInterviewed regarding administrator change and attestation submission
Staff GGNursing Home AdministratorInterviewed and listed as Administrator of record after late attestation submission
Staff AFormer AdministratorAdministrator of record before the change
Inspection Report Life Safety Deficiencies: 13 Mar 4, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Redmond Heights Senior Living facility to assess compliance with fire protection and safety codes.
Findings
The inspection identified multiple deficiencies related to fire drills documentation, cleaning schedules, equipment maintenance, and fire door inspections. Several deficiencies were corrected during or prior to the inspection, but the facility was disapproved due to outstanding issues.
Deficiencies (13)
Description
Facility cannot provide documentation for completion of twelve planned and unannounced fire drills in the previous 12 months; missing drills for 1st Shift - Quarter 1 and 3rd Shift - Quarters 2, 3, and 4.
Facility needs to verify care staff schedules to accommodate times of fire drills; two shifts cannot be combined as one drill for both shifts inside that quarter.
Hood cleaning shows past due; past reports show exhaust fan blade not accessible.
Annual forward flow test (NFPA 25 13.7.2) paperwork not provided.
Kitchen hood lacks proper UL300 suppression system and standard working sprinkler head; loaded sprinkler heads found in laundry room; missing escutcheon in kitchen above serving area.
Facility needs vendor to perform heat test to verify correct temperature links; paperwork shows 3 - 450 degrees.
Fuel test report and 3/5/2025 annual report show battery due to age not provided.
Only a portion of the building shows being inspected during fire door inspection; fire door by room 230 will not latch.
IT room has two broken receptacles.
Memory Care Spa room has penetration found in ceiling.
Laundry room has fire extinguisher above 5 feet.
Heavy lint build-up found on upper back of dryers.
Only a portion of the building shows being inspected during owner's responsibility inspection.
Report Facts
Missing fire drills: 4 Temperature readings: 450 Fire extinguisher height: 5
Employees Mentioned
NameTitleContext
Angelito G. AgustinMaintenance DirectorNamed as owner or authorized representative signing inspection documents
Jason Van GorkumDeputy State Fire MarshalConducted the inspection and signed the report
Inspection Report Complaint Investigation Census: 58 Capacity: 68 Deficiencies: 51 Jan 16, 2025
Visit Reason
The inspection and complaint investigation were conducted due to allegations of resident injuries with unknown origin and to assess compliance with assisted living facility regulations.
Findings
The facility was found non-compliant with multiple regulations including failure to ensure specialized training for mental health and dementia care staff, inadequate monitoring and documentation of resident injuries, failure to maintain emergency call systems, incomplete background checks, insufficient staff training, lack of lockable storage for residents, failure to provide safe water temperatures, and inadequate communication systems. Several residents were at risk due to these deficiencies.
Complaint Details
Allegation of resident injuries with unknown origin. Investigation found failure to monitor, document, and report resident injuries, placing residents at risk of harm and neglect.
Deficiencies (51)
Description
Facility failed to ensure 2 of 3 sampled staff completed specialized training for mental health illness.
Facility failed to ensure 1 of 3 sampled staff completed specialized training for dementia within 120 days of hire.
Facility failed to ensure 2 of 2 sampled care staff completed all required trainings.
Facility failed to ensure 5 of 8 sampled staff completed national fingerprint background checks within 120 days of hire.
Facility failed to ensure emergency call devices were present and functional in all common and resident areas.
Facility failed to ensure negotiated service agreements were completed for 3 of 3 sampled residents.
Facility failed to provide lockable storage in 40 of 101 sampled resident apartments.
Facility failed to monitor 2 of 2 sampled residents for changes in condition and well-being.
Facility failed to ensure 1 of 3 sampled medication carts in memory care unit were locked when left unattended.
Facility failed to complete one-step TB test for 1 of 7 sampled staff with history of negative blood test.
Facility failed to keep adjustable electric hospital bed in good repair for 1 of 7 sampled residents.
Facility failed to ensure 1 of 9 sampled staff was qualified to work with vulnerable adults.
Facility failed to ensure 6 of 6 sampled insulin-dependent residents received nurse delegation services properly supervised.
Facility failed to submit background checks within one business day after hire for 6 of 16 sampled staff.
Facility failed to provide safe water temperatures in 3 of 7 sampled resident apartments.
Facility failed to provide emergency call devices in all common areas and hallways.
Facility failed to ensure pets were certified free of diseases transmissible to humans.
Facility failed to provide and maintain a wireless emergency call pendant system during power outage.
Facility failed to ensure residents received copies of Medicaid policy with signed acknowledgements.
Facility failed to ensure staff completed specialized training for mental health and dementia care.
Facility failed to ensure staff completed continuing education requirements.
Facility failed to ensure staff completed nursing assistant certification and medication aide training.
Facility failed to ensure staff completed fingerprint background checks timely.
Facility failed to ensure staff completed one-step TB test as required.
Facility failed to ensure staff understood mandatory reporting policy and procedures.
Facility failed to ensure staff reported resident injuries and abuse as required.
Facility failed to ensure resident rights policy on Medicaid payment source was disclosed and acknowledged.
Facility failed to ensure resident units had lockable storage for personal items.
Facility failed to ensure heating and cooling temperature controls were installed and maintained properly.
Facility failed to ensure residents were monitored for changes in condition and needs.
Facility failed to ensure negotiated service agreements were completed for sampled residents.
Facility failed to ensure electrical hospital bed was maintained and functional.
Facility failed to ensure staff completed nurse delegation for insulin administration with proper supervision.
Facility failed to ensure staff completed required training and documentation for insulin delegation.
Facility failed to ensure staff completed required training and documentation for mental health specialty training.
Facility failed to ensure staff completed required training and documentation for dementia specialty training.
Facility failed to ensure staff completed required continuing education training.
Facility failed to ensure staff completed required fingerprint background checks timely.
Facility failed to ensure emergency call devices were functional and available during power outage.
Facility failed to ensure pets were certified free of diseases transmissible to humans.
Facility failed to ensure resident rights policy on Medicaid payment source was disclosed and acknowledged.
Facility failed to ensure staff completed required training and documentation for nurse delegation.
Facility failed to ensure staff completed required training and documentation for medication aide.
Facility failed to ensure staff completed required training and documentation for CNA certification.
Facility failed to ensure staff completed required training and documentation for medication administration.
Facility failed to ensure staff completed required training and documentation for fingerprint background checks.
Facility failed to ensure staff completed required training and documentation for tuberculosis testing.
Facility failed to ensure staff completed required training and documentation for emergency call system operation.
Facility failed to ensure staff completed required training and documentation for heating and cooling system maintenance.
Facility failed to ensure staff completed required training and documentation for resident monitoring and care.
Facility failed to ensure staff reported and documented resident injuries and abuse.
Report Facts
Total residents: 58 Resident sample size: 7 Deficiencies cited: 39 Deficiencies cited: 40 Deficiencies cited: 58 Days late fingerprint background check: 278 Days late fingerprint background check: 140 Days late fingerprint background check: 117 Days late fingerprint background check: 23 Days late fingerprint background check: 20 Days late fingerprint background check: 9 Days late fingerprint background check: 17 Days late fingerprint background check: 109
Employees Mentioned
NameTitleContext
Staff OCaregiverNamed in deficiency for failure to complete specialized training for mental health and dementia
Staff HHMedication TechnicianNamed in deficiency for failure to complete specialized training for mental health and dementia
Staff GGAdministrator of RecordInterviewed regarding staff training deficiencies
Staff QExecutive DirectorInterviewed regarding staff training deficiencies and fingerprint background checks
Staff ECaregiverNamed in deficiency for incomplete continuing education and fingerprint background check
Staff FCaregiverNamed in deficiency for incomplete continuing education and fingerprint background check
Staff AAdministrator/Director of NursingInterviewed regarding fingerprint background checks and resident behavior
Staff BCaregiverNamed in deficiency for fingerprint background check delay
Staff DMedication TechnicianNamed in deficiency for fingerprint background check delay and incomplete TB testing
Staff WCertified Nursing Assistant, Staffing CoordinatorNamed in deficiency for fingerprint background check delay and incomplete training
Staff LRegistered Nurse, Wellness DirectorInterviewed regarding resident injuries and emergency call devices
Staff BBMaintenance SupervisorInterviewed regarding emergency call system failures during power outage
Staff AADietary SupervisorInterviewed regarding dishwasher temperature monitoring
Staff ZDietary AideInterviewed regarding dishwasher operation
Staff NMedication TechnicianInterviewed regarding resident intoxication and oxygen concentrator issues
Staff HCaregiver, Medication TechnicianInterviewed regarding resident injuries and medication cart security
Staff FMedication AideInterviewed regarding resident intoxication and emergency call response
Staff DDMedication TechnicianInterviewed regarding emergency response to intoxicated resident
Staff YRegistered NurseInterviewed regarding insulin delegation training and supervision
Staff MRegistered NurseNamed in nurse delegation training and supervision
Staff KRegistered NurseNamed in nurse delegation training and supervision
Staff RRegistered NurseNamed in nurse delegation training and supervision
Staff FFMedication TechnicianNamed in nurse delegation training and fingerprint background check delay
Staff SRegistered NurseNamed in nurse delegation training and supervision
Staff CCaregiverNamed in nurse delegation training and fingerprint background check delay
Staff TBus Driver/Maintenance StaffNamed in fingerprint background check delay
Staff UHousekeeperNamed in fingerprint background check delay
Staff VDietary AideNamed in fingerprint background check delay
Staff IDietary AideNamed in fingerprint background check delay
Staff JCaregiverNamed in fingerprint background check delay
Staff PCaregiverNamed in fingerprint background check delay
Inspection Report Life Safety Deficiencies: 15 Jan 8, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire protection inspection at Redmond Heights Senior Living to assess compliance with fire safety codes and regulations.
Findings
The inspection identified multiple deficiencies including missing documentation for fire drills, overdue hood cleaning, inaccessible exhaust fan blade, missing fire door latch, and issues with sprinkler system testing and maintenance. Several deficiencies were corrected during or after the inspection.
Deficiencies (15)
Description
Facility cannot provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months; missing drills for 1st Shift - Quarter 1 and 3rd Shift - Quarter 2, 3 and 4
Facility needs to verify care staff schedule to accommodate times of fire drills; two shifts cannot be combined as one drill for both shifts inside that quarter
Hood cleaning shows past due
Past reports show exhaust fan blade not accessible
Kitchen hood lacks a working UL300 suppression system and standard working sprinkler head
Loaded sprinkler heads found in laundry room
Escutcheon found missing in kitchen above serving area
Only a portion of the building shows being inspected
Fire door by room 230 will not latch
Memory Care, Spa room has penetration found in ceiling
Facility needs to have vendor perform a heat test to verify correct link temperatures; paperwork shows 3 - 450 degrees
Laundry room has fire extinguisher above 5 feet
Fuel test report missing; 3/5/2025 annual report shows battery due to age
Between 6:00 am to 9:00 pm must use the fire alarm during all emergency drills
IT room has two broken receptacles
Report Facts
Missing fire drills: 12 Next inspection scheduled: 2025-02-10 (page 6) and 2024-12-11 (page 13) Fire extinguisher height: 5 Heat test link temperature: 450
Employees Mentioned
NameTitleContext
Angelito G. AgustinMaintenance DirectorSigned as Owner or Authorized Representative on inspection reports
Jason Van GorkumDeputy State Fire MarshalSigned as Deputy State Fire Marshal on inspection reports
Inspection Report Complaint Investigation Census: 57 Deficiencies: 1 Dec 20, 2024
Visit Reason
The inspection was conducted due to a complaint alleging resident to resident verbal abuse and the facility's failure to recognize and stop the abuse.
Findings
The investigation found that the facility failed to follow its own policies and did not protect the resident's rights to be free from harassment and intimidation, resulting in emotional and psychological harm to the resident. A failed provider practice was identified and citations were written.
Complaint Details
Resident to resident verbal abuse was alleged. The facility failed to recognize and stop the verbal abuse. The complaint was substantiated with failed provider practice identified and citations written.
Deficiencies (1)
Description
Facility failed to protect a resident from verbal abuse and neglected their dignity and right to be respected, causing emotional and psychological harm.
Report Facts
Total residents: 57 Resident sample size: 8 Closed records sample size: 0
Employees Mentioned
NameTitleContext
Thomas ForkgenALF LicensorInvestigator who conducted the inspection and on-site verification
Laurie AndersonCommunity Field ManagerSigned correspondence related to the inspection
Inspection Report Complaint Investigation Census: 64 Deficiencies: 1 Aug 13, 2024
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility due to a food service disruption complaint.
Findings
The facility experienced a plumbing issue in the kitchen that disrupted food services for three days, affecting all 64 residents. The facility failed to notify Residential Care Services of the disruption but took corrective action by contacting a plumbing company and providing alternative meals.
Complaint Details
Complaint investigation was substantiated regarding food service disruption caused by a plumbing issue in the kitchen.
Deficiencies (1)
Description
Facility failed to notify Residential Care Services of the disruption in food services related to a plumbing issue.
Report Facts
Total residents: 64 Resident sample size: 3 Investigation date range: From 2024-07-15 through 2024-08-13
Employees Mentioned
NameTitleContext
Harrison UdoyeCommunity Complaint InvestigatorConducted the complaint investigation
Laurie AndersonField ManagerSigned the report and provided contact for questions
Inspection Report Follow-Up Deficiencies: 0 Nov 28, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility 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. Previously cited deficiencies were corrected.
Report Facts
Compliance Determination Completion Dates: Compliance Determinations 33054 completed on 11/28/2023 and 28674 completed on 08/30/2023
Employees Mentioned
NameTitleContext
Steven GarrettLTC LicensorDepartment staff who did the on-site verification
Claudia MachadoCommunity Complaint InvestigatorDepartment staff who did the on-site verification
Angelica RiosALF LicensorDepartment staff who did the on-site verification
Inspection Report Life Safety Deficiencies: 14 Oct 4, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire protection inspection at Redmond Heights Senior Living to evaluate compliance with fire safety codes and regulations.
Findings
The inspection identified multiple fire safety deficiencies including blocked exits, door latch failures, obstructed sprinkler heads, missing inspection paperwork, unsecured compressed gas cylinders, and overdue fire/smoke damper inspections. The facility was disapproved due to these violations.
Deficiencies (14)
Description
Blocked exit in kitchen dry storage
Room 414 door will not latch
Double doors by room 231 will not latch
Double doors by room 101 will not latch
Multiple sprinkler heads obstructed by light fixtures in activities room
Quarterly sprinkler system inspections paperwork not provided
Second semi-annual fire-extinguishing system service paperwork not provided
Annual replacement of fusible links/auto sprinkler heads paperwork not provided
Smoke detector sensitivity testing and nuisance log paperwork not provided
Annual 90 minute battery-powered emergency lighting test paperwork not provided
Compressed gas cylinder found unsecured in activities office
Fire/smoke damper 4-year inspection paperwork not provided
Fire door inspection schedule and annual inspection paperwork not provided
Fire doors failed to latch and other door hardware deficiencies
Report Facts
Next inspection scheduled date: Nov 6, 2023
Employees Mentioned
NameTitleContext
Angelito G. AgustinMaintenance DirectorNamed as Owner or Authorized Representative signing the inspection report
Jason Van GorkumDeputy State Fire MarshalConducted the inspection and signed the report
Inspection Report Enforcement Deficiencies: 5 Aug 30, 2023
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Redmond Heights Senior Living to impose civil fines based on uncorrected deficiencies previously cited.
Findings
The facility was found to have multiple uncorrected deficiencies related to food and nutrition services, maintenance and housekeeping, assisted living services, communication systems, and activities, all previously cited on June 15, 2023, resulting in civil fines.
Deficiencies (5)
Description
Failed to ensure menu items were not repeated within a three-week timeframe and failed to maintain a licensed dietician approved dietary manual.
Failed to provide a safe and well-maintained environment.
Failed to ensure four residents' side bed rails were free of entrapment hazards.
Failed to provide memory care residents with the means to summon on-duty staff assistance.
Failed to provide group activities for eight residents.
Report Facts
Civil fine amount: 200 Civil fine amount: 300 Civil fine amount: 300 Civil fine amount: 300 Civil fine amount: 300 Total civil fines: 1400
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the enforcement letter
Laurie AndersonField ManagerContact person for the enforcement and appeals process
Inspection Report Annual Inspection Deficiencies: 0 Jan 12, 2023
Visit Reason
The inspection was conducted as an annual inspection and also in response to a complaint regarding a fire in the dryer at the facility.
Findings
The fire in the dryer was contained but could not be extinguished by staff due to smoke and fumes; the fire department responded and extinguished the fire. The facility performed a fire watch every 15 minutes until the sprinkler system was reset. No violations were observed during the inspection.
Complaint Details
Complaint #65754 regarding a fire in the dryer. The complaint was investigated during the annual inspection and found to be substantiated by the presence of the fire, but no violations were cited.
Report Facts
Complaint number: 65754 Evacuated residents: 0 Injuries: 0 Fire watch interval (minutes): 15
Employees Mentioned
NameTitleContext
Cozetta ChristianDeputy State Fire MarshalConducted the inspection and investigation of the fire complaint
Paul WaddingtonInterim Community DirectorProvided information about the fire and facility response
Inspection Report Life Safety Deficiencies: 4 Jan 12, 2023
Visit Reason
An unannounced Fire and Life Safety Code inspection was conducted at Redmond Heights Senior Living by the Office of the State Fire Marshal to determine compliance with applicable codes.
Findings
The inspection identified multiple deficiencies including an electrical outlet missing its cover plate, a penetration in the laundry room wall, deficiencies in the sprinkler system due to dry sprinkler heads needing sample testing, and an emergency light that did not operate during testing.
Deficiencies (4)
Description
The electrical outlet in the Business Office is missing its cover plate.
The clean side of the Laundry room has a penetration in the wall in the back corner, and behind the door.
The Sprinkler report is deficient due to dry sprinkler heads needing to be sent out for sample testing - Main canopy and memory care canopy dry heads.
The emergency light did not operate when tested in the Fire alarm room.
Employees Mentioned
NameTitleContext
Cozetta ChristianDeputy State Fire MarshalConducted the Fire and Life Safety Code inspection and signed the report.
Bob EdmundsFacility MainOwner or Owner's Representative who signed the report.

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