Spring Manor

The Department of Social and Health Services completed a full inspection of Spring Manor assisted living facility on 10/02/2025 and found no deficiencies. No violations were identified during the inspection, indicating the facility is maintaining compliance with state regulations. Since no corrective actions were required, the facility demonstrated adequate baseline operations and ongoing regulatory compliance.

The facility violated respite care regulations by allowing a resident to stay 6 months instead of the maximum 30 days, resulting in failure to complete required admission documents, full assessment, and negotiated service agreement. The facility made repeated good-faith efforts to assist the resident with benefits enrollment, housing placement, and medication management, and coordinated with King County crisis responders before issuing a discharge letter. The follow-up inspection on 09/23/2025 confirmed all deficiencies were corrected and the facility met licensing requirements. This represents a procedural compliance failure without evidence of resident harm, with an appropriate corrective response.

The March 2025 inspection identified three documentation violations: missing hood cleaning verification for fan blade accessibility, lack of 2025 annual sprinkler system report, and missing 2025 fire alarm system inspection report. These are administrative compliance issues involving missing annual safety system documentation rather than actual equipment failures or safety hazards. The facility responded appropriately by correcting all violations within four months, as confirmed by the July 2025 follow-up inspection showing full compliance and approved status.

The facility failed two consecutive fire and life safety inspections, with multiple violations from March 2024 remaining uncorrected by the April 2024 re-inspection, resulting in a State Fire Marshal Letter of Non-Compliance. Fire safety violations pose serious life-safety risks to all 42 residents. The facility claims corrective work has been completed and is awaiting a third inspection, demonstrating some response effort but the delayed correction of critical fire safety issues indicates an inadequate initial response timeframe.

Spring Manor had four administrative and training compliance violations during a March 2024 inspection: one caregiver lacked required 2023 continuing education hours, one case manager lacked specialized mental health training despite the facility serving 47 residents with mental health diagnoses, and two staff members (including the administrator) had incomplete tuberculosis screening documentation. The facility responded appropriately by submitting corrective action plans with target completion dates and successfully corrected all deficiencies by the May 2024 follow-up inspection, which found the facility in full compliance with licensing requirements.

This inspection revealed severe life-safety violations including deficient fire protection systems (sprinkler system deficiencies, loaded sprinkler heads, missing fire alarm documentation), compromised egress systems (inadequate exit signage, fire door with gaps), and electrical hazards (exposed wiring, improper multi-plug use). The facility failed to provide multiple required annual inspection records (hood cleaning, fire door inspections, fire alarm testing, sprinkler forward flow test) indicating systemic neglect of critical safety systems. The facility's response was inadequate as evidenced by the 'Disapproved' status and lack of documentation for required inspections, demonstrating minimal corrective action or compliance efforts. These violations collectively represent immediate risks to resident safety in the event of fire or emergency evacuation.

The investigation found moderate compliance issues including expired criminal background checks for staff and a resident's failure to report concerns through proper channels, preventing facility investigation of abuse allegations. The facility had appropriate grievance and medication policies in place, and medication administration was found compliant. The facility's response was adequate but reactive - they suspended the staff member pending background check completion, but the lapsed background checks represent a preventable oversight in basic regulatory compliance.

The facility failed to renew the required background check (BGI) for one staff member every 2 years as required, placing all 47 residents at risk of receiving care from staff with unknown criminal history. This is a repeat violation previously cited in May 2023, demonstrating a pattern of non-compliance with background check requirements. The facility's response has been inadequate, as evidenced by the uncorrected deficiency resulting in escalation to a $600 civil fine after multiple citations. The state imposed enforcement action due to the facility's failure to correct this systemic compliance issue despite prior notifications.

The facility failed to renew a required background check (BGI) for one staff member every 2 years as mandated, placing all 48 residents at risk of receiving care from staff with unknown criminal history. This was an uncorrected repeat violation previously cited on May 1, 2023, resulting in a $300 civil fine. The facility's response was inadequate, as evidenced by the violation remaining uncorrected during the May 31, 2023 follow-up visit despite prior citation, demonstrating failure to implement timely corrective actions.

The March 2023 inspection identified eight serious fire safety violations including missing documentation for critical life-safety systems (sprinkler, fire alarm, emergency lighting testing), improper extension cord usage, missing fire drills, and an overhead light improperly hanging from a sprinkler pipe. The facility responded appropriately by correcting all violations, as confirmed by the May 2023 follow-up inspection showing full compliance. While the initial violations represented severe systemic failures in fire safety maintenance and documentation that could compromise resident safety during an emergency, the facility demonstrated a good response by achieving complete remediation within two months.

The facility failed to administer prescribed medications to a resident with serious mental health and cardiac conditions after staff repeatedly turned the resident away during medication pass, citing behavioral issues but never following up to ensure medication delivery. The facility conducted a formal investigation, acknowledged the medication administration failure, and implemented corrective measures including staff retraining on medication protocols. A follow-up inspection on March 8, 2023 confirmed all deficiencies were corrected and the facility returned to full compliance.

The facility received a Statement of Deficiencies on January 26, 2023, and disputed the citation(s) through the Informal Dispute Resolution process. The state upheld all deficiencies after reviewing written materials, oral explanations, and regional staff records. The facility's response was moderate—they engaged in the formal dispute process but were unsuccessful in demonstrating compliance, and they had not yet submitted their corrective action plan at the time of this letter, requiring a directive to complete corrections within 45 days.