Judson Park Retirement Community

The October 2025 inspection identified nine routine fire and life safety maintenance issues including incomplete fire door inspection documentation, missing 5-year FDC hydro testing records, painted sprinkler heads, a malfunctioning exit sign, and a trash chute requiring testing with a non-latching door. The facility demonstrated an exemplary response by correcting all violations by the January 2026 follow-up inspection, as confirmed by the state fire marshal's approval status and statement that "all violations noted during previous related inspection(s) have been corrected."

The facility underwent a full inspection on 10/22/2025 with no deficiencies identified, indicating full compliance with all regulatory requirements. No violations were found, so no corrective actions were necessary. The facility demonstrated good baseline operational standards by maintaining compliance across all inspected areas. This reflects adequate policies, staffing, and care practices meeting state standards for assisted living facilities.

The July 2024 inspection identified 13 violations primarily involving missing documentation for required safety system inspections (fire alarm, sprinkler, generator, hood suppression), improper electrical connections (power strips), fire door failures, obstructed fire extinguishers, and a missing fire alarm circuit breaker lockout device. While these represent a pattern of maintenance and compliance documentation failures that could compromise life safety systems, no immediate resident harm occurred. The facility responded appropriately by correcting violations and providing all required documentation, resulting in full approval by the September 2024 reinspection, demonstrating good corrective action and follow-through.

The facility had multiple compliance violations including expired background checks (up to 108 days overdue), incomplete staff training and certifications, inadequate memory care outdoor protection from rain, privacy violations from video cameras in gathering areas, missing window screens, and locked doors preventing memory care residents from re-entering from outdoor areas. The facility acknowledged all deficiencies, completed investigations with HR and wellness directors, implemented corrective actions within 1-3 months, and passed a follow-up inspection on July 2, 2024 with all deficiencies resolved, demonstrating adequate corrective response despite initial systemic gaps in compliance monitoring.

A severe medication error occurred where a resident's Seroquel dose was incorrectly increased from 25mg to 150mg daily (75mg twice daily) without physician validation, resulting in overt sedation, missed meals, cognitive decline requiring hospice admission, and significant harm to the resident. The facility failed to recognize the sudden changes in condition or verify the dosage increases with the physician. The facility cooperated with the investigation and a citation was issued under WAC 388-78A-2210(1)(b), but there is no evidence of comprehensive corrective actions, staff retraining, or systemic changes to prevent recurrence beyond acknowledging the failed practice.

The July 2023 inspection identified moderate fire safety violations including missing documentation for annual fire wall inspections and fire/smoke damper testing, an unplugged wall penetration in the air lock room, and three modified fire doors in the Memory Care unit. The facility promptly addressed all deficiencies, as confirmed by the September 2023 follow-up inspection showing full compliance and approval status restored. While the violations represented systemic documentation gaps and physical fire barrier compromises affecting resident safety, the facility's timely corrective actions and successful re-inspection within two months demonstrated an appropriate response to regulatory concerns.