Covenant Living West

The facility failed to ensure proper tuberculosis testing for one newly hired caregiver, relying on an outdated chest X-ray instead of conducting required testing within three days of hire. This placed 42 residents at risk for TB exposure. The facility acknowledged the violation, submitted a corrective action plan by the required date, and successfully completed all corrections as verified by follow-up inspection on January 6, 2026, demonstrating good compliance response and remediation.

The State Fire Marshal inspection on 12/03/2025 found no violations at Covenant Living at the Shores. All violations noted during previous inspections have been corrected. This is a clean inspection with no current deficiencies identified.

The facility had recurring compliance failures across multiple critical areas including expired background checks for staff (placing 38 residents at risk), missing specialty dementia/mental health training for licensed nurses, incomplete tuberculosis screening, failure to implement required respiratory protection program fit-testing during a COVID-19 outbreak, residents missing prescribed medications due to unavailability, and unsecured hazardous chemicals accessible to cognitively impaired residents. The facility's response was inadequate as evidenced by multiple uncorrected repeat violations from prior inspections (August 2022, June 2024), with deficiencies recurring even after citations. A follow-up inspection in October 2024 eventually found all deficiencies corrected, but the pattern of non-compliance and slow corrective action demonstrates systemic management failures.

This follow-up inspection found four uncorrected repeat violations from a June 2024 inspection, including expired background checks (38 residents exposed to staff with unknown criminal history), missing dementia/mental health training (32 at-risk residents), delayed TB screening, and failure to implement proper respiratory protection program including COVID-19 fit-testing. The facility demonstrated inadequate response by failing to correct previously cited deficiencies within the required timeframe, resulting in civil fines totaling $1,400 and multiple repeat violations including one recurring since 2022. The pattern of non-compliance across critical safety areas (background checks, infection control, staff training) indicates systemic failure in the facility's corrective action processes.

The facility failed to transcribe new physician-ordered medications and the named resident did not receive prescribed medications as ordered. This represents a medication administration system failure that could affect resident health outcomes. The investigation documented the violation through interviews and record reviews, resulting in a citation under WAC 388-78A-2210(1)(b)(2), indicating the facility acknowledged the issue and regulatory action was taken.

The June 2023 inspection identified 10 fire safety code violations including improper storage in boiler room, daisy-chained power strips, missing documentation for required fire safety inspections (fire doors, dampers, emergency lighting, carbon monoxide systems), malfunctioning fire doors, and a non-working exit sign. The facility responded appropriately by correcting all violations within 30 days, as confirmed by the July 2023 follow-up inspection showing full compliance. While the violations were largely documentation and maintenance issues that did not pose immediate life safety threats, they represented a pattern of deferred compliance across multiple fire protection systems that required systematic correction.