Keystone

The facility failed three consecutive fire and life safety inspections over five months (December 2024 through May 2025), demonstrating systemic life-safety violations including non-functional fire alarm components, obstructed sprinkler heads in the kitchen, and blocked emergency exits with BBQ grills stored in basement hallways. Despite two prior noncompliance letters and multiple opportunities to correct deficiencies, the facility failed to remediate critical fire protection and egress issues, showing minimal response and creating ongoing life-threatening conditions for 61 residents. The pattern of repeated failures across fundamental fire safety systems indicates inadequate management attention to resident safety.

The facility exhibited a pattern of serious life-safety violations across multiple inspections from December 2024 through May 2025, including malfunctioning fire alarm systems with non-reporting smoke detectors, obstructed egress paths with BBQ grills blocking basement hallways, debris-covered sprinkler heads, and missing critical safety system documentation. The facility demonstrated a moderate response by eventually correcting many violations by June 2025, but the slow pace of remediation (requiring three inspections over six months) and persistent recurrence of the same egress and fire suppression issues indicate systemic compliance deficiencies rather than isolated lapses. The combination of compromised fire detection, suppression, and evacuation systems in a residential care facility housing vulnerable populations represents severe risk, though the facility's eventual full compliance prevented this from reaching life-threatening status. The delayed and incomplete initial responses, followed by ultimate correction of all violations, reflects adequate but suboptimal facility management and safety prioritization.

This residential care facility had critical fire safety violations including a non-functional fire alarm system with smoke detectors not reporting to the panel, blocked egress paths with BBQ grills in basement hallways, debris-loaded sprinkler heads, and multiple missing or overdue safety inspections and documentation. The facility showed partial response by correcting some violations (space heaters, fire extinguishers, emergency drills) between the December 2024 and February 2025 inspections, but failed to address the most serious life-safety issues including the fire alarm deficiencies and egress obstructions, resulting in continued disapproval status. The pattern of repeated violations across both inspections and incomplete corrective action on critical fire protection systems demonstrates systemic safety management deficiencies that pose substantial risk to residents.

A physical altercation occurred between two residents (NR1 and NR2) at this 61-bed assisted living facility, resulting in police involvement and NR1's arrest and transport to jail. The facility responded promptly by separating residents, calling 911, and reporting the incident per regulations, though they failed to issue a formal discharge letter to NR1 despite barring her return, resulting in a citation for WAC 388-78A-2660(1) Resident's Rights. The facility demonstrated adequate immediate protective response and timely reporting, but procedural gaps in discharge documentation were identified.

The facility failed to ensure one staff member (Residential Case Manager) completed the required one-step tuberculosis skin test within three days of hire, despite having documentation of previous negative two-step testing. This was an isolated procedural violation with minimal immediate risk, as the staff member had recent negative TB testing history. The facility promptly corrected the deficiency, and a follow-up inspection on 06/26/2024 confirmed full compliance with no deficiencies found, demonstrating an appropriate and timely corrective response.

The October 2023 inspection identified nine fire safety violations at this residential care facility, primarily related to missing documentation for required fire system maintenance (hood cleaning, sprinkler system deficiencies, fire alarm deficiencies, CO alarm inspections, emergency lighting tests, fire extinguisher inspections) plus physical issues including improper extension cord use in kitchen office and a laundry fire door that failed to latch properly. The facility responded appropriately by correcting all violations within approximately two months, as confirmed by the November 2023 follow-up inspection showing full compliance. While the violations were systemic in nature and involved critical fire safety systems, no actual harm occurred and the issues were primarily documentation-related rather than fundamental safety system failures, though the non-latching fire door and extension cord violations posed actual fire safety risks requiring immediate correction.

The facility had extensive documentation and maintenance violations across fire safety systems including sprinklers, fire alarms, emergency lighting, fire doors, and egress routes, with a yellow-tagged fire alarm system and blocked basement exits representing the most serious deficiencies. The facility demonstrated a good response by systematically correcting the vast majority of violations (20 out of 23) between the initial February 2023 inspection and follow-up inspections in April 2023, ultimately achieving full compliance and approval status by April 17, 2023. While the initial violations were widespread and indicated systemic maintenance gaps, none involved actual harm to residents or imminent life-safety threats. The facility's thorough remediation, including addressing both documentation deficiencies and physical hazards, reflects appropriate corrective action and commitment to regulatory compliance.