Inspection Reports for The Cottages of Snohomish

WA, 98290

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Deficiencies per Year

4 3 2 1 0
2025
Severe High Moderate Low Unclassified

Census Over Time

40 60 80 100 Mar '25 Apr '25 May '25 May '25 Jul '25
Census Capacity
Inspection Report Complaint Investigation Census: 51 Deficiencies: 1 Jul 7, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on allegations that the Assisted Living Facility was dirty and unkept, staff did not respond to call lights timely, food quality was poor, a named resident was not bathed properly, was charged extra for laundry, and had a dirty room with food and feces on the floor.
Findings
The investigation found that the facility was clean and organized, staff responded timely to call lights, and the named resident's care plan was followed. However, a failed practice was identified regarding the diet manual, which was not approved, dated, or signed by a registered dietitian, resulting in a citation for non-compliance with food and nutrition services regulations.
Complaint Details
The complaint allegations included uncleanliness with food and feces on the floor, untimely staff response to call lights, poor food quality, improper bathing of a named resident, extra charges for laundry, and a dirty room for the named resident. The investigation found no failed practices related to cleanliness, bathing, or call light response, but did identify a deficiency related to the diet manual. The complaint was substantiated with a citation issued.
Deficiencies (1)
Description
Diet manual was not approved, dated, or signed by a registered dietitian as required.
Report Facts
Total residents: 51 Resident sample size: 4 Citation count: 1 Laundry charge: 100
Employees Mentioned
NameTitleContext
Wesler DumecquiasCommunity Complaint InvestigatorConducted the on-site verification and investigation
James ShermanField ManagerSigned follow-up inspection letter
Laurie AndersonResidential Care ServicesSigned Statement of Deficiencies and Plan of Correction
Staff BDietary DirectorInterviewed and stated unawareness of diet manual requirements
Staff AExecutive DirectorInterviewed and stated unawareness of diet manual review and approval
Mari HamillAdministratorSigned Plan/Attestation Statement for correction measures
Inspection Report Complaint Investigation Census: 47 Deficiencies: 1 May 12, 2025
Visit Reason
The inspection was conducted due to complaints alleging that the Assisted Living Facility was not providing housekeeping and laundry services, lost a medication, failed to assist with coordination of care, lacked a nurse on duty 40 hours a week, and did not notify family/POA when a resident fell.
Findings
The investigation found no deficiencies related to housekeeping, laundry, medication administration, nursing hours, or notification of family after a fall. However, a failed practice was identified where the facility did not assist a resident with coordination of care for a telehealth appointment, resulting in a citation under WAC 388-78A-2350 (1).
Complaint Details
The complaint investigation was substantiated with one failed practice identified related to failure to assist a resident with coordination of care. Other allegations including housekeeping, medication loss, nursing hours, and notification of family after a fall were not substantiated.
Deficiencies (1)
Description
The Assisted Living Facility failed to assist a resident with coordination of care for a telehealth appointment.
Report Facts
Total residents: 47 Resident sample size: 3
Employees Mentioned
NameTitleContext
Cynthia Chenot-PotterNursing Consultant InstitutionalInvestigator who conducted the complaint investigation and on-site verification
Laurie AndersonCommunity Field ManagerSigned the follow-up inspection letter
Maui HamillAdministratorAdministrator who signed the Plan of Correction
Inspection Report Complaint Investigation Census: 47 Deficiencies: 1 May 2, 2025
Visit Reason
The inspection was conducted as a complaint investigation following an incident where a named resident had a fall with injury while using a knee scooter.
Findings
The Assisted Living Facility failed to complete a focused assessment for a resident using a knee scooter after an injury, placing the resident at risk for health complications. A citation was issued for non-compliance with ongoing assessment requirements under WAC 388-78A-2100 and full assessment topics under WAC 388-78A-2090.
Complaint Details
The complaint involved a named resident who had a fall with injury while using a knee scooter. The facility ruled out abuse and neglect but failed to update the resident's assessment after the injury, resulting in a citation for non-compliance.
Deficiencies (1)
Description
Failure to complete a focused assessment for a resident using a knee scooter after an injury.
Report Facts
Total residents: 47 Resident sample size: 3 Complaint investigation dates: Investigation conducted from 2025-05-02 through 2025-05-22
Employees Mentioned
NameTitleContext
Wesler DumecquiasCommunity Complaint InvestigatorInvestigator who conducted the complaint investigation and on-site verification
Anthony DevitoField Services AdministratorSigned correspondence related to the follow-up inspection and report
Staff AExecutive DirectorProvided statements regarding lack of documentation for physical or occupational therapy referrals
Staff BRegional Resident Operations SpecialistAcknowledged lack of assessment for resident's use of knee scooter
Inspection Report Complaint Investigation Census: 46 Deficiencies: 2 Apr 23, 2025
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility on 04/23/2025 due to multiple complaints including failure to respond to resident call buttons and lack of supervision of a named resident.
Findings
The investigation found that staff were not responding to call pendant buttons in a timely manner and did not have pagers in their possession as required. Documentation of showers was inconsistent but corrected after in-service. Staffing was increased in the Memory Care Unit with no failed practices identified. The facility failed to meet Assisted Living Facility requirements and citations were written.
Complaint Details
The complaint investigation was substantiated with findings that the Assisted Living Facility failed to respond to resident call buttons and allowed a named resident to be unsupervised despite high fall risk. Additional complaints included facility cleanliness and staff visibility.
Deficiencies (2)
Description
Failure to respond to resident call pendant buttons promptly and staff not having pagers in their possession as required.
Inconsistent documentation of showers and resident care observations.
Report Facts
Total residents: 46 Resident sample size: 8 Closed records sample size: 1
Employees Mentioned
NameTitleContext
Wesler DumecquiasCommunity Complaint InvestigatorInvestigator who conducted the complaint investigation and provided consultation
Anthony DevitoField Services AdministratorSigned the complaint investigation report
Inspection Report Complaint Investigation Census: 46 Capacity: 84 Deficiencies: 4 Mar 7, 2025
Visit Reason
The inspection was conducted as a complaint investigation involving multiple allegations including medication errors, staffing issues, resident care concerns, and facility conditions at the Cottages of Snohomish Assisted Living Facility.
Findings
The investigation found multiple deficiencies including failure to ensure residents received medications as prescribed, unlicensed staff administering medications without nurse delegation, unsafe staffing ratios, and issues with facility conditions. Several citations were issued for noncompliance with medication services and intermittent nursing services regulations.
Complaint Details
The complaint investigation included allegations of residents not receiving medications, unexpected death, understaffing in memory care unit, misuse of DNR orders, inadequate food service, and improper medication administration by unlicensed staff. The investigation substantiated multiple failed provider practices and citations were issued.
Deficiencies (4)
Description
Failure to implement a safe medication system resulting in three residents not receiving medications as prescribed.
Two staff administered insulin and checked blood sugar without proper nurse delegation.
Unsafe staffing ratios and unlicensed staff passing medications without proper credentials.
Failure to provide timely medication administration including insulin injections given late or missed.
Report Facts
Total residents: 46 Resident sample size: 8 Closed records sample size: 1 Licensed beds: 84 Medication administration errors: 3 Late insulin administrations: 100 Staff nurse delegation dates: Feb 10, 2025
Employees Mentioned
NameTitleContext
Wesler DumecquiasCommunity Complaint InvestigatorInvestigator who conducted the complaint investigation
Anthony DevitoField Services AdministratorSigned follow-up inspection letter
Staff CMedication TechnicianReported medication errors for Resident 1
Staff DMedication TechnicianObserved administering insulin late and involved in medication errors
Staff EDirector of Wellness, involved in medication administration instructions
Staff FCaregiver/Medication TechnicianAdministered insulin and checked blood sugar without nurse delegation
Staff GCaregiver/Medication TechnicianAdministered insulin and checked blood sugar without nurse delegation
Staff AAssistant Executive DirectorConfirmed Staff G was not nurse delegated
Collateral Contact 1Nurse DelegatorConfirmed Staff F was not nurse delegated prior to 02/10/2025

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