Inspection Reports for The Terrace at Beverly Lake

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; previously cited issues related to housekeeping and facility cleanliness were corrected. The facility now provides a safe, clean, and comfortable environment for residents.

The complaint investigation conducted from 08/13/2025 through 08/19/2025 found multiple allegations including insufficient PPE supplies, damaged housekeeping carts, lack of door stoppers, residents walking barefoot on wet floors, unsanitary resident rooms, and inadequate resident hygiene. The investigation substantiated a failed provider practice related to housekeeping and cleanliness, resulting in a citation.

The Department of Social and Health Services completed a follow-up visit to The Terrace at Beverly Lake to assess correction of previously cited deficiencies.

The facility was found to have uncorrected and recurring deficiencies related to staff training and failure to notify the Department of Health Construction Review Services prior to renovations, resulting in civil fines.

The Department of Social and Health Services completed a complaint investigation at The Terrace at Beverly Lake related to failure to investigate and document appropriate measures to prevent future falls after three residents had falls.

The licensee failed to investigate and document appropriate measures to prevent future falls, placing three residents at risk of harm. This violation resulted in a civil fine and is a recurring citation from previous years.

Complaint investigation completed on September 10, 2025. The violation was substantiated and resulted in a $400 civil fine for failure to investigate and document fall prevention measures after three residents experienced falls. This is a recurring citation previously cited on March 15, 2024, and February 15, 2023.

The Office of the State Fire Marshal conducted a routine fire safety inspection at the residential care facility Terrace at Beverly Lake to assess compliance with fire protection and safety codes.

The inspection found multiple fire safety deficiencies including issues with fire doors, sprinkler system documentation, fire extinguisher maintenance, smoke and carbon monoxide detector testing, emergency lighting testing, and locking device signage. Many deficiencies were corrected on site, but several documentation and maintenance issues remain unresolved.

The Department of Social and Health Services conducted a follow-up visit to The Terrace at Beverly Lake to verify correction of previously cited deficiencies.

The facility was found to have uncorrected and recurring deficiencies related to staff training and failure to notify the Department of Health Construction Review Services prior to renovations, resulting in civil fines.

Follow-up inspection to verify correction of previously cited deficiencies related to infection control and respiratory protection program compliance.

The follow-up inspection found no deficiencies, confirming that the facility corrected the previously cited deficiencies related to fit testing and respiratory protection program. Prior inspections and complaint investigations documented recurring deficiencies in infection control practices, specifically failure to ensure all staff were fit tested for N-95 respirators and lack of a written Respiratory Protection Program.

Complaint investigation was conducted from 2024-08-21 through 2024-11-21 regarding two residents testing positive for COVID-19. The facility failed to have a respiratory protection program and failed to complete new and yearly N95 fit testing, resulting in a citation for infection control.

The Department of Social and Health Services completed a follow-up visit to The Terrace at Beverly Lake to assess compliance and impose civil fines based on previously cited deficiencies.

The facility was found to have multiple uncorrected deficiencies including failure to ensure staff completed First Aid training, failure to have a resident's Negotiated Service Agreement signed annually, and failure to notify the Department of Health prior to renovating common area bathrooms. These violations resulted in civil fines totaling $800.

The inspection was conducted as an unannounced complaint investigation regarding the Assisted Living Facility's failure to refund a deceased resident's payment within the required timeframe.

The Assisted Living Facility failed to refund one resident's payment for rent, care, and services within thirty days after the resident's death and apartment was vacated, resulting in a citation for non-compliance with resident rights regulations.

The complaint alleged that the facility failed to refund a Named Resident's payment after their death. The investigation substantiated the allegation, resulting in a citation for non-compliance.

The Department completed a complaint investigation of the Assisted Living Facility due to failure to notify the Department case managers upon the death of residents, which resulted in overpayments.

The Assisted Living Facility failed to notify the Home and Community Services case managers as required when residents died, resulting in overpayments that were later corrected. The facility created a protocol to ensure timely notification in the future. A consultation was done for non-compliance with WAC 388-78A-2640 (2)(b).

The complaint investigation was substantiated, finding that the facility failed to notify case managers upon resident deaths, causing overpayments that were corrected during the visit.

The Department of Social and Health Services completed a follow-up visit to impose a civil fine based on violations related to infection control at the assisted living facility.

The facility failed to ensure that 53 staff members were fit tested for N-95 respirators, violating their Respiratory Protection Program and placing 45 residents, staff, and visitors at risk of communicable disease. This deficiency was recurring and uncorrected from previous citations.

The Department completed a complaint investigation of the Assisted Living Facility based on complaint number 162049, concerning the facility's failure to meet Assisted Living Facility requirements.

The investigation found that the Named Resident had issues including dirty hands and nails, sleeping on a wet mattress, wearing filthy clothes with missing new clothes, weight loss, long and dirty toenails, and alleged self-hair cutting. However, observations and interviews showed the resident was clean, nails trimmed, bed made with clean sheets, clothes labeled and managed, and no evidence of self-hair cutting. Sampled residents were generally clean and well-maintained.

Complaint investigation related to allegations about resident hygiene, clothing, weight loss, and environment. The complaint was not substantiated as failed provider practice was not identified and no citation was written.

The Department of Social and Health Services completed a follow-up visit to verify correction of previously cited deficiencies related to infection control at The Terrace at Beverly Lake assisted living facility.

The facility failed to implement required infection control measures, specifically lacking a written Respiratory Protection Program and ensuring all 57 staff were fit tested for N-95 respirators. This deficiency was recurring and uncorrected from prior citations.

The Office of the State Fire Marshal conducted an inspection at the residential care facility Terrace at Beverly Lake to assess compliance with fire safety and protection codes.

The inspection identified multiple deficiencies including lack of documentation for required testing and maintenance of fire safety systems, combustible materials stored improperly, extension cords used as permanent wiring, door operation issues, missing fire drills documentation, and obstructions in means of egress.

The Office of the State Fire Marshal conducted a fire safety inspection at the facility to evaluate compliance with fire protection and safety codes.

The facility was disapproved due to multiple violations including combustible materials stored near gas water heaters, extension cords used as permanent wiring, incomplete fire door latching, missing documentation for fire alarm and detector testing, missing fire drills documentation, and obstructions blocking emergency exits.

The inspection was conducted as a complaint investigation regarding an allegation that a staff member laid in bed with a resident to help them fall asleep.

The Assisted Living Facility failed to conduct a thorough investigation or document findings related to the allegation. The facility did not provide requested investigation records to the department, resulting in non-compliance with licensing laws and placing residents at risk. The allegation was determined unsubstantiated by the facility, but the department could not verify the investigation due to lack of documentation.

The complaint alleged that a Named Staff laid in bed with a Named Resident to help them fall asleep. The facility suspended the staff member temporarily but did not conduct or document a thorough investigation. The facility's Human Resources conducted a confidential investigation but did not share documentation with the department. The allegation was determined not substantiated by the facility. The resident involved has since moved to a different care facility.

The Office of the State Fire Marshal conducted a fire safety inspection at the facility on 06/27/2023.

The inspection identified multiple fire safety violations including improper use of extension cords, lack of documentation for semi-annual hood cleaning, fire-resistance-rated construction damage, blocked fire doors, missing documentation for various fire safety inspections and maintenance, and incomplete fire drills documentation.

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

The follow-up inspection found no deficiencies; previously cited infection control deficiencies were corrected, including proper infection control practices and provision of resident care according to standards.

The original complaint investigation was triggered by named residents testing positive for COVID-19 and alleged failure to follow infection control practices, including lack of isolation carts with PPE and improper fit testing of staff for N95 masks. The complaint was substantiated with citations issued.

The inspection was conducted as an unannounced complaint investigation following reports that ten named residents experienced nausea, vomiting, and diarrhea, including the unexpected death of one resident.

The Assisted Living Facility failed to investigate and determine the circumstances surrounding the symptoms experienced by the residents and the death of one resident, placing all residents at risk for abuse, neglect, and diminished quality of life. The facility did not conduct a proper investigation as required by licensing laws.

The complaint involved ten named residents experiencing nausea, vomiting, and diarrhea. The facility failed to investigate these symptoms and the unexpected death of one resident, violating investigation requirements. The complaint was substantiated with failed provider practice identified and citations written.

The inspection was conducted as an unannounced on-site complaint investigation regarding an allegation that a resident received an injury while staff was attempting to perform a blood sugar test.

The facility failed to report an incident of suspected abuse in a timely manner to the department and law enforcement, allowed the implicated employee to continue working during the investigation, and failed to protect residents by not suspending the staff member from the schedule pending investigation. These failures placed residents at risk and constituted failed provider practices.

The complaint alleged that a resident was injured during a blood sugar test. The investigation found the facility delayed reporting the incident to the department by 5 days and to law enforcement by 6 days. The employee involved was allowed to continue working during the investigation. The complaint was substantiated with failed provider practices identified and citations written.

The inspection was conducted due to a complaint alleging that the facility failed a second Fire Safety inspection completed by the Fire Marshal Department in 2022.

The facility failed to obtain approval a second time from the Fire Marshal, resulting in a citation under WAC 388-78A-2040 (2). Specific fire doors did not close and latch properly, placing residents at risk in case of fire.

The complaint investigation found that the facility failed a second Fire Safety inspection by the Fire Marshal Department in 2022. A citation was issued and the failed provider practice was identified.