Inspection Reports for Where The Heart Is

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

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to fire and life safety inspections were corrected.

The complaint investigation found the Assisted Living Facility was not in compliance with the Fire Marshal due to uncorrected violations from two Fire and Life Safety annual inspections dated 10/09/2024 and 01/14/2025. The facility failed to comply with International Fire Codes for multiple items, including deficiencies in fire/smoke damper inspections and lack of documentation for the annual forward flow test. The investigation concluded with no failed provider practice identified and no citation written.

The Office of the State Fire Marshal conducted an inspection at the residential care facility 'Where the Heart Is' to evaluate compliance with fire protection and safety codes.

The inspection found multiple deficiencies related to fire safety equipment, maintenance, and access, including inability to provide documentation for required tests, inoperative door-closing coordinators, missing signage, blocked egress, and other code violations. Some issues were corrected, while others remained unresolved from prior inspections.

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

The inspection found multiple deficiencies related to fire safety, including issues with power strips, door operation, duct and air transfer openings, sprinkler system testing, fire extinguishing system servicing, fire alarm maintenance, access to fire department connections, signage, carbon monoxide detection, means of egress, emergency lighting activation tests, and fire drills. Several deficiencies were noted as uncorrected and the facility was disapproved.

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 Assisted Living Facility licensing requirements. Previous deficiencies related to nursing oversight, policy implementation, and coordination of health care services were corrected.

The complaint investigation was triggered by allegations of neglect including pressure ulcers, poor nutrition, inadequate hygiene, lack of communication with family, and failure to provide appropriate care. The investigation found substantiated failures in nursing oversight, policy adherence, and coordination of care, resulting in citations.

The inspection was conducted as an unannounced on-site complaint investigation triggered by an allegation that a named staff member was witnessed kissing a named resident on the lips.

The Assisted Living Facility failed to report suspected abuse to the Department and law enforcement, failed to investigate the allegations, and failed to protect the resident from continued possible abuse. A citation was issued for noncompliance with reporting and investigation regulations.

A named staff was witnessed kissing a named resident on the lips. The facility failed to report and investigate the abuse allegations, placing the resident at risk. Citation issued for noncompliance with WAC 388-78A(2630)(1)(a)(b) and WAC 388-78A(2371)(1)(4).

The inspection was conducted as a complaint investigation following allegations that a named resident was found dehydrated and in distress, the facility lost the resident's dentures, and the facility made excuses to not accept the resident back after hospital and rehabilitation stays.

The investigation found that the facility failed to report a significant change in the resident's condition and hospital visits to the medical provider, placing the resident at risk for untreated medical issues and diminished quality of life. Failed provider practice was identified and citations were written.

The complaint involved four allegations: the named resident was found dehydrated and laying in vomit, was found moaning in pain, the facility lost the resident's dentures, and the facility made excuses to not accept the resident back after hospitalizations and rehabilitation stays. The investigation concluded with failed provider practice identified and citations written.

The inspection and complaint investigation were conducted due to an allegation that a Named Resident had a bruise of unknown origin around their left eye.

The investigation found that the facility staff discovered the bruise but failed to notify the State Department, resulting in a failed provider practice and a citation for reporting abuse and neglect. Additional deficiencies were found related to staff orientation, continuing education, background checks, medication services, medication storage, food sanitation, reporting abuse and neglect, infection control, and implementation of negotiated service agreements.

The complaint alleged that a Named Resident had a bruise of unknown origin around their left eye. The investigation substantiated a failed provider practice due to failure to notify the State Department about the bruise and issued a citation for reporting abuse and neglect.

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

The facility was found to have multiple violations including lack of documentation for required semi-annual hood cleaning, annual firewall inspection, fire damper inspection, sprinkler system inspection, kitchen suppression system servicing, fire alarm system testing, and a non-operational carbon monoxide detector alarm. Additionally, several fire doors had inoperative door-closing coordinators and an emergency egress light failed to illuminate during testing.

The inspection was conducted as a complaint investigation triggered by an allegation of a medication error at the Assisted Living Facility.

The facility failed to ensure that one resident received prescribed medication for dementia with behavioral disturbances, resulting in increased agitation and assaultive behaviors. The medication was not administered for 12 days due to an error involving a med tech in training approving medication discontinuation without a physician order.

The complaint investigation found that the facility allowed a med tech on training to approve medication administration record changes that led to a medication error. A named resident did not receive prescribed routine medication for 12 days, which was substantiated by interviews and record reviews.