Silverado - Bellevue

The inspection found multiple moderate compliance violations across staff background checks, training credentials, TB testing, and care plan documentation affecting 36 memory care residents. Primary issues included delayed background checks for 7 contracted nurses (up to 432 days late), 5 staff lacking required CPR/first-aid/HCA certifications, incomplete TB testing for 7 staff, and outdated care plans for 3 residents on blood thinners. The facility responded appropriately by implementing comprehensive corrective action plans including new tracking checklists, policy changes for contract workers, enhanced monitoring systems, staff retraining, and partnerships with training providers. All deficiencies were corrected by the follow-up inspection on 01/15/2026, demonstrating timely and effective remediation.

The April 2025 inspection identified 10 violations primarily related to incomplete maintenance documentation and testing records for fire safety systems (sprinklers, fire alarms, dampers, fire doors), plus physical deficiencies including storage too close to sprinkler heads and a non-latching fire door. These violations represent moderate compliance gaps affecting fire safety documentation and some equipment function, but no immediate life-safety hazards. The facility responded appropriately by correcting all violations within approximately 2.5 months, as confirmed by the June 2025 follow-up inspection showing full compliance and approved status.

The facility had serious violations including using a physical restraint on a resident with dementia despite state prohibition, improper infection control practices during intimate care that risked infections, and delaying emergency medical evaluation for 12 hours after a resident fell and sustained head trauma. Additional systemic issues included expired background checks, missing required staff training, and inadequate emergency water access planning. The facility responded with timely acknowledgment, corrected all deficiencies within 65 days as verified by follow-up inspection on 07/10/2024, and committed to implementing monitoring systems, though the administrator was unaware of multiple compliance gaps indicating supervision weaknesses.

This was a routine fire safety inspection conducted by the Washington State Fire Marshal at Silverado Bellevue residential care facility on 05/06/2024. The inspection confirmed that all violations noted during previous inspections have been corrected, with no new violations identified. The facility demonstrated adequate fire safety compliance and successfully addressed prior deficiencies, indicating proper maintenance of safety systems and responsiveness to regulatory requirements.

On March 23, 2023, a fire and life safety inspection found nine violations at this residential care facility, primarily documentation deficiencies (missing records of annual fire wall inspections, fire door inventories, damper testing, and CO detector testing) along with minor physical issues (daisy-chained power strips, improper extension cord use, unsealed wall penetrations, and improper medical gas storage signage). These violations represented procedural non-compliance and documentation gaps rather than immediate safety threats. The facility responded appropriately and corrected all violations by the May 2, 2023 follow-up inspection, which resulted in approval, demonstrating good corrective action and compliance within a reasonable timeframe.