Inspection Reports for The Courtyard at Colfax
300 S Main St, Colfax, WA, 99111
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
10% better than Washington average
Washington average: 6.3 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
46 residents
Based on a May 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Life Safety
Deficiencies: 0
Nov 12, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at The Courtyard at Colfax facility on 11/12/2025.
Findings
No violations were noted during this inspection, and all violations from previous related inspections have been corrected.
Report Facts
Next inspection scheduled date: Sep 30, 2026
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alan Harlan | Deputy State Fire Marshal | Conducted the inspection and signed the report |
| Jennifer Brockel | Executive Director | Owner or Owner's Representative who signed the report |
Inspection Report
Annual Inspection
Deficiencies: 0
Sep 10, 2025
Visit Reason
The Department completed a full inspection of the Assisted Living Facility on 09/10/2025 as part of a compliance determination.
Findings
The inspection found no deficiencies in the facility.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Lee | Assisted Living Facility Licensor | Department staff who did the inspection |
| Joy Pipgras | LTC Surveyor | Department staff who did the inspection |
Inspection Report
Life Safety
Deficiencies: 13
Dec 16, 2024
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility to assess compliance with fire protection and safety codes.
Findings
The inspection found multiple fire safety code requirements were met and corrected, including ceiling clearance, emergency drills, fire alarm initiation, electrical hazard abatement, power tap usage, door operation, and fire extinguisher maintenance. Some issues were noted in the prior inspection on 09/25/2024, including violations related to ceiling clearance, emergency drill documentation, electrical hazards, use of multiplug adapters, door operation, and fire sprinkler documentation.
Deficiencies (13)
| Description |
|---|
| Storage encroached on the required clearance from the ceiling in Resident Rooms 209 and 210 closets. |
| Fire drills were not documented during swing shift hours from 1445 to 2315 during the first quarter of 2024. |
| Fire drills were documented as silent during required alarm activation times in September 2023 and March 2024. |
| Appliances were plugged into multiplug adapters in the Medication Room and Nursing Room. |
| Unfused multiplug adapters were in use in Resident Rooms 305, 205, and 209. |
| Multipplug adapter to a mobility chair was running under the door from Resident Room 317 to the corridor. |
| Resident Room 206 door was blocked open. |
| Third Floor Elevator Door did not close and latch. |
| Facility was unable to provide documentation of two kitchen hood inspection and cleaning reports; last report was for July 1, 2024. |
| Facility was unable to provide documentation of annual fire sprinkler inspection and service and second quarter 2024 fire sprinkler inspection. |
| Kitchen access to the manual pull station for the hood suppression system was partially obstructed. |
| Facility was unable to provide semi-annual hood suppression report dated July 18, 2024; only invoice was provided. |
| Two unsecured oxygen cylinders were observed in the Executive Director's Office. |
Report Facts
Inspection date: Dec 16, 2024
Prior inspection date: Sep 25, 2024
Next inspection scheduled: Sep 30, 2025
Next inspection scheduled: Oct 25, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Maier | Deputy State Fire Marshal | Signed the inspection report |
| Jennifer Broeckel | Executive Director | Signed as Owner or Authorized Representative |
Inspection Report
Follow-Up
Census: 46
Deficiencies: 3
May 3, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 05/03/2024 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. The prior deficiencies related to policies, procedures, and implementation regarding bedrail safety and resident monitoring were corrected.
Complaint Details
Complaint investigation was conducted due to allegations related to a resident's death. The investigation found failed provider practices related to bedrail use, monitoring, and staff training, which contributed to the resident's death. The complaint was substantiated with citations issued.
Deficiencies (3)
| Description |
|---|
| Facility failed to ensure bedrails were maintained by knowledgeable staff and failed to monitor residents using bedrails as per negotiated service agreements. |
| Facility failed to develop and implement policies and procedures for staff monitoring residents with medical devices and bedrails, contributing to a resident's death. |
| Facility failed to provide resident checks at the frequency indicated by the negotiated service agreement, contributing to resident harm. |
Report Facts
Total residents: 46
Resident sample size: 2
Closed records sample size: 1
Residents reviewed for medical device use: 3
Residents reviewed for supervision: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Wright | NCI Complain Investigator | Conducted the complaint investigation and on-site verification |
| Stephanie Jenks | Field Manager | Signed follow-up inspection letter |
Inspection Report
Complaint Investigation
Deficiencies: 1
Mar 1, 2024
Visit Reason
The Department of Social and Health Services completed a complaint investigation at The Courtyard at Colfax assisted living facility on March 1, 2024, due to concerns related to staff monitoring policies for residents using medical devices with known safety risks.
Findings
The facility failed to develop and implement policies defining staff responsibilities and monitoring frequency for residents using medical devices, specifically bedrails. This failure contributed to one resident becoming entrapped and dying, and placed all residents using bedrails at increased risk of entrapment or death.
Complaint Details
The visit was complaint-related and substantiated, resulting in a civil fine based on the violation described in the Statement of Deficiencies dated March 1, 2024.
Deficiencies (1)
| Description |
|---|
| Failure to develop and implement a policy defining staff monitoring for residents using medical devices, including frequency of bedrail checks and assessment of resident safety. |
Report Facts
Civil fine amount: 3000
Number of residents involved: 3
Days to return SOD: 10
Days for appeal request (IDR): 10
Days for appeal request (Administrative Hearing): 28
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Jenks | Field Manager | Contact for submission of Statement of Deficiencies and inquiries. |
| Matt Hauser | Compliance Specialist | Signed the imposition of civil fine letter. |
Inspection Report
Follow-Up
Census: 43
Deficiencies: 0
Apr 7, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 04/07/2023 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. The prior deficiencies cited in various WAC regulations were corrected.
Report Facts
Sample size for review: 7
Residents at risk: 43
Staff involved: 1
Residents reviewed for nurse delegation: 7
Residents reviewed for medication administration: 7
Residents at risk of privacy exposure: 43
Residents at risk of foodborne illness: 43
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janet Quirk | Long Term Care Surveyor | Conducted on-site verification during follow-up inspection |
| Jessica Salquist | Field Manager | Signed follow-up inspection letter |
| Joy Pipgras | LTC Surveyor | Inspected the Assisted Living Facility during unannounced full inspection |
| Tara Peacock | Residential Care Services | Signed compliance determination and enforcement letter |
| Staff A | Unlicensed Staff | Failed to have required license and credentials; administered medications placing residents at risk |
| Staff B | General/Dietary | Food handler with expired card |
| Staff H | Advanced Caregiver | Food handler with expired card |
| Staff I | General/Office | Food handler with expired card |
| Staff F | Company Administrator | Interviewed regarding nurse delegation and food handler cards |
| Staff G | Company Administrator | Interviewed regarding resident records and housekeeping |
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