Inspection Reports for The Rivers at Puyallup

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

The follow-up inspection on 07/01/2025 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to fire door inspections and State Fire Marshal codes were corrected.

Complaint investigation conducted from 09/20/2024 through 09/30/2024 regarding facility being out of compliance with fire and safety inspections. The investigation confirmed failed provider practice with citations issued.

The Department of Social and Health Services conducted a follow-up visit to The Rivers at Puyallup Assisted Living Facility to assess compliance and enforce corrective actions related to previously cited deficiencies.

The facility failed to maintain compliance with the State Fire Marshal’s codes for long-term care facilities, placing all residents and staff at risk of harm in the event of a fire. This deficiency was uncorrected and recurring, previously cited on January 21, 2025, and September 30, 2024.

An investigation was conducted on March 3, 2025, at The Rivers at Puyallup in response to a complaint regarding a kitchen grease fire.

The facility failed to maintain cooking equipment in accordance with NFPA 96, resulting in excessive grease accumulation and scorch marks on cooking surfaces. Additionally, the facility was unable to provide documentation of annual professional cleaning of the cooking equipment.

Complaint ID #168084 regarding a kitchen grease fire. The complaint was substantiated based on the findings of excessive grease accumulation and lack of cleaning documentation.

A follow-up visit was conducted to assess correction of violations related to State Fire Marshal inspections. The document serves as formal notice of a civil fine due to uncorrected deficiencies.

The licensee failed to correct violations from their third failed State Fire Marshal inspections, placing all 74 residents at risk in case of emergency. This deficiency was previously cited on September 30, 2024, and remains uncorrected.

The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previously cited deficiencies.

Previously cited deficiencies remain uncorrected, including issues with fire doors, sprinkler systems, fire alarm systems, fire-resistant construction, extinguishing systems, smoke and carbon monoxide alarms, and fire drills. The facility failed to provide required documentation and corrective reports for multiple deficiencies.

The inspection was conducted as a complaint investigation regarding the misappropriation of a resident's property at The Rivers at Puyallup, Independent Living & Assisted Living.

The facility failed to ensure that staff were properly trained to manage and account for controlled medications, resulting in medication errors and improper narcotic counts. This failure placed all 76 residents at risk for not receiving medications as ordered.

The complaint allegation was misappropriation of resident's property. The investigation concluded with failed provider practice identified and citations written.

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to tuberculosis testing and other licensing requirements.

The follow-up inspection found no deficiencies, indicating that previously cited issues, including tuberculosis testing requirements, were corrected. Prior inspections documented deficiencies in tuberculosis testing, signing negotiated service agreements, background checks, and other compliance areas.

The Department completed a complaint investigation of the Assisted Living Facility triggered by a staff to resident incident complaint.

The facility failed to investigate allegations of resident abuse and was found out of compliance for this failure. Additional deficiencies were identified related to staff not having current credentials.

Complaint investigation was related to a staff to resident incident. The facility was found out of compliance for failure to investigate allegations of resident abuse as documented in a Statement of Deficiencies dated 08/19/2024.

The Department of Social and Health Services conducted a follow-up visit to The Rivers at Puyallup, Independent Living & Assisted Living to verify correction of previously cited deficiencies.

The facility was cited for failing to ensure one staff member had an initial tuberculosis skin test within three days of employment, placing 66 residents, staff, and visitors at risk. This deficiency was uncorrected from a prior citation on June 24, 2024, resulting in a civil fine.

The Department of Social and Health Services completed a Complaint Investigation at The Rivers at Puyallup, Independent Living & Assisted Living on August 19, 2024, due to allegations of failure to provide care and investigate missing resident property.

The investigation found recurring deficiencies including failure to ensure residents received showers and oral care as agreed in service agreements for four residents, and failure to investigate missing hearing aids for one resident, placing residents at risk for skin breakdown and decreased quality of life.

This was a complaint investigation completed on August 19, 2024. The deficiencies were recurring, previously cited on October 10, 2023, December 1, 2023, and July 26, 2023.

The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previous fire safety deficiencies.

The facility was found to have multiple unresolved fire safety violations including lack of documentation for fire sprinkler system inspections, fire door maintenance failures, missing fire/smoke damper inspections, inadequate fire extinguisher placement, deficient smoke and carbon monoxide alarm maintenance records, defective exit signs, and incomplete fire drill documentation.

The inspection was conducted in response to multiple complaints alleging residents were not receiving adequate personal care such as showers, the facility was short staffed, and a resident was dropped by staff.

The investigation found that the facility failed to provide residents with showers and personal hygiene, did not have sufficient staff to render care services, and failed to ensure negotiated service agreements were implemented. These failures were documented in a Statement of Deficiencies dated 2024-08-08.

The complaints included residents not getting cleaned or receiving showers, short staffing, residents being dropped by staff, memory care short staffed, and lost hearing aids. The investigation substantiated failures in personal care, staffing, and grievance resolution.

The Department completed a follow-up inspection of the Assisted Living Facility on 05/31/2024 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 related to investigations and resident-to-resident incidents were corrected.

The inspection was complaint-related, investigating allegations of resident-to-resident incidents including altercations, missing money, and a resident fall with injury. The facility failed to investigate and intervene appropriately in multiple incidents, as documented in a Statement of Deficiencies dated 07/26/2023.

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.

The inspection was conducted as an unannounced on-site complaint investigation regarding allegations that residents' monthly charges increased without notification, resident representatives never signed care plans, and a resident did not receive showers.

The Assisted Living Facility failed to notify residents or their representatives in advance of increases in service charges and failed to ensure that residents or their representatives received and signed service plans. The facility was found out of compliance with these requirements and citations were written. No new citations were issued regarding the allegation of residents not receiving showers as it was previously cited.

The complaint investigation was substantiated with findings that the facility failed to notify residents/representatives of increased charges and failed to ensure signed service plans. The allegation regarding residents not receiving showers was previously cited and no new citations were issued.

The inspection was conducted as an unannounced on-site complaint investigation regarding an allegation of improper discharge of a resident.

The facility failed to ensure a safe discharge for a resident, resulting in a failed provider practice citation. The resident was not accepted back after hospital discharge, leading to extended hospital stay and emotional distress.

The complaint allegation was improper discharge. The investigation found failed provider practice and citations were written. The investigation was based on interviews, record reviews, and observations conducted between 01/10/2024 and 04/23/2024.

The Department of Social and Health Services conducted a follow-up visit to The Rivers at Puyallup assisted living facility to address previously cited deficiencies and enforce compliance, resulting in the imposition of a civil fine.

The licensee failed to conduct thorough investigations into resident-to-resident altercations and missing money incidents involving three residents, placing residents at risk for continued physical assaults and potential theft. This deficiency was previously cited and remains uncorrected.

The Department of Social and Health Services completed a complaint investigation at The Rivers at Puyallup, Independent Living & Assisted Living facility on October 10, 2023, due to allegations of noncompliance with negotiated service agreements and resident care requirements.

The investigation found multiple recurring deficiencies including failure to provide showers as agreed in the negotiated service plan for two residents, failure to monitor and respond appropriately to a resident's change in condition leading to hospitalization, and failure to notify the resident's representative and physician of significant condition changes. These violations resulted in civil fines totaling $1,100.

The visit was complaint-related, triggered by allegations of failure to provide agreed services and proper resident monitoring. The deficiencies were substantiated and resulted in civil fines.

The inspection was conducted as a complaint investigation based on allegations including weight loss, failure to follow doctor orders for weekly weights, failure to provide showers, and presence of ants in a resident's room.

The investigation found that the facility failed to follow doctor's orders for weekly weights and failed to provide showers as agreed upon in the negotiated service plan for sampled residents. These failures were identified as failed provider practices with citations written. Some allegations lacked sufficient information to support or refute.

The complaint investigation was based on allegations of weight loss, failure to follow doctor's orders for weekly weights, failure to provide showers, and ants in a resident's room. The facility was found to have failed practices related to not following doctor's orders and not providing showers. Some allegations lacked sufficient evidence to support or refute. The investigation period was from 04/13/2023 through 10/10/2023.

The Office of the State Fire Marshal conducted an inspection at the facility to assess compliance with fire safety codes and regulations.

The inspection identified multiple violations including failure to conduct an annual inventory of fire-resistance-rated construction, missing documentation for fire/smoke damper inspections, incomplete sprinkler system testing and maintenance records, failure to replace smoke alarms older than 10 years, and incomplete fire alarm inspection and maintenance documentation.