Inspection Reports for Washington Odd Fellows Home
534 Boyer Ave, Walla Walla, WA 99362, WA, 99362
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Inspection Report
Life Safety
Deficiencies: 2
Oct 27, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Washington Odd Fellows Home (BH) facility on 10/27/2025.
Findings
Several fire safety code violations were identified, including failure to maintain required ceiling clearance around sprinkler heads and dry storage room doors not self-closing. All other inspected items such as electrical hazards, hold-open devices, sprinkler system maintenance, and emergency lighting tests were found to be corrected.
Deficiencies (2)
| Description |
|---|
| Facility failed to maintain 18" clearance around sprinkler head in Room 331 |
| Dry storage room doors in kitchen area did not self close |
Report Facts
Next inspection scheduled date: Jul 31, 2026
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pete Harsin | Director of Facilities | Signed as Owner or Authorized Representative |
| Alan Harlan | Deputy State Fire Marshal | Conducted the inspection |
Inspection Report
Follow-Up
Census: 51
Deficiencies: 1
Jan 30, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to resident rights and discharge.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility met Assisted Living Facility licensing requirements. Previous deficiencies related to improper discharge of a resident to an unsafe location were corrected.
Complaint Details
The complaint investigation found that the facility discharged a resident without proper reason to an unsafe location, specifically a homeless shelter unable to manage the resident's medical needs. The resident required medication management and assistance with activities of daily living. The facility failed to ensure a safe discharge and did not take back the resident when requested by shelter staff. The resident subsequently presented multiple times to the local emergency department.
Deficiencies (1)
| Description |
|---|
| Failed to ensure a safe and orderly discharge of a resident to a shelter unable to meet medical or nursing needs, resulting in the resident leaving the shelter with no known location. |
Report Facts
Total residents: 51
Resident sample size: 3
Closed records sample size: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Laurel Knight | Community Complaint Investigator | Conducted on-site verification and complaint investigation. |
| Laura Williams-Davis | ALF Field Manager | Investigator and signatory on reports. |
| Krista Connelly | Community Nurse Consultant | Participated in complaint investigation. |
| Jessica Salquist | Regional Administrator | Participated in complaint investigation. |
| Alecksana Potter | Administrator | Responsible for plan of correction and facility compliance. |
Notice
Deficiencies: 0
Jan 2, 2025
Visit Reason
The document confirms the facility administrator's written request to withdraw the Informal Dispute Resolution (IDR) request for the Statement of Deficiencies dated November 25, 2024.
Findings
No inspection findings are reported as this is a notice of withdrawal of the IDR request; the IDR review was scheduled as a desk review on January 14, 2025 but was withdrawn.
Report Facts
License Number: 125
IDR Review Scheduled Date: Scheduled date for the IDR review was January 14, 2025.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kim Friesz | Administrative Assistant 3 | Signed the letter regarding the IDR withdrawal. |
Inspection Report
Follow-Up
Deficiencies: 0
Nov 6, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility 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. Previously cited deficiencies were corrected.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Cairns | ALF Long Term Care Surveyor | Department staff who did the on-site verification during the follow-up inspection. |
| Jessica Clapp | Assisted Living Facility Licensor | Department staff who did the on-site verification during the follow-up inspection. |
Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 1
May 23, 2024
Visit Reason
The investigation was conducted due to allegations that two unidentified people were caught on video monitoring in the identified resident's vacant home, raising concerns about unauthorized access and facility orientation.
Findings
The investigation found that the two individuals had not received facility orientation prior to having unsupervised access to residents. The facility failed to ensure that anyone with unsupervised access had received proper orientation, constituting a failed provider practice with citations written.
Complaint Details
The complaint involved two unidentified people caught on video entering a resident's vacant home without proper facility orientation. The provider practice failure was substantiated with citations written.
Deficiencies (1)
| Description |
|---|
| Failure to provide orientation training to individuals with unsupervised access to residents. |
Report Facts
Total residents: 48
Collateral Contacts without orientation: 4
Volunteer count: 39
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Krista Connelly | Community Nurse Consultant | Investigator who conducted the complaint investigation |
| Michelle Closner | Field Manager | Signed follow-up inspection letter |
| Alecksana Potter | Administrator (or Representative) | Signed Plan of Correction and attestation statement |
Inspection Report
Life Safety
Deficiencies: 4
May 25, 2023
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the Washington Odd Fellows Home facility to assess compliance with fire safety regulations.
Findings
The inspection revealed several violations including overdue annual inspection of fire doors, a fire sprinkler system overdue for 5-year testing, a new duct blocking sprinkler spray pattern, and lack of documentation for the annual service/test of the generator.
Deficiencies (4)
| Description |
|---|
| Fire doors are past due for the annual inspection (05/31/2022). |
| Fire sprinkler system is past due for 5 year testing (04/2018). |
| A new duct was installed in the scullery completely blocking the sprinkler spray pattern. |
| Facility unable to produce documentation of the current annual service/test of the generator. |
Report Facts
Next inspection scheduled: Jun 24, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Doug DeGraff | Deputy State Fire Marshal | Conducted the inspection and signed the report |
| Pete Warsin | EVP Facilities | Owner or Authorized Representative who signed the report |
Notice
Deficiencies: 0
Nov 25, 9887
Visit Reason
The letter confirms the facility's request for a document review Informal Dispute Resolution (IDR) related to the Amended Statement of Deficiencies dated December 17, 2024, and schedules the IDR for January 14, 2025.
Findings
The document review IDR is to address disputed citations, specifically RCW 70.129.110/WAC 388-78A-2660, with no findings or inspection results presented in this letter.
Report Facts
License number: 125
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kim Friesz | Administrative Assistant 3 | Sender of the scheduling letter and contact for the IDR program. |
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