Inspection Reports for Summer Hill Assisted Living

165 SW 6th Ave, Oak Harbor, WA, 98277

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 22 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

249% worse than Washington average
Washington average: 6.3 deficiencies/year

Deficiencies per year

16 12 8 4 0
2024
2025

Census

Latest occupancy rate 53 residents

Based on a March 2025 inspection.

Census over time

48 51 54 57 60 Jun 2024 Mar 2025
Inspection Report Follow-Up Capacity: 61 Deficiencies: 2 Jun 24, 2025
Visit Reason
The Department completed a follow-up inspection of Summer Hill Assisted Living Facility to verify correction of previous deficiencies related to licensing laws and regulations.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to fire and life safety inspections were corrected.
Deficiencies (2)
Description
Failure to maintain compliance with Washington State Patrol Fire Protection Bureau due to failing 4 of 4 Fire and Life Safety annual inspections, including uncorrected sprinkler system testing deficiencies and missing hydraulic design information sign as required by NFPA 13.
Failure to provide documentation for semi-annual kitchen suppression system servicing; system not UL 300 compliant and must be upgraded.
Report Facts
Fire and Life Safety annual inspections failed: 4 Residents total capacity: 61 Residents at risk: 40 Residents total: 40
Employees Mentioned
NameTitleContext
Melissa PhillipsLong Term Care SurveyorDepartment staff who conducted inspections and off-site verifications
Kimberley RipleyField ManagerSigned follow-up inspection letter
Teresa Pederson-TuleyNursing Consultant InstitutionalInvestigator for complaint investigation
Staff AExecutive DirectorProvided statements regarding uncorrected fire safety violations
Staff BExecutive DirectorStated ALF was not in compliance with Fire Marshal violations during complaint investigation
Inspection Report Life Safety Deficiencies: 13 Jun 11, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Summer Hill residential care facility to assess compliance with fire protection and safety codes.
Findings
The inspection found that all violations noted during previous related inspections have been corrected. Prior inspections documented deficiencies in sprinkler system testing, fire-extinguishing system servicing, and emergency power system maintenance, with some deficiencies corrected and others pending. The most recent inspection confirms correction of all prior violations.
Deficiencies (13)
Description
Sprinkler system testing completed on 8/14/23 had deficiencies that were not corrected.
The sprinkler system lacks the hydraulic design information sign as required by NFPA 13.
Facility unable to provide documentation for semi-annual kitchen suppression system servicing; system not UL 300 compliant and must be upgraded.
Facility unable to provide documentation for weekly inspections and monthly 30-minute full load testing of emergency and standby power systems.
Fire alarm notification panel is located in a main corridor and the panel is not locked.
Main alarm panel is not locked.
The 1st floor living room door to the corridor had an inoperative door-closing coordinator, preventing doors from closing and latching.
8 Oxygen cylinders in room #317 are not secured to prevent the cylinders from falling.
Facility unable to provide documentation for monthly carbon monoxide detector testing.
Facility unable to provide documentation for the monthly 30 second activation test for emergency exit signs.
Facility does not have a working level 1 emergency generator powering emergency lighting throughout the facility.
Facility unable to provide documentation for annual servicing of the emergency generator.
Facility unable to provide documentation for weekly inspections and monthly 30 minute full load testing of the emergency generator.
Report Facts
Inspection date: Jun 11, 2025 Inspection date: Jan 21, 2025 Inspection date: Mar 19, 2024 Inspection date: Jan 16, 2024 Next inspection scheduled: Feb 20, 2025 Next inspection scheduled: Apr 18, 2025 Next inspection scheduled: Feb 15, 2024 Deficiency count: 8
Employees Mentioned
NameTitleContext
Brandon G. BrownDeputy State Fire MarshalSigned inspection reports and conducted inspections
Daniel SalinaMaintenance DirectorSigned facility representative on 06/11/2025 inspection
Christine JamesAuthorized RepresentativeSigned facility representative on 01/21/2025 inspection
Joel ElliottMaintenance SupervisorSigned facility representative on multiple inspections
Joel W. ElliottMaintenance SupervisorSigned facility representative on multiple inspections
Inspection Report Enforcement Deficiencies: 1 May 2, 2025
Visit Reason
The Department of Social and Health Services completed a follow-up visit to Summer Hill Assisted Living to address previously cited deficiencies and to impose a civil fine due to failure to maintain compliance with fire and life safety inspections.
Findings
The facility failed four Fire and Life Safety annual inspections, resulting in an uncorrected deficiency that placed residents, staff, and visitors at risk of harm in the event of a fire. This deficiency was previously cited on March 7, 2025, and December 24, 2024, leading to a $400 civil fine.
Deficiencies (1)
Description
Failure to maintain compliance with the Washington State Patrol Fire Protection Bureau due to failing four Fire and Life Safety annual inspections.
Report Facts
Civil fine amount: 400 Number of failed fire and life safety inspections: 4
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the enforcement letter
Kim RipleyField ManagerContact person for plan of correction and inquiries
Inspection Report Enforcement Deficiencies: 1 Mar 7, 2025
Visit Reason
The Department of Social and Health Services completed a follow-up visit to Summer Hill Assisted Living to assess compliance after previous fire and life safety inspection failures, resulting in the imposition of a civil fine.
Findings
The facility failed four Fire and Life Safety annual inspections, placing residents, staff, and visitors at risk of harm in the event of a fire. This deficiency was previously cited and remains uncorrected.
Deficiencies (1)
Description
Failure to maintain compliance with the Washington State Patrol Fire Protection Bureau due to failing four Fire and Life Safety annual inspections.
Report Facts
Civil fine amount: 600 Number of failed fire and life safety inspections: 4
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the enforcement letter
Kim RipleyField ManagerContact person for plan of correction and inquiries
Inspection Report Follow-Up Census: 53 Deficiencies: 1 Mar 7, 2025
Visit Reason
The Department completed a follow-up inspection of Summer Hill Assisted Living Facility to verify correction of previously cited deficiencies related to medication availability and compliance determinations 56004 and 50396.
Findings
The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies regarding nonavailability of medications were corrected. The prior complaint investigation found verbal abuse allegations unsubstantiated and identified missed medication doses for one resident, but no citations were ultimately written.
Complaint Details
The complaint alleged that identified staff were verbally abusive toward a resident and did not serve meals in a timely manner. The investigation found the resident was verbally aggressive toward staff, but abuse and neglect were ruled out. Missed medications were documented for one resident, but no citation was issued.
Deficiencies (1)
Description
Failure to obtain medications in a correct and timely manner for one resident, resulting in missed doses of antidepressant and anticonvulsant medications.
Report Facts
Total residents: 53 Resident sample size: 3 Missed doses of antidepressant medication: 222 Missed doses of anticonvulsant medication: 35
Employees Mentioned
NameTitleContext
Melissa PhillipsLong Term Care SurveyorConducted the follow-up inspection
Teresa Pederson-TuleyNursing Consultant InstitutionalInvestigator for complaint investigation
Staff ADirector of NursingNamed in complaint investigation regarding medication management
Staff BMedication TechnicianNamed in complaint investigation regarding medication management
Inspection Report Follow-Up Census: 55 Deficiencies: 10 Jun 28, 2024
Visit Reason
The Department completed a follow-up inspection of Summer Hill Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The Department found no deficiencies during the follow-up inspection and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to infection control and medication availability were corrected.
Deficiencies (10)
Description
Failed to ensure 3 of 11 staff were fit tested for N-95 respirators during a COVID-19 outbreak, placing residents at risk of communicable disease.
Failed to obtain prescribed medications for 2 of 3 residents, resulting in missed doses and risk of medical complications.
Failed to provide a safe, sanitary, and well-maintained environment for residents, including unlocked electrical panels, missing ceiling panels, mold, and water damage.
Failed to place mops in a position to air dry properly, risking contamination in the kitchen.
Failed to ensure 1 of 6 staff was screened for tuberculosis within three days of employment.
Failed to maintain employment documentation for 1 of 6 staff showing orientation and continuing education.
Failed to develop and implement a respiratory protection program and ensure 10 care staff were fit tested for N-95 respirators, placing residents and staff at risk during a communicable disease outbreak.
Failed to investigate an incident when a resident was found on the floor, lacking documentation to rule out abuse or neglect and identify preventative measures.
Failed to ensure 2 of 7 residents' medications were obtained timely, resulting in missed doses and risk of medical complications.
Failed to complete a pre-admission assessment for 1 of 7 residents prior to move-in, placing resident at risk of unmet care needs.
Report Facts
Residents present during inspection: 55 Total residents: 48 Resident sample size: 12 Staff not fit tested: 10 Missed medication doses for Resident 1: 170 Missed medication doses for Resident 2: 38
Employees Mentioned
NameTitleContext
Cristina GonzalezALF LicensorConducted follow-up inspection and off-site verification
Kimberley RipleyField ManagerSigned follow-up inspection letter
Staff HDirector of NursingNamed in infection control deficiency for lack of fit testing
Staff MCaregiverNamed in infection control deficiency for lack of fit testing
Staff NCaregiverNamed in infection control deficiency for lack of fit testing
Staff AExecutive DirectorInterviewed regarding COVID-19 outbreak and infection control
Staff CMaintenance SupervisorInterviewed regarding facility maintenance deficiencies
Staff GMedication TechnicianInterviewed regarding medication ordering and delivery deficiencies
Staff BDirector of NursingInterviewed regarding medication deficiencies and incident investigation
Staff ENamed in employment documentation deficiency
Staff LCaregiverNamed in infection control deficiency for lack of fit testing
Inspection Report Follow-Up Deficiencies: 2 Apr 18, 2024
Visit Reason
The Department of Social and Health Services completed a follow-up visit at Summer Hill Assisted Living to verify correction of previously cited deficiencies.
Findings
The facility was found to have uncorrected deficiencies related to infection control and nonavailability of medications, resulting in civil fines totaling $900.00.
Deficiencies (2)
Description
Failure to ensure three staff members were fit tested for N-95 respirators during a COVID-19 outbreak.
Failure to obtain prescribed medications for two residents, resulting in missed doses and risk of medical complications.
Report Facts
Civil fine amount: 400 Civil fine amount: 500 Total civil fines: 900 Missed medication doses: 7 Missed medication doses: 43 Number of staff not fit tested: 3 Number of residents affected by medication issue: 2
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the enforcement letter regarding civil fines.
Kim RipleyField ManagerContact person for submission of Plan of Correction and inquiries.
Inspection Report Follow-Up Deficiencies: 2 Apr 18, 2024
Visit Reason
The Department of Social and Health Services completed a follow-up visit to Summer Hill Assisted Living to verify correction of previously cited deficiencies.
Findings
The facility was found to have uncorrected deficiencies related to infection control and nonavailability of medications, resulting in civil fines totaling $900.00.
Deficiencies (2)
Description
Failure to ensure three staff members were fit tested for N-95 respirators during a COVID-19 outbreak.
Failure to obtain prescribed medications for two residents, resulting in missed doses and risk of medical complications.
Report Facts
Civil fine amount: 400 Civil fine amount: 500 Total civil fines: 900 Missed medication doses: 7 Missed medication doses: 43 Number of staff not fit tested: 3 Number of residents affected by medication issue: 2
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the letter regarding civil fines and deficiencies.
Kim RipleyField ManagerContact person for submission of Plan of Correction and inquiries.
Inspection Report Life Safety Deficiencies: 12 Mar 19, 2024
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the Summer Hill residential care facility to assess compliance with fire protection and safety codes.
Findings
The inspection identified multiple deficiencies related to sprinkler system testing, fire door inspections, kitchen suppression system servicing, emergency power system documentation, and fire extinguisher maintenance. Some issues were corrected, while others remained unresolved with parts on order or documentation unavailable.
Deficiencies (12)
Description
Sprinkler system testing completed on 8/14/23 had deficiencies not corrected; system lacks hydraulic design information sign; sprinkler heads in walk-ins are ordinary hazards, not intermediate-temperature or higher.
Facility unable to provide documentation for semi-annual kitchen suppression system servicing; service completed on 12/21/23 but deficiencies remain.
Facility unable to provide documentation for weekly inspections and monthly 30-minute full load testing of emergency and standby power systems.
Annual fire door inspection completed on 11/6/23 had deficiencies not corrected; parts are on order.
Required annual maintenance for fire extinguishers throughout the facility has not been completed in accordance with NFPA 10.
Main alarm panel located in main corridor is not locked; fire alarm notification deactivation means not properly secured.
1st floor living room door to corridor had an inoperative door-closing coordinator preventing proper closing and latching.
8 oxygen cylinders in room #317 are not secured to prevent falling.
Power strip plugged into another power strip in nurses office and maintenance office.
Facility unable to provide documentation for monthly carbon monoxide detector testing.
Facility does not have a working level 1 emergency generator powering emergency lighting throughout the facility.
Facility unable to provide documentation for annual servicing of emergency generator.
Report Facts
Inspection dates: Mar 19, 2024 Previous inspection dates: Dec 11, 2023 Previous inspection dates: Jan 16, 2024 Next inspection scheduled: Apr 18, 2024 Next inspection scheduled: Feb 15, 2024 Next inspection scheduled: Jan 10, 2024 Oxygen cylinders unsecured: 8
Employees Mentioned
NameTitleContext
Brandon G. BrownDeputy State Fire MarshalSigned inspection reports and conducted inspections
Joel ElliottMaintenance SupervisorFacility representative signing inspection reports

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