Inspection Reports for
Sharon Care Center
1509 Harrison Ave, Centralia, WA 98531, United States, WA, 98531
Back to Facility Profile9 Reports
Inspection Report — Apr 15, 2026
Follow-Up
Date: Apr 15, 2026
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to compliance determinations 76311 and 72401.
Complaint Details
The complaint investigation was triggered by a facility report of a resident-to-resident altercation. The investigation found that the facility failed to address changes in a resident's condition and did not complete appropriate assessments, resulting in citations. The follow-up inspection confirmed correction of these deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies cited in WAC 388-78A-2100-2-b-i and WAC 388-78A-2100-2-b-ii were corrected.
Deficiencies (1)
WAC 388-78A-2100 Ongoing assessments. The facility failed to complete an assessment for a resident's change in behavior, placing the resident at risk of harm due to aggressive behaviors. This deficiency was cited during the complaint investigation.
Report Facts
Total residents: 108
Resident sample size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Salas | ALF Complaint Investigator | Conducted the complaint investigation and on-site verification |
Inspection Report — Jul 10, 2025
Life Safety
Date: Jul 10, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 07/10/2025.
Findings
The facility was found to have multiple deficiencies related to fire safety inspections and maintenance, including failure to provide required annual and periodic inspection reports and failed generator fuel testing. The overall approval status was Disapproved.
Deficiencies (7)
IFC 701.6 2021 - The owner failed to maintain an inventory of all required fire-resistance-rated construction and did not provide the annual inspection of fire resistance rated construction.
IFC 705.2 2021 - The facility failed to provide the annual fire door inspection report and fire doors were found to have items such as wreaths attached.
IFC 706.1 2018 - The facility failed to provide the required 4 year fire damper inspection report.
IFC 903.5 2021 - The facility failed to provide the 5 year fire department connection hydrostatic inspection and the 5 year internal inspection report for sprinkler systems.
IFC 915.6 2021 WAC - The facility failed to provide monthly carbon monoxide detector testing for June 2025.
IFC 1032.10.1 2021 - The facility failed to provide emergency lighting testing for June 2025.
IFC 1203.4 2021 - The facility's emergency and standby power systems failed generator fuel testing.
Inspection Report — Jun 4, 2025
Follow-Up
Date: Jun 4, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to medication services.
Findings
The follow-up inspection found no deficiencies and confirmed that all previously cited medication service deficiencies were corrected. The facility meets the Assisted Living Facility licensing requirements.
Inspection Report — Mar 11, 2025
Complaint Investigation
Date: Mar 11, 2025
Visit Reason
The inspection was conducted as a complaint investigation triggered by allegations of a resident fall with injury in the community and a possible flu outbreak in the facility.
Complaint Details
The complaint investigation involved two allegations: 1) a resident fall with injury in the community, which was found to have no failed practice; 2) a flu outbreak in the facility, where the facility failed to notify the Local Health Jurisdiction and Complaint Resolution Unit of confirmed positive residents, resulting in a failed practice and citation.
Findings
The facility was found to have failed to notify the Local Health Jurisdiction and Complaint Resolution Unit of confirmed positive flu cases during an outbreak, constituting a failed practice. The quality of care related to the resident fall was found to have no failed practice.
Deficiencies (1)
WAC 388-78A-2610 Infection control. The facility failed to report communicable diseases in accordance with infection control requirements during a flu outbreak, placing all 62 residents at risk of infectious disease spread.
Report Facts
Total residents: 62
Resident sample size: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paul Aube | ALF NCI | Investigator who conducted the complaint investigation |
| Staff A | Executive Director interviewed regarding flu outbreak and reporting |
Inspection Report — Nov 8, 2024
Complaint Investigation
Date: Nov 8, 2024
Visit Reason
The inspection was conducted as a complaint investigation regarding a report that a resident was not receiving pain medication when needed.
Complaint Details
Complaint number 150652 involved an allegation of a resident not receiving pain medication when needed. The investigation found no failed provider practice and no citations were issued.
Findings
The facility did not have a facility reported incident report available for review on site but was able to produce one by the end of the visit. Consultation was provided. No failed provider practice was identified and no citations were written.
Report Facts
Total residents: 66
Resident sample size: 7
Closed records sample size: 0
Inspection Report — Sep 4, 2024
Life Safety
Date: Sep 4, 2024
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility on 09/04/2024.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — Jul 5, 2024
Follow-Up
Date: Jul 5, 2024
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 on 07/05/2024 found no deficiencies and the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Inspection Report — Jul 12, 2023
Life Safety
Date: Jul 12, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 07/12/2023.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved at this inspection.
Inspection Report — Feb 10, 2023
Follow-Up
Date: Feb 10, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Complaint Details
The complaint investigation found staff not wearing face coverings while in the facility and entering resident rooms without face coverings. This was substantiated with citations written.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2610 Infection control. Staff failed to ensure required infection control measures to prevent COVID-19 spread by not wearing face masks as required, placing all 67 residents, staff, and visitors at risk. This was a recurring deficiency.
Report Facts
Total residents: 67
Resident sample size: 6
4 CMS Surveys
Inspection Report — Dec 1, 2025
Complaint Investigation
Date: Dec 1, 2025
Visit Reason
The inspection was conducted due to complaints regarding failure to provide toileting assistance to residents, specifically Resident 1 and Resident 2, which raised concerns about neglect and quality of care.
Complaint Details
The complaint investigation involved two residents who were not provided toileting assistance as required. Resident 1 was found with dried bowel movement on sheets and brief, and Resident 2 reported not being changed during the night, confirmed by staff interviews and facility investigation. The complaint was substantiated based on these findings.
Findings
The facility failed to provide adequate toileting assistance to two sampled residents, resulting in residents being found with soiled briefs and bedding. Staff interviews confirmed that residents were not checked and changed every two hours as required, placing residents at risk of skin infections and diminished quality of life.
Deficiencies (1)
F 0684 - The facility failed to provide appropriate toileting assistance to two residents, resulting in soiled briefs and bedding and risk of harm. Staff interviews confirmed residents were not checked and changed every two hours as required.
Report Facts
Residents sampled for ADL care: 5
Residents affected: 2
Date of facility investigation: Oct 15, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Certified Nursing Assistant | Reported finding dried bowel movement on Resident 1 and described toileting assistance failure |
| Staff B | Director of Nursing/Registered Nurse | Described expectations for toileting assistance and confirmed findings during facility investigation |
| Staff E | Residential Care Manager/Registered Nurse | Reported investigation findings and described Resident 2's toileting assistance needs |
| Staff F | Certified Nursing Assistant | Reported Resident 2 was not changed during the night and described toileting assistance failure |
Inspection Report — Sep 12, 2025
Annual Inspection
Date: Sep 12, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for nursing home care, including resident care, medication administration, environment safety, and regulatory documentation.
Findings
The facility was found deficient in multiple areas including failure to maintain survey result binders, incomplete assessments and care plans, missed medication monitoring, inadequate food storage practices, and unsafe sharps container management. Several deficiencies were noted with minimal or potential for actual harm to residents.
Deficiencies (9)
F 0577 - The facility failed to ensure the survey result binder included health recertification and complaint survey results for 2 of 3 years reviewed, preventing residents and others from accessing past survey results.
F 0605 - The facility failed to complete an AIMS test for 1 of 5 sampled residents receiving antipsychotic medication, placing residents at risk for adverse medication side-effects.
F 0636 - The facility failed to complete the resident admission Minimum Data Set (MDS) within the required timeframe for 1 of 10 sampled residents, risking unmet care needs.
F 0645 - The facility failed to ensure PASARR assessments were reviewed, completed, and submitted for 2 of 5 residents, risking residents not receiving necessary mental health services.
F 0657 - The facility failed to revise resident care plans to accurately reflect care needs after falls for 1 of 3 sampled residents, risking subsequent falls and injuries.
F 0684 - The facility failed to obtain daily weights per physician's orders for 1 of 5 residents and failed to check PICC line blood return for 1 resident, risking unmet care needs and complications.
F 0697 - The facility failed to complete pain assessments every shift for 1 of 5 residents reviewed for pain, risking unmet care needs.
F 0812 - The facility failed to ensure food items were labeled and dated when opened in refrigerators and failed to keep accurate temperature logs for nourishment refrigerators, risking food borne illness.
F 0921 - The facility failed to maintain a safe, sanitary, and comfortable environment by allowing sharps containers to be overfilled in 2 of 7 rooms, risking injury and exposure to diseases.
Report Facts
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 1
Rooms reviewed: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Director of Nursing/Registered Nurse | Named in multiple findings including survey binder, AIMS test, MDS completion, care plan revisions, food storage, and sharps container management |
| Staff C | Resident Care Manager/Registered Nurse | Named in findings related to AIMS test, medication administration, and pain assessment |
| Staff E | MDS Nurse/Registered Nurse | Named in finding related to admission MDS completion |
| Staff G | Resident Care Manager/Licensed Practical Nurse | Named in finding related to care plan revisions after falls |
| Staff H | Social Service Director | Named in finding related to PASRR assessments |
| Staff F | Registered Nurse | Named in medication administration observation related to PICC line blood return |
| Staff J | Registered Nurse | Named in sharps container overfill observation and interview |
| Staff L | Dietary Manager | Named in food storage and temperature log findings |
| Staff D | Nursing Assistant | Named in pain assessment finding |
| Staff K | Environmental Services Supervisor | Named in sharps container management interview |
Inspection Report — Sep 13, 2024
Annual Inspection
Date: Sep 13, 2024
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for nursing home care, including resident rights, physical restraints, transfer notices, assessments, care planning, activities of daily living, arbitration agreements, and infection control.
Findings
The facility was found to have multiple deficiencies including failure to assist residents with advance directives, lack of physician orders for physical restraints, failure to send timely transfer notices to the Ombudsman, inaccurate Minimum Data Set assessments, incomplete care plans, inadequate assistance with activities of daily living such as nail care, failure to properly explain arbitration agreements, and lapses in infection prevention practices. All deficiencies were cited with minimal harm and some residents affected.
Deficiencies (8)
F 0578 - The facility failed to provide procedures to assist with completing advance directives and maintaining Durable Power of Attorney documentation for 4 of 9 sampled residents. Documentation of advance directives was missing or not reviewed since admission.
F 0604 - The facility failed to obtain a physician's order for physical restraints (quarter length bed rails) for 2 of 4 sampled residents. Bed rails were observed in use without physician orders.
F 0623 - The facility failed to send a copy of the Notice Before Transfer to the Office of the State Long-Term Care Ombudsman for 1 sampled resident. This placed residents at risk of inappropriate transfer or discharge.
F 0641 - The facility failed to ensure the Minimum Data Set assessment accurately reflected a resident's oral/dental status. The resident had broken and missing teeth with pain, but the MDS assessment was inaccurate.
F 0656 - The facility failed to develop a comprehensive care plan addressing the needs of a resident with bed placement against the wall and mats on the floor. The care plan was incomplete for 1 of 4 sampled residents.
F 0677 - The facility failed to provide activities of daily living care including nail care for 1 of 2 sampled dependent residents. Resident's nails were long and had not been trimmed for about a month.
F 0847 - The facility failed to explain the arbitration agreement in a manner understood by 1 of 3 sampled residents. The resident was unaware of the binding arbitration agreement and the right to rescind within 30 days.
F 0880 - The facility failed to ensure infection prevention practices including proper use of personal protective equipment and hand hygiene for 2 of 8 sampled residents. Staff were observed not changing gloves or gowns appropriately and using contaminated gloves outside resident rooms.
Report Facts
Residents sampled for advance directives: 9
Residents affected by advance directive deficiency: 4
Residents sampled for physical restraints: 4
Residents affected by physical restraint deficiency: 2
Residents sampled for transfer notice: 1
Residents affected by transfer notice deficiency: 1
Residents sampled for MDS assessment accuracy: 1
Residents affected by MDS assessment deficiency: 1
Residents sampled for care plan completeness: 4
Residents affected by care plan deficiency: 1
Residents sampled for ADL care: 2
Residents affected by ADL care deficiency: 1
Residents sampled for arbitration agreement: 3
Residents affected by arbitration agreement deficiency: 1
Residents sampled for infection prevention: 8
Residents affected by infection prevention deficiency: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff K | Social Services Director | Named in advance directives documentation and follow-up finding |
| Staff A | Administrator | Named in advance directives, transfer notice, and arbitration agreement findings |
| Staff C | Resident Care Manager and Registered Nurse | Named in physical restraint and oral/dental assessment findings |
| Staff B | Director of Nursing Services and Registered Nurse | Named in physical restraint, oral/dental assessment, ADL care, and infection control findings |
| Staff E | MDS Nurse and Registered Nurse | Named in oral/dental assessment accuracy finding |
| Staff D | Certified Nursing Assistant | Named in care plan and ADL care findings |
| Staff I | Nursing Assistant | Named in ADL nail care deficiency |
| Staff J | Admissions Coordinator | Named in arbitration agreement explanation deficiency |
| Staff F | Certified Nurse Assistant | Named in infection prevention deficiency |
| Staff G | Certified Nurse Assistant | Named in infection prevention deficiency |
| Staff H | Certified Nurse Assistant | Named in infection prevention deficiency |
Inspection Report — Jul 21, 2023
Routine
Date: Jul 21, 2023
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident care, medication management, infection control, safety, and facility operations.
Findings
The facility was found to have multiple deficiencies including failure to obtain consents for psychotropic medications, incomplete care plans, inadequate monitoring of medication side effects, unsafe storage of tools and chemicals, unsanitary kitchen conditions, improper catheter care, and failure to ensure resident rights such as bed-hold notification and grievance resolution. Several deficiencies were noted with minimal harm potential and some residents were affected. The report documents observations, interviews, and record reviews supporting these findings.
Deficiencies (14)
WAC 388-97-0300 (3)(a) - The facility failed to ensure residents and/or representatives were informed and provided consent before administering psychotropic medications for 4 of 6 sampled residents.
WAC 388-97-0440 - The facility failed to ensure residents were evaluated, assessed, and had physician orders for safe self-administration of medications for 1 of 1 sampled residents.
WAC 388-97-0500 (1) - The facility failed to ensure mail delivery was provided on Saturdays for 4 of 5 sampled residents.
WAC 388-97-0300 (1)(b), (3)(a-c) - The facility failed to obtain, provide, and/or assist with completing Advance Directives for 1 of 6 sampled residents.
WAC 388-97-0300 (1)(e) - The facility failed to ensure a written bed-hold notice was provided to the resident or representative at the time of hospital transfer for 1 of 3 sampled residents.
WAC 388-97-1000 (4)(b), (5)(a), (e)(i-iii) - The facility failed to ensure resident assessment data was encoded and transmitted to CMS within the required timeframe for 1 of 2 sampled residents.
WAC 388-97-1020 (1), (2)(a)(b)(c) - The facility failed to develop comprehensive care plans addressing all resident needs for 4 of 14 sampled residents.
WAC 388-97-1020 (2)(c)(d) - The facility failed to ensure care plans were reviewed, revised, and accurately reflected resident care needs for 2 of 14 sampled residents.
WAC 388-97-1060 (1), (3)(c) - The facility failed to ensure the bowel protocol was initiated per physician's orders and when needed for 1 of 7 sampled residents.
WAC 388-97-3240 (1), -3260 - The facility failed to ensure a safe environment free from unsecured tools and chemicals in resident rooms and shower rooms.
WAC 388-97-1060 (3)(c) - The facility failed to ensure residents with indwelling urinary catheters received appropriate care and services to minimize infection risk for 4 of 5 sampled residents.
WAC 388-97-1060 (3)(k)(i) - The facility failed to ensure anticoagulant medication related complications were monitored for 1 of 3 sampled residents.
WAC 388-97-1060 (3)(k)(i) - The facility failed to ensure residents were free from unnecessary psychotropic medications by failing to monitor side effects and limit PRN use to 14 days for 6 of 8 sampled residents.
WAC 388-97-2980 - The facility failed to ensure foods were prepared, stored, and served in a sanitary manner placing residents at risk for food-borne illness.
Report Facts
Sampled residents: 14
Sampled residents: 8
Sampled residents: 7
Sampled residents: 6
Sampled residents: 5
Sampled residents: 3
Sampled residents: 2
Sampled residents: 1
Sampled residents: 42
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