Inspection Reports for The Evergreen Inn – Vancouver

The Department completed a follow-up inspection of the Evergreen Inn Assisted Living Facility on 11/07/2025 to verify correction of previously cited deficiencies.

The follow-up inspection found no deficiencies and confirmed that previously cited training and certification requirements for volunteers and long-term care workers were corrected. The prior deficiencies related to staff training, certification, medication services, background checks, training for specialty care, negotiated service agreements, and tuberculosis testing.

The Department of Social and Health Services completed a follow-up visit to the Evergreen Inn assisted living facility to verify correction of previously cited deficiencies.

The facility was found to have an uncorrected deficiency related to staff training and certification requirements, specifically one staff member lacked the required training and certification to work in the assisted living facility, placing residents at risk.

The Department completed a follow-up inspection of the Assisted Living Facility on 07/31/2025 to verify correction of previously cited deficiencies.

The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies related to building approval by the Washington state fire marshal were corrected.

The letter confirms the facility's request for an Informal Dispute Resolution (IDR) meeting to dispute a citation from a Statement of Deficiencies dated April 18, 2025.

The document does not contain inspection findings but addresses the scheduling and participation details for the IDR meeting related to disputed citations.

This document is the result of an Informal Dispute Resolution (IDR) process regarding disputed deficiencies identified in the Statement of Deficiencies (SOD) report dated 2025-04-18 for an Assisted Living Facility.

After review of all materials, oral statements, and records, the decision was made not to change the original SOD report dated 2025-04-18. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 calendar days.

The inspection was conducted as a complaint investigation based on complaints regarding medication administration errors and pharmaceutical services at the assisted living facility.

The investigation found that the facility failed to restart a resident's medication for five days when it was ordered to be held for only one day, and that the facility gave a resident an incorrect medication. One failed practice was identified and citation(s) were written.

Complaint investigation included complaint numbers 146505, 147704, and 150457. Allegations involved quality of care/treatment related to medication administration and pharmaceutical services. The facility was found to have failed provider practice with citation(s) written.

The Office of the State Fire Marshal conducted an inspection at the Evergreen Inn, a residential care facility, to assess compliance with fire safety and maintenance regulations.

The facility was found to have multiple fire safety violations including failure to provide annual fire door inspections, combustible storage in the basement exit, failure to maintain fire-rated construction in the generator room, damaged resident room doors, basement door failing to latch, and failure to provide an annual generator inspection report.

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.

The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

The Department of Social and Health Services conducted a follow-up visit to the Evergreen Inn assisted living facility to address previously cited deficiencies and impose civil fines based on violations found during the inspection.

The facility was found to have multiple uncorrected deficiencies including failure to ensure proper nursing supervision for medication aides administering insulin, failure to complete national fingerprint background checks for staff, and failure to evaluate or act on a resident's repeated medication refusal. These violations resulted in civil fines totaling $800.

The Office of the State Fire Marshal conducted inspections and re-inspections at the Evergreen Inn facility to assess compliance with fire safety and maintenance regulations, including follow-up on previously noted violations.

The facility was found to have multiple deficiencies related to fire safety maintenance, including failure to provide required inspection reports for fire sprinklers, fire-resistance-rated construction, fire dampers, fire alarm systems, and smoke detector sensitivity. Some violations noted in prior inspections remained uncorrected as of the re-inspection on 04/27/2023.

The inspection was conducted due to a complaint alleging that the facility failed a second Washington State Fire Marshal inspection.

The facility failed the second Washington State Fire Marshal inspection, resulting in citations for non-compliance with fire safety regulations. Deficiencies included failure to maintain compliance with fire protection requirements, placing residents, staff, and visitors at risk.

Complaint investigation related to failure of a second Washington State Fire Marshal inspection. The complaint was substantiated with citations issued.