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
NameTitleContext
Pete HarsinDirector of FacilitiesSigned as Owner or Authorized Representative
Alan HarlanDeputy State Fire MarshalConducted 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
NameTitleContext
Laurel KnightCommunity Complaint InvestigatorConducted on-site verification and complaint investigation.
Laura Williams-DavisALF Field ManagerInvestigator and signatory on reports.
Krista ConnellyCommunity Nurse ConsultantParticipated in complaint investigation.
Jessica SalquistRegional AdministratorParticipated in complaint investigation.
Alecksana PotterAdministratorResponsible 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
NameTitleContext
Kim FrieszAdministrative Assistant 3Signed 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
NameTitleContext
Anna CairnsALF Long Term Care SurveyorDepartment staff who did the on-site verification during the follow-up inspection.
Jessica ClappAssisted Living Facility LicensorDepartment 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
NameTitleContext
Krista ConnellyCommunity Nurse ConsultantInvestigator who conducted the complaint investigation
Michelle ClosnerField ManagerSigned follow-up inspection letter
Alecksana PotterAdministrator (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
NameTitleContext
Doug DeGraffDeputy State Fire MarshalConducted the inspection and signed the report
Pete WarsinEVP FacilitiesOwner 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
NameTitleContext
Kim FrieszAdministrative Assistant 3Sender of the scheduling letter and contact for the IDR program.

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