Brookdale Renton

This assisted living facility exhibited systemic life-safety violations across fire protection systems, including missing sprinkler maintenance documentation, expired fire extinguisher servicing (some since 2023), propped-open fire doors in stairwells, blocked egress paths, and unsecured oxygen cylinders. The facility's response was inadequate: despite a July 2025 inspection citing 27 violations, a November 2025 re-inspection found persistent issues including missing sprinkler documentation, incomplete emergency lighting tests, and continued spare sprinkler head deficiencies, indicating slow corrective action and incomplete implementation of safety protocols. The facility status remained 'Disapproved' at both inspections, demonstrating ongoing failure to achieve full compliance.

A stop placement order prohibiting admissions was issued on July 30, 2025, continued on September 18, 2025, and lifted on October 29, 2025, indicating serious compliance violations that warranted preventing new resident admissions for approximately three months. The specific violations are not detailed in this lift notice, but the use of a stop placement order suggests systemic issues requiring significant correction. The facility demonstrated adequate response by achieving compliance within three months, resulting in the order being lifted. The successful resolution and relatively prompt timeline indicate the facility addressed the underlying deficiencies appropriately.

The facility had systemic medication management failures across multiple inspections, with 4-9 residents consistently unable to receive prescribed medications including critical blood pressure, seizure, and blood clot prevention drugs. One resident experienced increased difficulty walking due to missed pain medication. Despite multiple citations, recurring deficiencies, and stop placement status, the facility eventually corrected violations by October 2025. However, initial responses were inadequate with staff failing to search for missing medications, incomplete documentation for self-administering residents, and insufficient systems despite attestations of corrective action.

A continued stop placement order remains in effect for this assisted living facility, initially imposed on July 30, 2025, based on deficiencies identified in a September 8, 2025 statement. The continuation of the stop placement order indicates serious systemic violations that have not been adequately corrected, representing severe regulatory non-compliance that prohibits new admissions. The facility's response has been insufficient, as evidenced by the Department's decision to continue rather than lift the placement prohibition nearly two months after initial imposition.

The facility has a persistent pattern of medication administration failures affecting nine residents, representing the sixth citation for medication violations since April 2023 with an uncorrected deficiency from July 2025. The systemic failure to maintain safe medication delivery systems places residents at risk of serious adverse health outcomes. The facility's response has been inadequate, as evidenced by continued recurrence despite multiple prior citations, resulting in a $1,000 civil fine and continued stop placement order prohibiting new admissions. No evidence of effective corrective action or systemic improvement is demonstrated in the report.

The Department imposed a Stop Placement Order on this assisted living facility based on deficiencies serious enough to warrant halting new admissions, indicating severe systemic compliance failures with high potential for resident harm. The facility's response was inadequate, as evidenced by the need for state intervention through a formal placement ban. The order remains in effect pending formal notice of corrective action completion, demonstrating ongoing concerns about the facility's ability to provide safe care. Specific violation details were referenced in the July 17, 2025 Statement of Deficiencies but not included in this notice.

On April 11, 2025, smoke accumulation from an unknown source in the maintenance room reaching the kitchen triggered a full building evacuation at this assisted living facility. While staff appropriately activated the fire alarm and evacuated all residents without injuries, and the fire department cleared the scene, the facility failed to provide documentation of the subsequent electrical inspection that was conducted to determine the cause. The facility's response was partially adequate with immediate evacuation and contractor engagement, but the inability to produce required electrical inspection documentation demonstrating system safety represents a significant gap in follow-up corrective action verification, resulting in a disapproval status that remained until corrected by July 31, 2025.

This facility has a severe recurring pattern of medication management failures affecting four residents, including one who experienced mobility difficulties from missed medications. The violations have been cited six times since September 2022, demonstrating systemic failure to correct deficiencies. The facility's response has been inadequate, with continued non-compliance despite multiple citations and corrective action plans. The Department issued a stop placement order due to the facility's inability to maintain basic medication safety standards, placing residents at risk of medical complications.

A named resident did not receive medications for over three weeks due to medications not being available at the facility, constituting a serious medication management failure with high potential for resident harm. The facility was cited under WAC 388-78A-2240 with a completion date of 04/30/2025. The investigation involved reviewing records, interviewing staff and residents, and observing facility operations. While the facility appears to have cooperated with the investigation, the report provides no evidence of proactive corrective actions, immediate protective measures for the affected resident, or systemic changes to prevent recurrence beyond the citation requiring compliance.

The facility failed to notify the payor (HCS case manager) when a resident was transferred to hospital and subsequently to a rehabilitation facility, violating WAC 388-78A-2640 notification requirements. The facility demonstrated adequate response by acknowledging the violation, with staff confirming awareness of the regulatory requirement, and the Administrator and Business Office Manager developing a formal policy and procedure during the investigation to ensure all payors are notified of future resident transfers. A consultation was issued rather than a citation, indicating the corrective actions were deemed sufficient.

Three separate neglect allegations involving lack of care that resulted in resident injury were investigated at this 90-bed facility. All three investigations substantiated failed provider practices and resulted in citations, indicating a pattern of care deficiencies leading to actual resident harm. The facility conducted incident investigations and maintained state reporting logs, demonstrating some response infrastructure, but the recurrence of similar neglect allegations across multiple residents suggests inadequate systemic corrective measures to prevent harm.

The facility improperly discharged Resident 1 by failing to include required information in the discharge letter: discharge date, destination location, and long-term care ombudsman contact details as mandated by WAC/RCW. This represents a procedural violation affecting resident rights and access to advocacy resources. The facility was cited for the violation, but the report provides no evidence of corrective actions, staff retraining, or policy changes implemented to prevent recurrence, indicating an incomplete response to the compliance failure.

The facility failed to dispense medications as ordered, violating WAC 388-78A-2210 regarding medication services. The investigation involved 8 residents and included observations of medication administration, interviews with staff and administrators, and medical record reviews. The facility was issued a citation with a 45-day Plan of Correction, indicating the state accepted their corrective action plan to address the medication administration deficiencies.

The facility failed to ensure a resident received medications as prescribed, placing the resident at risk for medical decline and potential harm. This is a recurring deficiency, previously cited twice in 2023 (August and April), demonstrating a pattern of systemic medication management failures. The state imposed an $800 civil fine due to the repeat nature of this violation. The facility's response is not documented in this enforcement letter, indicating minimal corrective action effectiveness given the recurring nature of the same violation over multiple inspections.

The facility had recurring violations across training requirements, medication management, infection control, and food safety over multiple inspections from October 2024 to January 2025. Initial deficiencies included three staff with incomplete training (CPR/continuing education), five residents with inadequate care plans, unaccounted narcotic medications across three floors, improper hand hygiene practices, and multiple food safety violations including improper thawing and lack of temperature monitoring. The facility took corrective actions after each citation, and by March 2025 follow-up inspection, all deficiencies were corrected with no new violations found, demonstrating eventual compliance after repeated enforcement.

The facility failed to ensure staff completed required continuing education, CPR/first-aid, and home care aide certification training, placing 83 residents at risk of inadequate care from improperly trained staff. This is a recurring violation previously cited in October and December 2024, demonstrating a pattern of non-compliance. The facility's response has been inadequate, as evidenced by the recurrence of violations and the state's imposition of a $700 civil fine. The ongoing failure to correct this training deficiency after multiple citations indicates insufficient corrective action and systemic compliance issues.

The facility failed to ensure one staff member completed required Continuing Education training, placing all 90 residents at risk of unmet care needs from inadequately trained staff. This was an uncorrected repeat violation previously cited on October 11, 2024, demonstrating a pattern of non-compliance with mandatory training requirements. The facility's response was inadequate, as evidenced by the repeat citation and resulting $400 civil fine for failing to correct the deficiency after the initial finding. The follow-up visit on December 6, 2024 confirmed the facility had not taken sufficient corrective action to ensure staff training compliance.

During a widespread power outage on December 2, 2024, the facility's fire alarm went into trouble status and the sprinkler system operability was unknown, creating serious life-safety concerns for vulnerable residents. The facility failed to conduct required fire watches while these critical protection systems were compromised, violating fire code requirements. However, the facility demonstrated good emergency response by deploying a generator for lighting and medical equipment, providing blankets, flashlights, heaters, and warmers to residents, and all violations were corrected by the follow-up inspection on December 23, 2024. No injuries occurred and no evacuation was necessary, indicating effective resident care despite the system failures.

This document notifies the facility that license conditions imposed on March 7, 2024 have been successfully lifted as of April 16, 2024. The lifting of conditions indicates the facility addressed previous violations and demonstrated compliance during the intervening period. The facility's corrective actions were sufficient to satisfy regulatory requirements within approximately 40 days, demonstrating an adequate response to prior deficiencies. No current violations are documented in this notice.

The facility had serious violations involving neglect of a resident with a severe leg wound that went untreated despite documented refusals of care due to pain, ultimately resulting in hospitalization and amputation. Staff failed to notify the resident's representative, coordinate wound care services, properly document the wound, or report the suspected neglect to authorities as required. The facility also repeatedly failed to notify the Home and Community Services Case Manager within required timeframes when residents were hospitalized, with one notification delayed 22 days and another delayed 3 days even after a previous citation for the same violation. The facility's response was incomplete, with new leadership claiming unawareness of processes, inadequate corrective systems that failed to prevent recurrence, and no evidence of comprehensive staff training or systemic changes to prevent similar failures in care coordination and mandatory reporting.

The July 2024 inspection revealed severe systemic violations including multiple life-safety system failures: missing fire sprinkler and fire alarm maintenance documentation with uncorrected deficiencies, generator non-compliance with no required testing for 12 months, fire doors with penetrations and non-functioning closures, missing fire drill records, and fire-rated penetrations compromising compartmentation. The facility demonstrated a good response by correcting several violations during the inspection (blocked extinguisher, extension cords, smoking violations) and completing all corrective actions within two months, as evidenced by the September 2024 follow-up inspection showing full compliance with all previously cited deficiencies.

A grease trap fire occurred in the kitchen on July 15, 2024, caused by inadequate cleaning due to staff turnover, and staff initially used the wrong fire extinguisher. The facility responded appropriately by conducting immediate in-service training on fire response procedures, thoroughly cleaning the kitchen and grease trap, and implementing nightly grease trap cleaning protocols. No injuries occurred, no evacuation was needed, and the fire department did not respond. The inspector found no violations at the follow-up inspection on July 18, 2024.

The facility failed to notify the Home and Community Services Case Manager when a Medicaid resident was hospitalized, creating risk of disruption in care coordination and financial assistance. This was a repeated violation previously cited on May 13, 2024, demonstrating a pattern of non-compliance. The state imposed a $300 civil fine for this uncorrected deficiency. The facility's response was inadequate as evidenced by the repeat violation, indicating failure to implement effective corrective actions after the initial citation.

The facility had serious medication delegation violations involving unqualified staff administering medications to residents without proper credentials, DSHS certifications, or nurse delegation training. The Department imposed conditions requiring the facility to hire an independent registered nurse consultant to ensure all delegated nursing staff obtain proper qualifications by April 19, 2024, and to implement processes preventing unauthorized medication administration. The facility's response was moderately adequate as they accepted the corrective action plan, though the extended timeline (over 6 weeks) to achieve basic compliance with medication delegation requirements indicates delayed systemic corrections for a critical safety issue.

The facility repeatedly failed to ensure staff met nurse delegation requirements for four residents, creating risk of medication errors - a recurring violation cited on four separate occasions (April 2023, August 2023, December 2023, and February 2024). The pattern demonstrates systemic failure in medication safety protocols. The facility's response was inadequate, as evidenced by the recurrence of the same violation across multiple inspections despite prior citations, resulting in state-imposed civil fines ($1,000), mandatory conditions requiring hiring of external nurse consultant, and enhanced oversight - indicating the facility failed to self-correct this critical safety issue.

The facility failed three consecutive fire marshal inspections, with the third failure documented on 08/14/2023, indicating persistent fire safety deficiencies that pose serious risk to 105 residents. Fire safety violations represent critical life-safety concerns that could endanger residents in an emergency. The facility acknowledged the deficiencies and reported working to correct them, demonstrating some accountability, but the pattern of repeated failures shows inadequate urgency and slow corrective action. A citation was issued on 09/08/2023.

This follow-up inspection revealed six recurring violations that were previously cited in April 2023 and remained uncorrected from August 2023, including failures in background checks, TB screening, medication security, nurse delegation monitoring, abuse reporting training for 25 staff, and pet health documentation. These systemic failures created substantial risks including potential exposure to staff with unknown criminal backgrounds, tuberculosis exposure, medication access by residents, medication errors from undelegated staff, and unreported abuse. The facility's response was inadequate, demonstrating a pattern of non-compliance over nine months with no effective corrective actions implemented despite prior citations, resulting in escalated civil fines totaling $3,300.

A resident intentionally started a fire in a trash can in her room on November 16, 2023, after being told she could not smoke indoors. The facility conducted an investigation and is working to remove the resident while reminding her of no-smoking policies, and staff successfully extinguished the fire with no injuries reported. However, the response was only moderately effective as the resident remained in the facility nearly a month later with only verbal reminders as interim measures, indicating delayed protective action. The fire department responded to the incident, and no International Fire Code violations were found during the subsequent inspection.

A resident was not provided a call pendant upon admission and after their first fall on 08/03/2023, leading to a second fall on 08/06/2023, hospitalization, and death. The facility failed to implement basic safety measures despite clear warning signs, and also had ongoing housekeeping violations with improperly prepared rooms. The facility's response was inadequate, showing no meaningful corrective action between the first fall and resident's death, and they were still in a plan of correction period for previous housekeeping citations, indicating persistent compliance failures.

Multiple residents repeatedly smoked cigarettes and marijuana inside their rooms over a 5-month period (April-July 2023) despite smoking being prohibited, creating serious fire hazards with tobacco on floors, cigarette butts in cups near windows, and lighters in rooms. The facility failed three consecutive reinspections, demonstrating inability to gain compliance despite awareness of the life-safety violations. While facility staff acknowledged the problem and claimed to address residents verbally and through notifications, they expressed difficulty enforcing evictions and failed to achieve compliance until the final August inspection, warranting Fire Marshal warnings of potential license suspension and DSHS enforcement referral.

The facility systematically failed to notify the DSHS Home and Community Services Case Manager within 24 hours when four Medicaid residents were hospitalized or admitted to skilled nursing facilities, with notification delays ranging from 3 to 14 days. This was an uncorrected repeat deficiency previously cited in April 2023, despite the facility signing an attestation to implement corrective systems by May 13, 2023. The facility's response was inadequate: they lacked a formal policy requiring HCS notification, assigned responsibility to a newly hired Business Office Manager unfamiliar with the process, and by June 9, 2023, still had not implemented a functioning notification system. While the violation primarily affected care coordination and funding continuity rather than immediate resident safety, the facility's failure to correct a known deficiency and implement promised systemic changes demonstrates poor response quality and organizational accountability.

This follow-up inspection documented 12 uncorrected deficiencies previously cited in April 2023, including critical violations in background checks, medication management, infection control, and nurse delegation monitoring affecting multiple residents. The facility's failure to correct any deficiencies over a four-month period demonstrates systemic non-compliance and ineffective quality assurance processes. Violations created substantial risk across multiple life-safety domains including infectious disease exposure, medication errors, and inadequate staff screening, with actual medication errors documented for two residents. The facility's persistent non-response to prior citations resulted in escalating civil fines totaling $4,200, indicating a pattern of neglect in implementing required corrective actions.

This inspection report appears to be a cover page or header document with no substantive violation findings documented. No resident care issues, safety violations, or regulatory non-compliance were identified in the provided content. The facility demonstrates baseline compliance with state inspection requirements, warranting no corrective actions.

Multiple residents repeatedly violated no-smoking policy by smoking cigarettes and marijuana inside their rooms, creating significant fire safety hazards in a residential care facility with vulnerable populations. Despite two inspections (April and May 2023) documenting overwhelming smoke odors and tobacco on floors, the facility's response was inadequate—staff acknowledged awareness but cited difficulty evicting residents and provided only superficial training efforts. The facility failed to take effective corrective action between inspections, allowing the life-safety violation to persist for over a month. This represents a severe fire code violation with minimal facility response beyond acknowledging the problem.