Inspection Reports for Van Mall Retirement

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

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies were corrected as documented by compliance determinations dated 08/01/2025 and 09/25/2025.

The Department of Social and Health Services conducted a follow-up visit to Van Mall Retirement assisted living facility to assess compliance and impose civil fines based on unresolved deficiencies.

The facility was cited for multiple uncorrected deficiencies including failure to provide safe medication services, incomplete staff training documentation, incomplete negotiated service agreements for residents, and inaccurate resident records. These deficiencies placed residents at risk of harm and resulted in civil fines totaling $1,500.

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

The facility was found to have multiple unresolved fire safety violations including failure to provide annual fire door inspections, missing self-closure on break room doors, failure to provide required fire sprinkler testing and inspection reports, lack of carbon monoxide detection, and unsecured compressed gas cylinders in the kitchen.

The Office of the State Fire Marshal conducted a re-inspection at the Van Mall Retirement facility to verify correction of previously cited fire safety violations.

The facility was found to have multiple ongoing fire safety violations including failure to provide annual fire door inspections, missing self-closure on break room doors, failure to provide required fire sprinkler testing reports, lack of carbon monoxide detection, unsecured compressed gas cylinders, and multiple structural deficiencies such as holes in ceilings and failure to maintain clear exit widths.

The inspection was conducted as a complaint investigation into allegations including quality of care issues such as bathing, medication management, dietary services, falsification of records, staffing shortages, and physical environment concerns at Van Mall Retirement Assisted Living Facility.

Multiple complaints were corroborated by residents and addressed by the new executive director through additional staffing, retraining, and replacement of staff. Some issues such as falsification of medication records and fraud were not substantiated. Failed provider practices were identified and citations were written for quality of care, dietary services, and staffing deficiencies.

The complaint investigation included allegations of poor quality of care (bathing, CPAP, cleaning, laundry), missing meals, falsification of medication records, insufficient staffing, poor catheter care leading to UTIs and hallucinations, fraud/false billing, and physical environment issues. Some allegations were substantiated and addressed; others were not substantiated.