Arbor Village Retirement & Assisted Living Community

The facility had multiple moderate compliance violations across several operational areas: overdue pet vaccinations and health certifications (2 of 3 pets), one staff member working 41 shifts without required continuing education, outdated service plans for 4 of 5 sampled residents, non-functioning ventilation systems in 8 locations, and unsecured hazardous chemicals accessible to 53 vulnerable residents (a recurring violation from 2023). The facility responded appropriately by conducting a thorough investigation, implementing corrective actions within the 45-day timeframe, and successfully passing the follow-up inspection on April 24, 2025 with no deficiencies found. While the violations represented systemic gaps in monitoring systems (pet tracking, staff training oversight, service plan updates), none resulted in documented resident harm, and the facility demonstrated commitment to compliance through timely corrections and attestations to implement ongoing monitoring systems.

The December 2024 inspection identified 21 violations at this residential care facility, including multiple fire safety documentation gaps (missing hood cleaning, fire door, and sprinkler testing records), physical hazards (combustible materials near ignition sources, obstructed sprinkler heads, unsecured oxygen cylinders), and electrical safety issues (extension cords, power strips with AC units). The facility responded appropriately by correcting all violations within approximately two months, as confirmed by the March 2025 follow-up inspection showing full compliance. While the violations represented a pattern of maintenance and documentation deficiencies affecting fire safety systems, none posed immediate life-threatening risks, and the facility's timely comprehensive remediation demonstrates adequate responsiveness to regulatory requirements.

Initial inspection on 12/19/2023 identified 25 distinct fire and life safety violations including missing smoke alarms in resident rooms, multiple fire doors failing to close/latch properly, missing carbon monoxide detectors near gas appliances, inadequate emergency lighting, missing documentation for critical safety system testing (sprinklers, fire dampers, suppression systems), electrical hazards, and incomplete fire drill records. Follow-up inspection on 2/20/2024 found most violations corrected but four critical items remained outstanding: fire doors still not closing/latching, missing fire damper inspection documentation, missing sprinkler system records, and a smoke alarm still missing from room 326. The facility demonstrated good faith effort by correcting 21 of 25 violations within the reinspection period and ultimately achieved full compliance by 3/27/2024, though the persistent issues with life-safety systems (fire doors, smoke alarms) and documentation gaps indicate systemic maintenance deficiencies that required multiple inspections to fully resolve.

The facility had serious systemic compliance failures including expired background checks allowing unsupervised resident contact for 153 days, 17 of 24 staff lacking required respiratory protection fit-testing during COVID protocols, incomplete training and TB screening for multiple caregivers, inadequate care plans for residents with anxiety and elopement risks, unsecured hazardous chemicals accessible to cognitively impaired residents, and pervasive housekeeping deficiencies. The facility conducted prompt internal investigations, acknowledged all deficiencies, and corrected all violations by the follow-up inspection on 10/24/2023, demonstrating a systematic response to address the compliance gaps across staffing, infection control, resident safety, and care planning domains.

This is a routine fire safety inspection conducted on March 27, 2023, by the Washington State Fire Marshal at Arbor Village Retirement & ALF Community. The report indicates all violations noted during previous inspections have been corrected, with no new violations identified during this inspection. The facility demonstrates good compliance with fire safety regulations, maintaining appropriate fire protection systems and operational standards.

The facility had systemic fire safety violations including failed fire dampers, dirty and bent sprinkler heads, missing safety equipment, incomplete emergency testing documentation, and inadequate fire drill records across multiple inspections. These violations represented serious life-safety system failures in a residential care facility housing vulnerable seniors. The facility responded appropriately by correcting most violations within the reinspection period, completing required fire drills on-site during inspection, and scheduling contractor repairs for remaining sprinkler and damper issues, though the pattern of widespread non-compliance across critical safety systems indicates previous inadequate oversight requiring improvement in preventive maintenance programs.