Ponderosa Retirement Center

The facility had multiple routine fire code violations including improper electrical cord usage, unapproved space heaters in resident rooms, an unsecured oxygen cylinder, missing emergency generator maintenance documentation, and corridor obstruction. The facility demonstrated an exemplary response by correcting all nine violations on-site during the initial inspection on 02/23/2026, which was confirmed at the follow-up inspection on 03/19/2026 where approval status changed from Disapproved to Approved. All violations were routine maintenance and housekeeping issues with no immediate life-safety threats.

The facility had systematic medication administration failures where residents did not receive prescribed medications and staff falsified medication administration records by signing for medications not given. The facility responded proactively by conducting medication cart audits, MAR audits, and completing investigations that identified the practice failures, demonstrating accountability though the violations represent serious risks to resident health and safety.

The facility failed to maintain fire marshal approval with violations of sprinkler system and fire alarm inspection/testing requirements persisting across multiple inspections from February through May 2025, placing all residents at risk in the event of fire. The facility acknowledged the violations and ordered necessary parts, eventually completing repairs by June 2025, but the response was delayed over several months with multiple failed re-inspections before achieving compliance. The July 2025 follow-up inspection confirmed all deficiencies were corrected and the facility now meets licensing requirements.

Initial inspection on 02/25/2025 identified 12 routine fire safety maintenance violations including missing documentation for annual inspections, improper storage, propped fire doors, and equipment maintenance issues. The facility demonstrated exemplary response by correcting 9 of 12 violations immediately on-site during subsequent inspections. By 05/15/2025, all violations including fire alarm system repairs requiring parts orders were fully resolved, with the facility achieving approved status by 07/09/2025.

The facility overcharged a resident for care services beyond their agreed daily rate, violating WAC 388-78A-2660. The investigation found the assessment was accurate, but billing practices were improper. A consultation was issued for the billing violation. No information was provided regarding the facility's corrective actions or response to the citation.

The facility had multiple routine fire safety maintenance violations including missing documentation for sprinkler and fire alarm inspections, storage clearance issues, improper door closures, unfused multi-plug adapters in resident rooms, and an undercharged fire extinguisher. The facility responded well by correcting 10 of 12 violations on-site during the April follow-up inspection, but two documentation issues remain outstanding (5-year FDC hydro testing and fire alarm maintenance report with date). The response demonstrates commitment to compliance with prompt corrections, though the persistent documentation gaps require resolution.

The facility had multiple moderate violations including incomplete service agreements, missing nurse delegation systems with staff performing tasks outside their scope of practice, inadequate investigations of resident complaints (including allegations of staff mistreatment), expired background checks, missing TB screenings, and incomplete specialized training for staff serving vulnerable populations. The facility responded promptly by contracting an outside nurse delegation service, updating policies and procedures, implementing monitoring systems, and completing required documentation and training. All deficiencies were corrected by the March 2025 follow-up inspection.

The facility failed to report a resident's substantial injuries (black eye, hand injury, cuts, and abrasions) to the state hotline within required timeframes, violating mandatory abuse/neglect reporting requirements. The investigation found dried blood on sheets and multiple unexplained injuries that staff could not account for. The facility acknowledged the violation and implemented corrective measures including policy review, staff training, and a monitoring system. By the March 2025 follow-up inspection, all deficiencies were corrected and the facility was found in full compliance.

A resident fell on facility stairs with worn, peeling nonskid strips, suffering two fractured neck vertebrae and requiring ten stitches. The hazardous stair condition persisted for five months after the fall, placing all residents and visitors at continued risk. The facility acknowledged the unsafe condition, replaced the nonskid strips promptly after citation, and committed to ongoing monitoring. Additional theft allegations were investigated appropriately with law enforcement involvement, and other complaint items (cleanliness, water temperature) were found compliant.

The document provided contains only a Washington state seal with no inspection report content. Without substantive information about any inspection findings, deficiencies, or facility responses, no violations can be assessed and no analysis can be performed.

The February 2023 inspection identified 11 routine fire safety violations including missing drill documentation for several quarters, combustible storage in a mechanical room, unfused power strips in resident rooms, missing electrical switch cover, disabled door closer, and various maintenance/testing documentation gaps. Two violations (dislodged hood suppression blowoff cap and unsecured oxygen cylinders) were corrected immediately on-site during the inspection. The March 2023 follow-up inspection confirmed all violations were fully corrected, demonstrating a prompt and thorough facility response with no recurrence.