Deficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Life Safety
Deficiencies: 13
Sep 9, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Sunrise of Redmond residential care facility to verify compliance with fire protection codes and to ensure all previous violations have been corrected.
Findings
The inspection found that all violations noted during previous related inspections have been corrected. The report includes multiple citations of deficiencies related to fire door inspections, sprinkler system maintenance, fire extinguisher servicing, emergency evacuation drills, and fire/smoke damper inspections, with many deficiencies noted as not having required paperwork or documentation at the time of inspection.
Deficiencies (13)
| Description |
|---|
| Facility will need to identify and establish a schedule for inspection of Fire Doors. Annual inspection of fire doors will need to be performed and completed. |
| Bent sprinkler head found in hallway, bathroom, exit to outside by Activities. |
| REM laundry room has two painted sprinkler heads. |
| Sprinkler found in kitchen next to dish room with shipping cover still on. |
| Annual forward flow test paperwork not provided. |
| Annual report and sensitivity testing paperwork not provided for fire alarm and detection systems. |
| Monthly 30-minute full load test and diesel fuel testing paperwork not provided. |
| Fire/smoke damper inspection will need to be performed and documented; report from 4.3.2024 shows 6 fails and 5 non-accessible. |
| Elevator fire door on 2nd floor will not latch. |
| Double doors on 2nd floor by boutique will not latch. |
| Large gap found in double doors by room 2063. |
| REM activities double door will not close and latch. |
| Employee hallway double doors by REM entrance will not latch. |
Report Facts
Inspection date: Sep 9, 2025
Inspection date: Aug 18, 2025
Inspection date: Jun 30, 2025
Inspection date: Mar 13, 2025
Inspection date: Jan 15, 2025
Inspection date: Dec 11, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason Van Gorkum | Deputy State Fire Marshal | Signed and conducted the inspection |
| Ian Rey Revicente | Maintenance Coordinator | Owner or Owner's Representative signing the report |
| Amy Thuline | Executive Director | Owner or Authorized Representative signing the report |
| Charles W Hendrick | Owner or Authorized Representative signing the report |
Inspection Report
Enforcement
Census: 104
Deficiencies: 1
Aug 20, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to impose a civil fine due to uncorrected and recurring deficiencies related to unsafe environmental conditions at the assisted living facility.
Findings
The licensee failed to ensure that 104 residents resided in a safe environment approved by the state fire marshal, placing residents at risk of harm, injury, and potential fire hazards. This deficiency was uncorrected from a previous citation and is recurring.
Deficiencies (1)
| Description |
|---|
| Failure to ensure residents resided in a safe environment approved by the state fire marshal, creating risk of harm and fire hazards. |
Report Facts
Civil fine amount: 900
Resident census: 104
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter |
| Laurie Anderson | Field Manager | Contact person for the facility and recipient of plan of correction |
Inspection Report
Follow-Up
Census: 104
Deficiencies: 1
Aug 4, 2025
Visit Reason
Unannounced on-site follow-up inspection to verify correction of previous deficiencies related to fire safety and building approval by the Washington state fire marshal.
Findings
The facility failed to ensure that all 104 residents resided in a safe environment approved by the state fire marshal, failing a fourth fire marshal inspection with multiple fire safety violations and lack of inspection schedules for fire doors. This deficiency was uncorrected and recurring from previous inspections.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure building approval by the Washington state fire marshal, placing all residents at risk due to fire safety violations and lack of inspection schedules for fire doors. |
Report Facts
Residents present during inspection: 104
Previous inspection dates: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Corlis | Complaint Investigator | Department staff who inspected the Assisted Living Facility during the follow-up visit. |
| Staff A | Executive Director | Interviewed on 08/04/2025 regarding fire marshal deficiencies. |
| Staff B | Maintenance Assistant | Interviewed on 08/04/2025 regarding fire marshal deficiencies. |
Inspection Report
Life Safety
Deficiencies: 12
Jun 30, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Sunrise of Redmond residential care facility to assess compliance with fire door inspection, sprinkler system maintenance, fire extinguisher requirements, and other fire safety codes.
Findings
Multiple deficiencies were cited including missing or incomplete inspection paperwork, bent sprinkler heads, fire doors not latching properly, and missing scheduled fire and smoke damper inspections. The facility was disapproved due to these deficiencies and required to establish schedules for inspections and corrections.
Deficiencies (12)
| Description |
|---|
| Facility will need to identify and establish a schedule for inspection of Fire Doors. Annual inspection of fire doors will need to be performed and completed. |
| Bent sprinkler head found in hallway, bathroom, exit to outside by Activities. |
| REM laundry room has two painted sprinkler heads. |
| Sprinkler found in kitchen next to dish room with shipping cover still on. |
| Annual report and sensitivity testing paperwork for fire alarm and detection systems not provided. |
| Monthly 30-minute full load test and diesel fuel testing paperwork not provided. |
| Fire/smoke damper inspection paperwork not provided; report shows 6 fails and 5 non-accessible. |
| Elevator fire door on 2nd floor will not latch. |
| Double doors on 2nd floor by boutique will not latch. |
| Large gap found in double doors by room 2063. |
| REM activities double door will not close and latch. |
| Employee hallway double doors by REM entrance will not latch. |
Report Facts
Number of fire/smoke damper fails: 6
Number of fire/smoke damper non-accessible: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason Van Gorkum | Deputy State Fire Marshal | Signed inspection reports and noted as inspector |
| Amy Tomlinson | Executive Director | Signed as Owner or Authorized Representative |
| Charles W Hendrick | Signed as Owner or Authorized Representative on one inspection |
Inspection Report
Enforcement
Census: 98
Deficiencies: 1
May 20, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to address previously cited deficiencies and imposed a civil fine based on unresolved violations.
Findings
The facility failed to ensure that 98 residents resided in a safe environment compliant with State Fire Marshal regulations, resulting in a civil fine of $600.00 for uncorrected deficiencies related to fire safety hazards.
Deficiencies (1)
| Description |
|---|
| Failure to ensure residents resided in a safe environment compliant with State Fire Marshal regulations, placing residents at risk of harm, injury, and potential fire hazards. |
Report Facts
Civil fine amount: 600
Resident census: 98
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rathana Duong | Compliance Specialist | Signed the enforcement letter |
| Laurie Anderson | Field Manager | Contact person for the facility and recipient of plan of correction |
Inspection Report
Follow-Up
Census: 92
Capacity: 91
Deficiencies: 2
May 2, 2025
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 05/02/2025 found no deficiencies, indicating that previously cited issues related to ongoing assessments and service agreement planning were corrected.
Deficiencies (2)
| Description |
|---|
| Failed to complete assessments that included the required full assessment components for 4 of 4 sampled residents. |
| Failed to update each resident's negotiated service agreement to address interventions required to meet current clinical needs for 3 of 4 residents. |
Report Facts
Residents sampled for review: 4
Current residents census: 92
Total licensed capacity: 91
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Claudia Allis | ALF Licensor | Department staff who did the on-site verification |
| Steven Garrett | LTC Licensor | Department staff who did the on-site verification |
| Laurie Anderson | Community Field Manager | Signed the follow-up inspection letter and correspondence |
Inspection Report
Follow-Up
Deficiencies: 2
Mar 20, 2025
Visit Reason
The Department of Social and Health Services completed a follow-up visit to the assisted living facility to assess correction of previously cited deficiencies.
Findings
The facility was found to have uncorrected deficiencies related to incomplete resident assessments and failure to update negotiated service agreements, resulting in civil fines totaling $600.00.
Deficiencies (2)
| Description |
|---|
| Failed to complete assessments that included the required full assessment components for four residents, including failure to respond to one resident’s progressive diagnosis and changing needs. |
| Failed to update each resident's negotiated service agreement to address interventions required to meet current clinical needs for three residents. |
Report Facts
Civil fine amount: 600
Number of residents affected: 4
Number of residents affected: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the imposition of civil fines letter |
| Laurie Anderson | Field Manager | Contact person for the facility regarding the deficiencies and appeals |
Inspection Report
Life Safety
Deficiencies: 8
Mar 13, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Sunrise of Redmond residential care facility to assess compliance with fire protection and safety codes.
Findings
The inspection identified multiple deficiencies primarily related to missing or incomplete documentation for semi-annual hood cleaning, fire door inspections, sprinkler system testing, fire extinguisher servicing, and fire/smoke damper inspections. Physical observations included bent sprinkler heads and door latch issues. Most deficiencies were noted as corrected or requiring scheduled follow-up inspections.
Deficiencies (8)
| Description |
|---|
| Missing paperwork for first and second semi-annual hood cleaning |
| Missing paperwork for annual fire door inspection and observed door latch and closure issues |
| Missing paperwork for sprinkler system testing and maintenance; bent sprinkler head found |
| Missing paperwork for fire extinguisher semi-annual servicing |
| Missing paperwork for fire alarm inspection, sensitivity testing, and alarms test |
| Missing paperwork for carbon monoxide alarm testing and maintenance |
| Missing paperwork for emergency and standby power system testing and maintenance |
| Missing paperwork for fire/smoke damper inspection and testing |
Report Facts
Number of missing drills: 12
Number of missing fire drills per shift: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason Van Gorkum | Deputy State Fire Marshal | Signed inspection reports and conducted the inspection |
| Charles W Hendricks | Owner or Authorized Representative | Signed inspection reports as facility representative |
Inspection Report
Life Safety
Deficiencies: 13
Jan 15, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire protection inspection at the Sunrise of Redmond residential care facility to assess compliance with fire safety codes and regulations.
Findings
Multiple deficiencies were cited related to combustible materials storage, emergency evacuation drill documentation, extension cord usage, cleaning schedules, fire and smoke protection features, sprinkler system maintenance, fire extinguisher inspections, fire alarm testing, carbon monoxide detection, emergency power maintenance, and fire door inspections. Several required documents and reports were missing or not provided at the time of inspection.
Deficiencies (13)
| Description |
|---|
| Floor 2 stairway 3 has combustible material. |
| Facility cannot provide documentation for completion of twelve planned and unannounced fire drills in the previous 12 months; drills missing for all shifts and quarters. |
| 1st floor activities office has extension cord found in use. |
| First and second semi-annual hood cleaning paperwork not provided. |
| Facility needs to establish schedule for inspection of Fire-Rated construction; annual inspection required. |
| Annual report, 5-year internal pipe testing, 3-year dry system full flow trip test, annual trip test, annual forward flow test, 5-year FDC hydro testing, and quarterly inspections paperwork not provided; bent sprinkler head found in hallway bathroom exit; painted sprinkler heads in laundry room; sprinkler with shipping cover in kitchen. |
| First and second semi-annual servicing paperwork for fire-extinguishing system not provided. |
| Fire extinguisher by room 2011 is overcharged; fire extinguishers not inspected by vendor over 12 months in laundry rooms and electrical room. |
| Annual report, sensitivity testing, and monthly alarms test paperwork not provided. |
| Carbon monoxide alarms and detectors need monthly testing, maintenance, and documentation. |
| Annual service report, log of weekly inspections, monthly 30-minute full load test, and diesel fuel testing paperwork not provided for emergency and standby power systems. |
| Fire/smoke damper inspection and documentation needed. |
| Schedule for fire door inspections and documentation needed; elevator fire door on 2nd floor and double doors on 2nd floor by boutique will not latch; large gap in double doors by room 2063; REM activities double door will not close and latch; employee hallway double doors by REM entrance will not latch. |
Report Facts
Missing fire drills: 12
Missing fire drill quarters: 4
Inspection date: Jan 15, 2025
Inspection Report
Complaint Investigation
Census: 67
Deficiencies: 1
Aug 30, 2023
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding nurse delegation not done correctly for staff delegated to administer insulin.
Findings
The facility failed to ensure proper nurse delegation services for insulin administration for one resident, resulting in a citation for failed provider practice. The Registered Nurse Delegator (RND) did not perform required follow-up visits or observe initial insulin administration, and staff were unaware of supervision requirements.
Complaint Details
Complaint involved nurse delegation not done correctly for staff delegated to administer insulin. The facility was cited for failed provider practice after investigation confirmed lack of required follow-up visits and supervision by the RND.
Deficiencies (1)
| Description |
|---|
| Failure to ensure proper nurse delegation services for insulin administration, including lack of follow-up visits and observation of staff administering insulin. |
Report Facts
Total residents: 67
Resident sample size: 1
Staff delegated to administer insulin: 7
Insulin administrations by Staff W: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Thomas Forkgen | ALF Licensor | Investigator and on-site verification staff |
| Laurie Anderson | Field Manager | Author of follow-up inspection letter |
| Staff B | Registered Nurse, Resident Care Director | Registered Nurse Delegator who failed to perform required follow-up visits and observation |
| Staff W | Medication Manager | Unlicensed staff who administered insulin without proper observation |
| Staff X | Medication Manager | Administered insulin on 08/17/2023 |
| Staff A | Executive Director | Interviewed regarding nurse delegation and supervision requirements |
Inspection Report
Re-Inspection
Census: 59
Deficiencies: 9
Jun 20, 2023
Visit Reason
The Department completed a full inspection of the Assisted Living Facility on 06/20/2023 and found that the facility does not meet the Assisted Living Facility requirements.
Findings
The inspection identified multiple deficiencies including failure to document medication side effects and caregiver instructions, failure to assess and implement nurse delegation services, incomplete background checks for contracted home care aides, unsafe environment hazards, failure to update individual service plans, and inadequate medication administration documentation.
Deficiencies (9)
| Description |
|---|
| Failed to document potential medication side effects and caregiver instructions related to routine blood thinner therapy for 4 sampled residents. |
| Failed to document responsibilities of medication assistance and catheter care for 1 resident. |
| Failed to assess and implement nurse delegation services for 3 residents, placing them at risk for medication errors. |
| Failed to update Individual Service Plans for 3 residents, risking unmet care needs. |
| Failed to complete Department of Social and Health Services background checks for 2 of 3 sampled contracted private home care aides. |
| Failed to ensure timely submission of Washington State name and date of birth background check for 1 staff member. |
| Failed to ensure a safe, sanitary, and well-maintained environment; hazardous chemicals improperly stored and potential trip/fall hazards present. |
| Failed to ensure resident using medical device (bed side rail) was assessed and device was safely installed. |
| Failed to ensure medication staff documented blood sugar checks and insulin administration for 1 resident. |
Report Facts
Residents sampled: 7
Residents: 59
Staff background checks missing: 2
Staff background check late: 1
Residents with nurse delegation failures: 3
Residents with incomplete ISPs: 3
Residents with medication documentation issues: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Executive Director | Unaware of responsibility to complete DSHS background checks for private HCAs |
| Staff B | Resident Care Director, Registered Nurse | Unaware of missing nurse delegation assessments and medication documentation |
| Staff L | Care Manager | Provided feeding and medication assistance to residents with cognitive impairments |
| Staff K | Medication Care Manager | Administered medications to residents unable to self-administer |
| Staff M | Memory Care Reminiscence Coordinator | Unaware of bed side rail use and related assessments for Resident 3 |
| Staff Q | Business Office Coordinator | Confirmed late submission of Staff A's background check |
| Staff T | Registered Nurse, Wellness Nurse | Performed blood sugar checks and insulin injections but failed to document some |
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