Inspection Reports for St Andrews Place Assisted Living
520 EAST PARK AVE, PORT ANGELES, WA, 98362
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
4.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
32% better than Washington average
Washington average: 6.3 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
39 residents
Based on a July 2024 inspection.
Census over time
Inspection Report
Life Safety
Deficiencies: 5
Date: Feb 19, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at St. Andrews Place Assisted Living facility on 02/19/2025 to verify correction of previous violations.
Findings
All violations noted during previous related inspections have been corrected as of the 02/19/2025 inspection. The prior inspection on 12/19/2024 found multiple fire safety violations including ceiling tile removal, sprinkler system testing deficiencies, and missing breaker lock.
Deficiencies (5)
Kitchen had ceiling tiles removed and fire rated double layer sheetrock removed to fix a leak; sheetrock penetration needs to be fixed and tiles replaced.
Facility failed to provide documentation for fire sprinkler system testing including 3-year dry system full flow trip test and annual forward flow test for backflow.
Facility fire department connection was being fixed due to pipe burst during hydrostatic test.
Kitchen had sprinkler heads loaded with debris.
Fire alarm electrical breaker in electrical panel missing breaker lock.
Report Facts
Next inspection scheduled date: Jan 23, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laura Dodd | Administrator | Owner or Authorized Representative signing the inspection documents |
| Raul Murcia | Deputy State Fire Marshal | Conducted the inspection and signed the report |
Inspection Report
Complaint Investigation
Census: 39
Deficiencies: 1
Date: Jul 29, 2024
Visit Reason
The inspection was an unannounced on-site complaint investigation conducted due to allegations of misappropriation of property involving multiple residents reporting theft in the community.
Complaint Details
The complaint involved allegations of theft reported by multiple residents. The investigation found failure to document investigative findings and lack of policy on exploitation. The complaint was substantiated with failed provider practice identified and citations written.
Findings
The facility failed to document investigative findings after the investigation was reported complete and failed to have a policy on exploitation and staff responsibilities when financial exploitation allegations are reported. Failed provider practice was identified and citations were written.
Deficiencies (1)
The Assisted Living Facility failed to develop, implement, and train staff on policies and procedures related to suspected abandonment, abuse, neglect, exploitation, or financial exploitation of residents.
Report Facts
Total residents: 39
Resident sample size: 3
Closed records sample size: 0
Reported missing items value: 1200
Reported missing money: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paul Aube | ALF NCI Investigator | Investigator who conducted the complaint investigation |
| Laura Dodd | Administrator | Administrator who signed the Plan of Correction |
Inspection Report
Life Safety
Deficiencies: 0
Date: Jan 29, 2024
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility on 01/29/2024 to verify correction of previous violations.
Findings
All violations noted during previous related inspections have been corrected as of the 01/29/2024 inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laura Dodd | Administrator | Named as Owner's Representative and Administrator on the inspection report. |
| Raul Murcia | Deputy State Fire Marshal | Conducted the inspection and signed the report. |
Inspection Report
Follow-Up
Census: 38
Deficiencies: 1
Date: Jan 17, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 01/17/2024 to verify correction of previously cited deficiencies related to food safety and illness prevention.
Complaint Details
Complaint investigation conducted on 12/18/2023 due to a communicable disease outbreak where multiple residents experienced diarrhea and vomiting. The investigation found failure to properly date and discard leftover foods, leading to a citation for failed provider practice.
Findings
The follow-up inspection found no deficiencies, confirming that previously cited issues related to food safety, illness prevention, and honest presentation were corrected. The prior complaint investigation found that the facility failed to manage food services properly, including failure to date leftover foods, which placed residents at risk of foodborne illness.
Deficiencies (1)
Failure to manage food services in compliance with Food Code chapter 246-215 WAC related to leftover foods not being timely discarded to prevent expired foods from being served.
Report Facts
Total residents: 38
Resident sample size: 4
Residents experiencing diarrhea: 18
Residents experiencing vomiting: 11
Leftover food storage duration: 5
Leftover food discard policy: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Phan Pham | Nurse Surveyor | Conducted the follow-up inspection and complaint investigation |
| Staff B | Dietary Manager | Observed leftover foods not dated and responsible for discarding expired foods |
| Staff C | Dietary Staff | Trained to label and date foods when prepared or opened |
| Staff A | Executive Director | Stated leftover foods were to be covered, dated, and discarded after three days |
| Cory Cisneros | Field Manager | Signed the follow-up inspection letter |
Inspection Report
Renewal
Deficiencies: 5
Date: Jan 26, 2023
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the facility as part of regulatory oversight, including a renewal licensing inspection.
Findings
The January 26, 2023 inspection found that all violations noted during previous related inspections have been corrected. However, the prior December 5, 2022 inspection identified multiple violations including electrical hazards, lack of cleaning documentation, missing sprinkler system inspection records, missing smoke detector sensitivity testing, and missing generator servicing documentation.
Deficiencies (5)
Facility failed to maintain 2 electrical outlets in the kitchen area, broken grounds.
Facility failed to provide documentation showing 1st and 2nd semi-annual cleaning for the kitchen hood.
Facility failed to provide documentation showing quarterly inspections of automatic sprinkler system are being conducted.
Facility failed to provide documentation showing smoke detectors sensitivity testing for the automatic fire alarm system.
Facility failed to provide documentation showing annual servicing of the generator.
Report Facts
Number of electrical outlets not maintained: 2
Next inspection scheduled date: Jan 5, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Raul Murcia | Deputy State Fire Marshal | Signed inspection reports and conducted inspections |
| Laura Dodd | Administrator | Owner or Authorized Representative signing inspection documents |
Inspection Report
Renewal
Deficiencies: 5
Date: Dec 5, 2022
Visit Reason
The inspection was conducted as a renewal licensing inspection for the assisted living facility, although a 2021 renewal inspection request was not received due to the COVID-19 pandemic emergency declaration.
Findings
The facility was found to have multiple violations including failure to maintain electrical outlets, lack of documentation for semi-annual kitchen hood cleaning, missing quarterly sprinkler system inspection records, missing smoke detector sensitivity testing documentation, and missing annual generator servicing documentation.
Deficiencies (5)
Facility failed to maintain 2 electrical outlets in the kitchen area, broken grounds.
Facility failed to provide documentation showing 1st and 2nd semi-annual cleaning for the kitchen hood.
Facility failed to provide documentation showing quarterly inspections of automatic sprinkler system are being conducted.
Facility failed to provide documentation showing smoke detectors sensitivity testing for the automatic fire alarm system.
Facility failed to provide documentation showing annual servicing of the generator.
Report Facts
Electrical outlets not maintained: 2
Semi-annual kitchen hood cleanings missing: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laura Dodd | Administrator | Authorized Facility Representative and Owner's Representative signing the inspection documents |
| Raul Murcia | Deputy State Fire Marshal | Conducted the inspection and signed the report |
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