Inspection Reports for The Cottages of Renton
17033 108th Ave SE, Renton, WA, 98055
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
22.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
260% worse than Washington average
Washington average: 6.3 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
50 residents
Based on a September 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 50
Deficiencies: 2
Date: Sep 12, 2025
Visit Reason
The Department of Social and Health Services completed a follow-up visit to The Cottages of Renton to assess correction of previously cited deficiencies.
Findings
The facility failed to ensure proper hand sanitation by kitchen staff and incomplete continuing education training for care staff, placing all 50 residents at risk. These deficiencies were uncorrected from a prior citation on July 23, 2025.
Deficiencies (2)
Failure to ensure one kitchen staff member followed hand sanitation guidelines in the main commercial kitchen.
Failure to ensure three care staff completed the required continuing education training.
Report Facts
Civil fine amount: 300
Civil fine amount: 300
Total civil fines: 600
Resident count at risk: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jim Sherman | Field Manager | Contact person for submission of Plan of Correction and inquiries |
| Matt Hauser | Compliance Specialist | Signatory of the enforcement letter |
Inspection Report
Follow-Up
Census: 57
Deficiencies: 2
Date: May 9, 2025
Visit Reason
The Department completed a follow-up inspection of The Cottages of Renton Assisted Living Facility to verify correction of previously cited deficiencies related to policies and procedures on advance directives and emergency care.
Complaint Details
Complaint investigation involved allegations of improper facilitation of resuscitation efforts, alleged neglect, improper medication services, and inappropriate actions by an outside hospice provider. The improper resuscitation allegation was substantiated with a citation issued. No failed practices were identified for medication services or hospice actions. Hospice practices were outside licensing jurisdiction.
Findings
The follow-up inspection on 05/09/2025 found no deficiencies, confirming that previously cited issues regarding failure to follow policies on Do Not Resuscitate (DNR) orders were corrected. Earlier complaint investigations found a failure to inform 911 operators of a DNR order during a resuscitation attempt, resulting in a citation. Additional allegations of overmedication and inappropriate hospice actions were investigated with no failed practices identified for those.
Deficiencies (2)
Facility staff failed to inform the 911 operator that a resident had a Do Not Resuscitate (DNR) order in place, resulting in inappropriate resuscitation efforts.
Facility failed to follow policies and procedures to address advance directives and emergency care when a resident stopped breathing or heart appeared to stop beating.
Report Facts
Total residents: 57
Resident sample size: 3
Closed records sample size: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Harrison Udoye | Community Complaint Investigator | Conducted the complaint investigations and follow-up inspection. |
| Jamie Singer | Field Manager | Signed the follow-up inspection letter. |
| Staff B | Director of Nursing | Interviewed during complaint investigation regarding resuscitation incident. |
| Staff A | Executive Director | Acknowledged facility staff did not follow advanced directives policy. |
Inspection Report
Life Safety
Deficiencies: 8
Date: Apr 22, 2025
Visit Reason
An unannounced Fire and Life Safety Code inspection and re-inspection were conducted at The Cottages at Renton by a representative of the Washington State Patrol, State Fire Marshal's Office to determine compliance with all applicable codes.
Findings
Several deficiencies were cited including a failed fire damper due to a screw in the track, lack of documentation for the semiannual kitchen suppression system inspection, fire alarm in trouble status, missing service reports for the kitchen suppression system, fire extinguishers not maintained, blocked manual pull station, unsecured oxygen cylinders, and a missing fire drill. Some issues were corrected while others remained outstanding.
Deficiencies (8)
Cottage D still has 1 failed fire damper due to a screw in the track.
Facility unable to provide documentation for their current semiannual kitchen suppression system inspection.
Fire alarm is currently still in trouble status.
Facility unable to provide service reports showing kitchen suppression system serviced semi-annually in past 12 months; missing current report.
Fire extinguishers have not been maintained in accordance with NFPA 10 and are dated 2023 in multiple buildings and kitchen.
Manual pull station is blocked by wheel chairs in birch by room B-04.
Two cylinders of unsecured oxygen in the soiled utility closet by B-03.
Facility is missing a swing shift fire drill for fourth quarter.
Report Facts
Next inspection scheduled: May 22, 2025
Next inspection scheduled: Mar 6, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Teobaldino-Mutton | Deputy State Fire Marshal | Signed inspection report on page 4 |
| Cozetta Christian | Deputy State Fire Marshal | Signed inspection report on page 9 |
| Forrest Stepnowski | Reg. Executive Director | Signed as Owner or Authorized Representative on page 9 |
Inspection Report
Follow-Up
Census: 58
Deficiencies: 2
Date: Feb 26, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 02/26/2025 to verify correction of previously cited deficiencies related to ongoing assessments and reporting significant changes in residents' conditions.
Complaint Details
The complaint investigation was based on allegations of failure to update service plans and monitor ongoing needs of residents, and failure to communicate and document communication of residents' relocation to hospital or death to payor source. The investigation substantiated these allegations and citations were issued.
Findings
The follow-up inspection found no deficiencies, indicating that previously cited issues regarding updating resident service plans and notifying payors of significant changes were corrected. The original complaint investigation found failures in updating service plans for residents with changes in condition and failure to notify payors of hospitalizations or deaths.
Deficiencies (2)
Failed to update 2 of 2 residents' service plans when there was a change of condition, placing residents at risk of diminished quality of life due to unmet care needs.
Failed to notify the responsible paying agency when 4 of 4 residents were hospitalized or passed away, placing residents at risk of financial overpayments and inability to remain at the facility.
Report Facts
Total residents: 58
Resident sample size: 5
Number of residents with service plan update failures: 2
Number of residents with payor notification failures: 4
Number of falls for Resident 1: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Karri Hernandez | Community Complaint Investigator | Conducted the on-site verification and investigation |
| Laurie Anderson | Community Field Manager | Signed follow-up inspection letter dated 02/26/2025 |
| Staff A | Executive Director | Interviewed regarding Resident 1 falls and payor notification process |
| Staff B | Director of Nursing | Interviewed regarding Resident 1 physical therapy and medication, and Resident 2 condition |
| Staff C | Caregiver | Interviewed regarding Resident 1 mobility and walker use |
| Collateral Contact 1 | Resident 1 Representative | Interviewed expressing concerns about Resident 1 care and service plan updates |
| Collateral Contact 2 | Home and Community Services Case Manager | Interviewed regarding lack of notification for Resident 3, 4, 5, and 6 hospitalizations and deaths |
| Collateral Contact 3 | Hospital Social Worker | Interviewed regarding concerns about Resident 2 injury and possible abuse or neglect |
| Collateral Contact 4 | Resident 1 Medical Provider | Interviewed regarding Resident 1 falls and lack of supervision |
Inspection Report
Life Safety
Deficiencies: 11
Date: Feb 5, 2025
Visit Reason
An unannounced Fire and Life Safety Code inspection was conducted at The Cottages at Renton by a representative of the Washington State Patrol, State Fire Marshal's Office to determine compliance with all applicable codes.
Findings
Multiple fire and life safety deficiencies were cited, including failed fire dampers, missing documentation for suppression system inspections, fire alarm trouble status, blocked manual pull stations, unsecured oxygen cylinders, and missing fire drills. Some deficiencies were corrected, while others remained unresolved at the time of inspection.
Deficiencies (11)
The Laundry room in the cedar building has excessive amount of clothing on the floor and on the shelves which is a significant fire hazard.
The facility was unable to provide documentation for their last fire/smoke damper testing.
The facility was unable to provide documentation for their forward flow test of the sprinkler system.
The facility's correction report shows Cottage D still has 1 failed fire damper due to a screw in the track.
The facility was unable to provide documentation for their current semiannual kitchen suppression system inspection.
The fire alarm is currently still in trouble status.
The facility was unable to provide service reports showing that the kitchen suppression system has been serviced semi-annually in the past 12 months; missing current report.
The manual pull station is blocked by wheel chairs in birch by room B-04.
The fire extinguishers have not been maintained in accordance with NFPA 10 and are dated 2023 in multiple buildings and kitchen.
There are two cylinders of unsecured oxygen in the soiled utility closet by B-03.
The facility is missing a swing shift fire drill for the fourth quarter.
Report Facts
Next inspection scheduled date: Mar 6, 2025
Next inspection scheduled date: May 22, 2025
Extension requested: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Teobaldino-Mutton | Deputy State Fire Marshal | Signed inspection report on page 5 |
| Forrest Slepnowski | BSW Reg. Executive Director | Owner or Authorized Representative signing on page 10 |
| Cozetta Christian | Deputy State Fire Marshal | Signed inspection report on page 10 |
| Alan Harlan | Deputy State Fire Marshal | Signed inspection report on page 1 |
Inspection Report
Life Safety
Deficiencies: 8
Date: Mar 25, 2024
Visit Reason
An unannounced Fire and Life Safety Code inspection was conducted at The Cottages at Renton by a representative of the Washington State Patrol, State Fire Marshal's Office to determine compliance with all applicable codes.
Findings
Multiple violations were observed including improper use and installation of power strips, unsealed conduits, penetrations in fire doors, lack of documentation for fire/smoke damper testing, sprinkler system testing, and smoke detector sensitivity testing, as well as missing required exit signage.
Deficiencies (8)
Building A staff break room has an appliance plugged into a power strip.
The Resident Care Coordinator's office in building A has a power strip dangling.
The IT room in building A has unsealed conduits.
Penetrations in fire doors at multiple resident rooms in cottages B, C, and D.
Facility unable to provide documentation for last fire/smoke damper testing.
Facility unable to provide documentation for sprinkler system forward flow test.
Facility unable to provide documentation for last smoke detector sensitivity test report.
Two exit gates outside do not have the required exit signage.
Report Facts
Next inspection scheduled on or after: Apr 24, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cozetta Christian | Deputy State Fire Marshal | Signed as Deputy State Fire Marshal conducting the inspection |
| Forrest Stepnowski | Executive Director | Owner or Owner's Representative signing the May 30, 2024 inspection |
| Fernando Gutierrez C. | Maintenance | Owner or Authorized Representative signing the March 25, 2024 inspection |
Inspection Report
Follow-Up
Census: 56
Capacity: 80
Deficiencies: 13
Date: Jan 3, 2024
Visit Reason
The department completed an unannounced on-site full inspection on 01/03/2024 and 01/09/2024, followed by a follow-up inspection on 03/27/2024 to verify correction of previous deficiencies.
Findings
The initial inspection found multiple deficiencies related to resident care plans, infection control, background checks, training, medication administration, and facility safety. The follow-up inspection on 03/27/2024 found no deficiencies and confirmed the facility met licensing requirements.
Deficiencies (13)
Failed to document a plan to monitor and address interventions for current clinical needs of 2 residents, placing them at risk for unmet care needs and potential harm.
Staff failed to implement infection control practices related to proper hand washing hygiene when providing medication administration assistance to 56 residents.
Facility failed to ensure 5 of 22 sampled long-term care staff completed a national fingerprint check within 120 days of hire, placing residents at risk for abuse and neglect.
Facility failed to complete character, competence, and suitability reviews for 1 of 2 sampled staff, placing memory care residents at risk for abuse and neglect.
Facility failed to submit background checks within one business day after hire for 8 of 22 sampled staff, placing residents at risk for abuse and neglect.
Facility failed to ensure 2 of 19 sampled staff received Mental Health specialty training within 120 days of hire, placing memory care residents at risk of receiving care from unqualified staff.
Facility failed to ensure 5 of 22 sampled staff completed facility orientation and 6 of 22 completed continuing education training, placing residents at risk of receiving care from untrained staff.
Facility failed to secure hazardous chemicals in 1 of 3 utility rooms, placing 56 residents at risk for harm and injury.
Facility failed to complete Washington State background checks every two years for 5 of 22 sampled staff, placing residents at risk for abuse, neglect, or exploitation.
Facility failed to ensure 3 of 3 sampled staff were screened for tuberculosis, placing residents at risk of potential exposure to infectious disease.
Facility failed to implement a system to screen and test 6 of 22 sampled staff for tuberculosis, placing residents at risk of exposure to infectious disease.
Facility failed to ensure 2 of 2 residents received medications as prescribed, placing them at risk for compromised health.
Facility failed to provide care and services as agreed upon in negotiated service agreements for 8 of 8 sampled male residents, placing them at risk for neglect and unmet care needs.
Report Facts
Residents present: 56
Total licensed capacity: 80
Sampled residents: 9
Sampled long-term care staff: 22
Sampled memory care staff: 19
Sampled staff for tuberculosis screening: 6
Residents at risk due to infection control failure: 56
Residents at risk due to hazardous chemical storage failure: 56
Residents at risk due to medication administration failure: 2
Residents at risk due to unmet care needs: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Director of Nursing | Named in medication administration and seizure protocol findings |
| Staff J | Medication Technician/Caregiver | Named in infection control and medication administration findings |
| Staff A | Executive Director | Named in staff training and facility orientation findings |
| Staff H | Resident Care Director | Named in staff training and facility orientation findings |
| Staff O | Medication Technician/Caregiver | Named in fingerprint/background check and specialty training findings |
| Staff C | Medication Technician/Caregiver | Named in tuberculosis testing and medication administration findings |
| Staff F | Dietary Worker | Named in fingerprint/background check findings |
| Staff K | Medication Technician/Caregiver | Named in fingerprint/background check and medication administration findings |
| Staff S | Named in CPR certification findings | |
| Staff Q | Medication Technician/Caregiver | Named in tuberculosis testing findings |
Inspection Report
Follow-Up
Census: 58
Deficiencies: 0
Date: Nov 29, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 11/29/2023 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 related to activities, care needs, and staffing were corrected.
Report Facts
Total residents: 58
Resident sample size: 10
Compliance Determination Completion Dates: Completion dates for Compliance Determinations 33279 (11/29/2023) and 27856 (10/04/2023)
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Karri Hernandez | Community Complaint Investigator | Conducted on-site verification and complaint investigation |
| Laurie Anderson | Field Manager | Signed follow-up inspection letter |
Inspection Report
Plan of Correction
Deficiencies: 2
Date: Nov 14, 2023
Visit Reason
This document is a follow-up letter reporting the results of the Informal Dispute Resolution (IDR) process held on November 14, 2023, addressing citations from the Statement of Deficiencies report dated October 4, 2023.
Findings
After review and consideration of written materials, oral statements, and records, two citations from the October 4, 2023 Statement of Deficiencies report were deleted as a result of the IDR process.
Deficiencies (2)
WAC 388-78A-2160 citation deleted
WAC 388-78A-2450 citation deleted
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staci Dilg | IDR Program Manager | Signed the letter reporting the IDR results and changes to the Statement of Deficiencies. |
Notice
Deficiencies: 0
Date: Nov 14, 2023
Visit Reason
The document confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility to dispute citations from a Statement of Deficiencies dated October 4, 2023.
Findings
The letter outlines the date, time, and type of the IDR review meeting and lists the citations being disputed. It also requests additional documentation related to the disputed citations.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Forrest Stepnowski | Administrator | Named as participant representing the facility in the IDR process. |
| Staci Dilg | IDR Program Manager | Contact person for questions related to the IDR process. |
| Kim Friesz | IDR Program Manager | Signed the letter on behalf of the IDR Program. |
Inspection Report
Life Safety
Deficiencies: 20
Date: Feb 9, 2023
Visit Reason
On 02/09/2023 the Office of the State Fire Marshal conducted an unannounced Fire and Life Safety Code inspection at The Cottages at Renton to determine compliance with all applicable codes.
Findings
Multiple violations were cited including unmaintained fire sprinkler riser rooms, unapproved portable heater, improper use of extension cords, missing outlet cover plates, open junction box, lack of documentation for semi-annual hood cleaning, annual fire wall inspection, fire sprinkler inspection, fire alarm system inspection, fire extinguisher service, fire alarm maintenance, fire department connection hydro testing, emergency lighting testing, power testing, generator maintenance, and missing smoke detector. Additionally, the facility failed to provide documentation for twelve planned and unannounced fire drills in the previous 12 months.
Deficiencies (20)
Fire sprinkler riser rooms have not been maintained in Birch and Admin building.
Executive Director's office has an unapproved portable heater.
Dogwood cottage has two extension cords plugged into TV and router.
Birch cottage has an outlet missing a cover plate by the fireplace.
Admin building has an open junction box in the IT closet.
Facility unable to provide documentation for semi-annual hood cleaning.
Facility unable to provide record of annual fire wall inspection and/or repairs.
Facility unable to provide inventory record of annual inspection and/or repairs for fire-resistant-rated doors.
Cross corridors in Dogwood Cottage did not close/latch properly (D2, D3/D4).
Facility unable to provide annual fire sprinkler inspection documentation including 5 year internal pipe testing, 3 year dry system full flow trip test, annual backflow, and quarterly inspections.
Facility unable to provide service reports showing kitchen suppression system serviced semi-annually in past 12 months.
Facility unable to provide record of annual inspection for fire alarm system.
IT closet in Admin building is missing a smoke detector.
Facility unable to provide documentation that Fire Department Connection has been hydro tested per NFPA 25.
Facility failed to provide documentation showing 30-second monthly testing of emergency lighting in last 12 months.
Facility failed to have annual 90 minute power test documentation readily available.
Facility has not conducted/documented required weekly/visual inspections of generator as required by NFPA 110 for last 12 months.
Facility failed to provide automatic backup generator inspection/service report required every 12 months by NFPA 110.
Facility failed to provide monthly 30 minute load bank test documentation.
Facility was not able to provide documentation for completion of twelve planned and unannounced fire drills in previous 12 months.
Report Facts
Extension cords: 2
Fire drills planned and unannounced: 12
Inspection date: Feb 9, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cozetta Christian | Deputy State Fire Marshal | Conducted the inspection. |
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jan 11, 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.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Hayes | Licensor | Department staff who did the on-site verification |
| Holly George | Nursing Consultant Institutional | Department staff who did the on-site verification |
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jan 11, 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
Total residents: 41
Resident sample size: 7
Closed records sample size: 0
Number of residents at risk: 40
Number of falls for Resident 1: 3
Number of resident altercation intakes: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Hayes | Licensor | Investigator and on-site verification staff |
| Laurie Anderson | Field Manager | Signed follow-up inspection letter and enforcement correspondence |
| Staff A | Executive Director | Interviewed regarding resident care and protocols |
| Staff B | Director of Nursing | Interviewed regarding resident care and protocols |
| Staff F | Caregiver | Observed during resident care and bed alarm incident |
| Staff G | Regional Operations Director | Interviewed regarding facility staffing and resident care |
Report
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