Providence Mount St. Vincent

The facility failed to maintain current background checks for 4 of 9 volunteers, with checks expired by over 2 years in some cases, representing a procedural compliance violation affecting all 66 residents. The administrator immediately acknowledged the issue, stated they would review their in-house background check process, and submitted a plan of correction with follow-up monitoring. A subsequent inspection on 12/11/2025 confirmed full correction of the deficiency, demonstrating effective remediation within the required timeframe.

This was a routine follow-up inspection by the Washington State Fire Marshal at Providence Mount St Vincent on 11/18/2025. The inspection found that all violations noted during previous inspections have been corrected, with no new violations identified. The facility demonstrated good compliance and appropriate corrective action from prior findings, maintaining their approved operational status.

The facility experienced a faulty fire alarm panel CPU that required repair. The facility demonstrated a good response by immediately implementing fire watch procedures and contacting appropriate personnel for repair. The fire alarm was successfully repaired and the facility returned to compliance, with no evacuation, injuries, or fire department response required.

The facility had four fire safety violations identified during the November 3, 2025 inspection: gas appliance restraint non-compliance, missing annual fire-resistance construction documentation, a sprinkler head loaded with debris, and missing annual fire door inspection records. All violations were documentation-related or minor maintenance issues with no immediate life-safety impact. The facility corrected all violations within 15 days, as confirmed by the November 18, 2025 follow-up inspection showing approved status, demonstrating a timely and effective corrective response.

The facility failed to ensure a resident received prescribed PTSD medication, placing them at risk for worsening mental health symptoms and nightmares. This is an uncorrected repeat violation previously cited in July 2025, demonstrating a pattern of medication administration failures. The facility was issued a $500 civil fine and required to submit a corrective action plan within 10 days. The response is inadequate given this is a repeat offense with the same deficiency remaining uncorrected for over two months, indicating insufficient corrective measures after the initial citation.

The November 2023 inspection identified seven fire safety and electrical code violations including blocked electrical panels, daisy-chained power outlets, non-latching fire doors, a loaded sprinkler head, missing fire extinguisher inspections, and incomplete fire safety system documentation. The facility responded appropriately by correcting all violations within 33 days, as confirmed by the December 2023 follow-up inspection showing full compliance. The violations represented procedural and maintenance deficiencies affecting fire safety systems but did not constitute immediate life-safety threats, and the facility's timely comprehensive remediation demonstrated effective corrective action.

The facility issued a discharge notice to a hospitalized resident due to repeated behavior plan violations and inability to meet medical needs, but the discharge letter lacked required regulatory information. The facility followed their discharge policy and worked with the designated power of attorney to pack belongings, which remained secured in the resident's apartment. While a technical compliance issue was identified requiring consultation, the facility demonstrated appropriate procedural safeguards and no resident harm occurred.